Hahaha. AhhaLIFE STYLE COUNSELING.ppt .pdf

Life style changes

1. Lifestyle Counseling and
Changing Behaviors
DrConnie Manzano-Salumbides, FPAFP
Family Medicine

2. The 5 Star Physician
•1. Health Provider
•2. Educator
•3. Counselor
•4. Researcher
•5. Manager/Social Mobilizer

3. Counselor

4. You can be an educator

5. Your Role as a Physician

6. Prevention…….
Majority of the leading causes of morbidities
and mortalities are preventable.
Human behaviors can be changed and many basic
health-related bevahiors…
people have a choice.

7. Which ??????

8. What is Counseling?
-according to American Counseling Association, it is a
professional relationship that empowers diverse individuals,
families and groups to accomplish mental health, wellness, and
career goals.
Lifestyle –the typical way of life of an individual, group or
culture

9. Risky behavior ….unhealthy lifestyle

12. What is Habit? What is Behavior?
•Habit is an acquired behavior pattern regularly
followed until it has become almost involuntary.
(smoking ?)
•Behavior is the way in which one acts or conducts
oneself, especially towards others.

15. Behavior Development
certain behaviors are developed from INFANCY and
CHILDHOOD
modified and maintained –from help seeking
adherence to management

16. Factors Influencing Behavior
1. Self Efficacy -defines the person’s belief in ones
own capabilities, linked with self-
esteem and self confidence
-brings about self-esteem

17. •2. Attribution –to attribute is to assign
success is attributed to ability, effort,
task difficulty and luck
Internal Attribution versus External
Attribution

18. •2. Locus of Control –Internal versus External
External –people are affected by
external factors, by circumstances
Internal –people who create their
own destiny, empowerment

19. •3. Cognitive Dissonance –points to the internal
conflict created when a long held belief is
challenged by a new one….
Example Alcoholism and smoking

20. Health Beliefs and Intentions
Health Promoting Behaviors –will likely be followed
if it will confer significant protectionfrom perceived
threat.
Beliefs give substance to intention

21. Health Beliefs and Intentions
Health Promoting Behaviors :
adherence to behaviors like exercising
eating fruits and vegetables
maintaining appropriate weight
heighten awareness of patient’s risks to common chronic
conditions

22. Intention
The most immediate factor that drives a
person to action is the INTENTION,
popularly thought of as a WILL

23. Rationale for Behavioral Counseling?
Health care providers and staff play a unique and important role in
motivating and assisting patients’ healthy behavior changes.
In a study it was noted that majority of patients expected advice and help from
health care system in key health issues and substance abuse.
Health providers and primary physicians have roles in motivating
health promotion and disease prevention.

24. Rationale ……
Health care systems are natural settings for interventions to
improve health behaviors for many individuals because repeated
contacts of typical interventions to help patients change unhealthy
behaviors, like treatment for chronic diseases.
Changing health behaviors (of Americans) has greatest potential of any
current approach to decrease morbidity and mortality across diverse
population.

25. Rationale….
These interventions often provide more
than brief clinical advice. Effective
interventions typically involve behavioral
counseling techniques in patients
advocating behavioral changes.

26. Rationale….
Risky behaviors are leading causes of preventable
morbidity and mortality and addressing individual
behavior change is under utilized.
Most models are adapted from tobacco cessation
intervention in clinical care setting

27. LifestyleChanges
Over used of modern technology and COVID-19 Pandemic resulted to
unhealthy life style in sleep and recreation

28. NEED for LifestyleChanges
unhealthy life style
1.Dysfunctional sexual behavior
2.medicine and substance abused
3.smoking
4.unhealthy diet
5.lack of exercise and overweight and obesity

29. NEED for LifestyleChanges
lead to chronic diseases:
cardiovascular diseases
degenerative disorders
cancers and
diabetes mellitus.

30. READINESS TO CHANGE
Changes happen gradually and in stages:
1. Precontemplation–no desire to change
if there are-half-hearted and
ineffectual,“don’tlike it”

31. 2.Contemplation –there is the desire
seriously thinks
considers the pros and cons
“thinking about it”
3. Preparation –concrete plans are made, “I will do it”

32. 4.Action –Actual implementation of the plan of
behavior change is usually timed as within the next
month to six months, “I’m doing it”
5.Maintenance –the changed behavior is maintained
from 6 months to 5 years.

33. Counseling Strategies
What Work for Your Patients?

34. COUNSELING strategy
Listen Listen –Keep your mouth SHUT

35. MOTIVATIONAL INTERVIEWING
•Five General Principles
1. Express EMPATHY through reflective listening
EMPATHY –specifiable and learnable skill for understanding
another’s meaning through the use of
reflective listening

36. 2. Develop discrepancy between clients goals
or values and their current behavior.
3. Avoid argument and direct confrontation
4. Adjust to client resistance rather than
opposing it directly.
5. Support self-efficacy and optimism
(reference: Miller and Rollnick)

37. Changing Habits and Behaviors
Steps in Goal Setting Program and Activities: How to set GOALS?
1.Brainstorm all goals
2.Prioritize goals
3.Writing goals down
4.Positive motivation

38. 5. Negative motivation
6. Identifying and overcoming limiting beliefs
7. Changing habits and behaviors

39. Achieving Goals…..
Which of your actions SLOW down your goal
achievement?
The purpose of this question is to identify any
behaviors that will prevent you from achieving your goal,
or that will significantly slow down the process.

40. UNDERSTANDING HABITS AND
BEHAVIORS

41. Understanding Changing
Habits and Behaviors
Remember: just as we all have LIMITING
thought patterns, we all have limiting behaviors.
Changing Habits and behaviors requires that
you make a LISTof these a Actionsyou want to
Change.

42. Identify Habits and Behaviors
need Changing
Once you identifythe problematic behaviors,
only then can you really problem-solve, and find new,
supportive habits and behaviors to take their place.
The following are questions to help Identify these
problematic behaviors during brainstorming.

43. STRENGTHEN YOUR NEW
BEHAVIORS
Set of questions

44. New Supportive Behavior
…….is another way of building your confidence and
motivation with respect to what you can do for
yourself. Changing habits and behaviors is not easy
nor is it always fun. But it is possible if you keep
returning to strategies that work for you.

45. 5 A’s Behavior Change Model
A Counseling Strategy

46. 5 A’s Behavior Change Model
Adapted for Self-Management Support Improvement
•Self-Management Model with 5 A’s (Glasgow, et al, 2002;
Whitlock, et al, 2002)

47. 5 A’s Behavior Change Model
Adapted for Self-Management Support Improvement
•Self-Management Model with 5 A’s (Glasgow, et al, 2002;
Whitlock, et al, 2002)

53. Proposed Guide when Counseling Patients
Towards Healthier Lifestyles
1.Define the Problem Behavior –for clarificationboth
for doctor-counselor and client-patient
Ex. Weight reduction can be specified as to target
weight
2.Understand the context of the Problem Behavior
-gain the trust of patient

54. 3.Identify the Barriers and Resources to Change
what can help and what can hinder
easier step
4.Strategize with the patient and anticipate
difficulties
-plan, goals, time frames, methods to be used

55. 5. Implement the Plan and Continuously Monitor
-anticipate relapse and manipulate the
environment to lessen the possibility of release
-full and active patient cooperation and family
and community involvement

56. Healthy Habits
Conquest of unhealthy habits is difficult but the
rewards go beyond the achievement of healthier
lifestyle,it is the expression of self-discipline and
healthy self-esteem.

57. Lifestyle Counseling
Change in Lifestyle
read: chapter on lifestyle counseling