II. Indications: Behavior Modification counseling

III. Background

  1. Example uses Tobacco Cessation

IV. Stage: Precontemplation

  1. Smoking is not a problem. I do not want to quit.
  2. Consider brief interventions
    1. Educate on the negative effects of Tobacco
    2. Recommend quitting smoking
    3. List cessation options (e.g. Nicotine Replacement)
    4. Discuss patient's reaction to recommendations
    5. Reinforce at follow-up visits
  3. Physician example
    1. Most people agree that Tobacco use is a harmful
      1. What do you think about this?
    2. I am concerned about your health
      1. How can I help you quit?

V. Stage: Contemplation

  1. Smoking is a problem. I want to quit.
  2. Continue to discuss benefits of quitting smoking
    1. Avoid negative long-term effects of Tobacco use
    2. Improved health and positive self-image
    3. Financial cost savings
  3. Physician example
    1. Your morning cough will improve off Tobacco

VI. Stage: Preparation

  1. I will quit smoking on January 1.
  2. Facilitation measures
    1. Set a definite quit date
    2. Encourage social support
      1. Tobacco Cessation program
      2. Friends and relatives provide support
    3. Provide a no-fail environment
      1. Remove Tobacco, ashtrays and other related items
      2. Others should not smoke around patient
    4. Set contingency plans
      1. Be aware of Tobacco use triggers (rituals)
      2. Consider habit substitutions in place of Tobacco
      3. Avoid provocative behaviors (e.g. Alcohol use)
    5. Offer Tobacco Cessation pharmacologic measures
      1. Nicotine Replacement
      2. Bupropion (start 2 weeks before cessation)

VII. Stage: Action

  1. I stopped smoking today.
  2. Provide behavior support
    1. Smoking Cessation program
    2. Follow-up contact (e.g. Troubleshoot triggers)
      1. Weekly during first month of cessation
      2. At time of stopping pharmacologic measures

VIII. Stage: Maintenance

  1. I only smoked on one stressful day in the last month.
  2. Continue behavior support
  3. Offer additional interventions if relapse occurs

Images: Related links to external sites (from Bing)

Related Studies

Ontology: Behavior Therapy (C0004933)

Definition (OMS) Activities that change habits, conduct, or patterns of action.
Definition (NCI_CDISC) A technique used to change subjects' behavior, for example, psychotherapy, lifestyle counseling or hypnosis.
Definition (NCI) The use of operant conditioning, including rewards and punishments, in helping a person create an atmosphere where he or she does not contribute to painful stimuli.
Definition (NCI_NCI-GLOSS) A technique used to help people change the way they react to certain triggers in the environment that cause a negative reaction. In cancer treatment, behavior modification may be used to help patients who have become nauseous during previous cancer treatments cope with nausea they feel when they enter the therapy room to begin a new round of treatment.
Definition (MSH) The application of modern theories of learning and conditioning in the treatment of behavior disorders.
Definition (PSY) Use of classical conditioning or operant (instrumental) learning techniques to modify behavior.
Definition (PSY) Therapeutic approach that may employ classical conditioning, operant learning techniques, or other behavioral techniques, in an attempt to eliminate or modify problem behavior, addressing itself primarily to the client's overt behavior, as opposed to thoughts, feelings, or other cognitive processes.
Definition (CSP) specific techniques which use classical or operant conditioning, or perceptual learning, to change behavior, especially to extinguish socially undesirable behavior, attitudes, or phobias.
Definition (CSP) therapeutic approach in which the focus is on the patient's observable behavior, rather than on conflicts and unconscious processes presumed to underlie his maladaptive behavior; accomplished through systematic manipulation of the environmental and behavioral variables related to the specific behavior to be modified; operant conditioning, systematic desensitization, token economy, aversive control, flooding, and implosion are examples of techniques that may be used in behavior therapy.
Definition (NIC) Promotion of a behavior change
Definition (NIC) Interventions to reinforce or promote desirable behaviors or alter undesirable behaviors
Concepts Therapeutic or Preventive Procedure (T061)
MSH D001521
ICD9 94.33
SnomedCT 226016000, 166001
English Behavior Modification, Behavior Modifications, Behavior Therapies, Behavior Therapy, Conditioning Therapies, Conditioning Therapy, Modification, Behavior, Modifications, Behavior, Therapies, Behavior, Therapies, Conditioning, Therapy, Behavior, Therapy, Conditioning, Behav modification technique, CONDITIONING THER, THER CONDITIONING, BEHAVIOR THER, THER BEHAVIOR, behavioral interventions, behaviour therapy, behavior therapy, behavioral psychotherapy, behavioral therapy, behavior modification technique, behavior modification techniques, behavioural therapy, behavioral intervention, Behaviour modification technique (regime/therapy), behavior modification, BEHAVIORAL THERAPY, Behavioral therapy, Behavior conditioning therapy, Behavior modification psychotherapy, Behavior modification, Behavior therapy, Behavior modification technique, Behaviour conditioning therapy, Behaviour modification technique, Behavioural therapy, Behavioral psychotherapy, Behaviour therapy, Behavioural psychotherapy, Behavior modification treatments and procedures, Behaviour modification psychotherapy, Behaviour modification treatments and procedures, Behaviour modification, Behavioral therapy (procedure), Behavioral therapy (regime/therapy), Behavior Conditioning Therapy, Behavior or Life Style Modifications, Behavioral Interventions, Behavioral Intervention, Behavioral Modification, Behavioral Therapy, Behavioral Treatments, Behavioral Treatment
Swedish Beteendeterapi
Spanish terapia conductual (procedimiento), Terapia conductual, modificación de conductas, psicoterapia de modificación de la conducta, psicoterapia modificadora de la conducta, terapia condicionadora de conductas, terapia condicionadora de la conducta, terapia conductal, terapia conductual, terapia del comportamiento, terapia conductual (régimen/tratamiento), Modificaciones de la Conducta, Terapia Condicionante, Terapia Conductista
Czech behaviorální terapie, Behaviorální terapie
Finnish Käyttäytymisterapia
Japanese 行動変容(行動療法), 行動修飾, 行動療法, コウドウリョウホウ, 条件づけ療法, 行動修飾法, 行動変容技法, 条件付け療法
French Techniques de modification du comportement, Thérapie comportementale, Thérapie behaviorale, Thérapie de comportement, Thérapie par le conditionnement
Polish Modelowanie zachowania, Psychoterapia behawioralna, Terapia behawioralna
Norwegian Atferdsterapi
Dutch gedragstherapie, Conditionerende therapie, Gedragstherapie, Gedragsverandering
Hungarian Viselkedésterápia
Portuguese Terapia comportamental, Modificação de Comportamento, Terapia Comportamental, Terapia de Condicionamento
German Konditionierung, Verhaltenstherapie, Verhaltensänderung
Italian Terapia comportamentale