UNIT 1: Week 3
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Social cognitive theory
• behaviour is based on dynamic interactions btwn individual, environment and behavioural
Social cognitive theory - self-efficacy
• someone’s belief in their capability to successfully complete a specific task
4 sources of self efficacy
• Performance accomplishments (past experiences) • Emotional arousal • Verbal persuasion • Vicarious experiences (modeling by otherrs)
How could PTs assess a client’s self efficacy?
• confidence ruler or scale
Trans Theoretical model
• proposes that people change behaviours through 5 distinct stages
5 stages of trans theoretical model
• Precontemplation • Contemplation • Preparation • Action (30 days) • Maintenance (6 months)
Pre-contemplation
• no recognition or interest in change
Contemplation
• acknowledging the problem, thinking about changing
Preparation
• clear intention to change in near future
Action
• adopting new habits • 30 days
Maintenance
• ongoing practice of new healthier behaviour • 6 months
The 5 As framework
• practical model of behaviour change
What are the 5 As?
• Ask • Assess • Advise • Agree • Assist
5 As - Ask
• permission to discuss • readiness to change
5 As- Assess
• cardiorespiratory activity • resistance activity • sedentary behaviour • risk screening • preferences • barriers
5 As - Advise
• offer client specific advise
5 As - Agree
• collaborative negotiation: goal setting
What model is best to use when goal setting?
• SMART goals
Process oriented goals vs outcome goals
• process oriented goals are the most effective goal type for improving performance and self-efficacy
5 As - assist
• resources • referral • follow up
Therapeutic exercise prescription (TEP)
• the systematic performance of planned activities intended to enable clients to prevent impairment, enhance function, reduce risk, optimize health and enhance fitness
TEP framework (SOAPIE)
• subjective • objective • analyze • plan • intervention • effect
TEP- Subjective: goal
• determine appropriateness of exercise as an intervention from the clients history
TEP - Subjective: what info is being gathered
• current health condition/injury • past medical history • lifestyle behviours • contextual factors • precautions/ contraindications • goals