Cognitive Behavioral Theory
What 4 models are apart of Cognitive Behavioral Theory
ABC Model of Behavior
Precede-Proceed Model
Social-Cognitive Theory/Socail Learning Theory
Theory of Planned Behavior
What are the three main steps in the Health Belief Model
Modifying factors → Individual beliefs → Actions
What is the alternative name of transtheoretical model
stages of change
What are the spirit of Motivational Interviewing
Partnership building, acceptance, compassion, and evocation
Formal process to instruct or train clients in a skill or to impart knowledge to help patients/clients voluntarily manage or modify food, nutrition, and physical activity choices and behavior to maintain or improve health
What is nutrition education
What are the A, B, C, of ABC Model of Behavior?
Antecedent, Behavior, Consequences
What are modifying factors?
Age, gender, ethnicity, personality, SES, knowledge
What are the stages of change in the model?
Precontemplation: not considering changing
Contemplation: ambivalence; thinking about changing in the next 6 months
Preparation: planning to start change within 30 days
Action: changes in behavior are taking place
Maintenance: change in behavior is being maintained (6 months)
Termination: behavior is now a habit; relapse is unlikely
What is sustain talk?
Comments that support the status quo (i.e. I just love sweets too much)
Supportive process characterized by collaborative counselor-patient relationship to establish food, nutrition, or physical activity priorities, goals, and individualized action plans that acknowledge and foster responsibility, self-care to treat existing condition, and promote health
What is nutrition counseling
Interaction of behavior, personal, and environmental factors can influence behavior change
What is Reciprocal determinism
What are individual beliefs ?
Perceived susceptibility & severity → perceived threat
Perceived benefits
Perceived barriers
Perceived self-efficacy
What tools are used in this model
Readiness ruler, change ruler, decisional balance sheet
Mirror client statements; identifies affective part of message (feelings)
May be used to rephrase or reframe client statements to propel conversation
Helps with evocation and planning
What is reflective listening
The confidence to perform a specific behavior
What is self-efficacy
Nutrition counseling strategies for Conitive Behavioral Theory
What are Self-monitoring, problem solving, goal setting, rewards/contingency management, cognitive restructuring, social support, stress management, stimulus control, relapse prevention
What are assumptions with the health belief model?
Person will adopt behavior if failing to do so has detrimental consequences (i.e. medical triggers) to current lifestyle
Successful behavior change depends on barriers vs. benefits to changing
TTM Treatment Sequence
1. Individualized assessment - readiness to change
2. Collaborative goal setting
3. Skill acquisition (via education) and/or initiation of behavior change
4. Provision of ongoing support
What are the four principles of Motivational Interviewing?
Client-generated reasons for change
Understand their motivation
Listen to client and show empathy
Empower client
Elicit meaningful responses about thoughts, feelings, experiences, opinions, values, motivations
How, What, Tell me, Help me understand, Why*
What are 3 facts that drive behavior
Predisposing factors - knowledge, beliefs, attitudes, values
Enabling factors - allow positive behavior to occur
Reinforcing factors - promote maintenance
Nutritional counseling strategies for Health Belief Model
Motivational interviewing, guided discussions, testimonials, skill training/demos, decisional balance sheets, social support, behavior contracting, goal setting
Nutritional counseling strategies for TTM
Motivational interviewing, skill development training/coaching, demos/modeling, reinforcement, self-monitoring, goal setting and behavioral contracting, meal replacements and structured meal plans, social support, stimulus control
What are the four methods of Motivational Interviewing
Engage, Focus, Evoke, Plan
Reflection that draws together content from two or more prior client statements
What is providing summaries