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2000. Bright Futures in Practice: Nutrition.Arlington, VA: National Center for Education in Maternal and Child Health: Appendix F: “Stages of Change – A Model for Nutrition Counseling,” page 251. outcomes of positive change. A client would not consider self-monitoring his diabetes because he did not think he could do it everyday, and he would know what to do with the blood glucose readings.
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Contemplation. 3. Preparation to change. ▫ Example. “I wish I could stop drinking so much because I don't want that to be an example.
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Bright Futures in Practice: Nutrition.Arlington, VA: National Center for Education in Maternal and Child Health: Appendix F: “Stages of Change – A Model for Nutrition Counseling,” page 251. Stage Description Behavior Goals Educational Strategies Precontemplation Stage To move forward, precontemplators ﬁrst need sincere empathy from their coaches. This is the time to use reflections to show that you understand and respect their feelings and needs. Your ability to recognize and to accept that they do not intend to change a particular behavior is the key to future possibilities.
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Make a list of motivating statements. During the preparation stage, you might begin making small changes to prepare for a larger life change. For example, if losing weight is your goal, you might switch to lower-fat foods. 2 If your goal is to quit smoking, you might switch brands or smoke less each day.
non-compliance. b. poor self-efficacy. c. negative attitude. d.
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You can then negotiate a plan
Description. The Precontemplation stage occurs when the client has no intention, now, or in the future (typically seen as six months), to change their behavior.
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Motivational Interviewing: Example of Questions to Ask Members/Patients Pre-contemplation Encourage exploring - Intro ambivalence: Acknowledge the lack of readiness and that the decision is theirs - Be patience with minimal progress Validate where the person is and respect how they feel. Always ASK Permission. Example questions: Precontemplation Treatment Strategies Not Considering Change & Not Ready for Change Tasks & Goals Increase awareness of need for change and concern about current behavior See possibility of change Move to next Stage of Change •Assess awareness and knowledge •Discuss pro’s and con’s •Acknowledge their concerns •Learn benefits of Reluctant precontemplators are those who through lack of knowledge or inertia do not want to consider change. The impact of the problem has not become fully conscious.
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They may experiment with small changes as their determination to change increases. For example, sampling low-fat foods may The TTM posits that individuals move through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination.
Rebellious precontemplators Short-term Measurable Goal Example: “ Client will identify increased motivation to reduce substance use from a 2-4 on readiness ruler.” Therapist will explore benefits and risks of use. Therapist will utilize motivational interviewing to explore themes of ambivalence. Therapist will assist client in identifying their support system. Make a list of motivating statements. During the preparation stage, you might begin making small changes to prepare for a larger life change.