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Behavior Modification
Aka: Behavior Modification, Transtheoretical Model, Trans-theoretical Model, Stages of Behavior Change, Behavior Change Model
- See Also
- Chemical Dependency Brief Counseling
- Five As Technique
- Five Rs Technique
- FRAMES Technique
- BATHE Technique
- Indications: Behavior Modification counseling
- Chemical Dependency (e.g. Tobacco Abuse)
- BATHE Technique
- Background
- Example uses Tobacco Cessation
- Stage: Precontemplation
- Smoking is not a problem. I do not want to quit.
- Consider brief interventions
- Educate on the negative effects of Tobacco
- Recommend quitting smoking
- List cessation options (e.g. Nicotine Replacement)
- Discuss patient's reaction to recommendations
- Reinforce at follow-up visits
- Physician example
- Most people agree that Tobacco use is a harmful
- What do you think about this?
- I am concerned about your health
- How can I help you quit?
- Stage: Contemplation
- Smoking is a problem. I want to quit.
- Continue to discuss benefits of quitting smoking
- Avoid negative long-term effects of Tobacco use
- Improved health and positive self-image
- Financial cost savings
- Physician example
- Your morning cough will improve off Tobacco
- Stage: Preparation
- I will quit smoking on January 1.
- Facilitation measures
- Set a definite quit date
- Encourage social support
- Tobacco Cessation program
- Friends and relatives provide support
- Provide a no-fail environment
- Remove Tobacco, ashtrays and other related items
- Others should not smoke around patient
- Set contingency plans
- Be aware of Tobacco use triggers (rituals)
- Consider habit substitutions in place of Tobacco
- Avoid provocative behaviors (e.g. Alcohol use)
- Offer Tobacco Cessation pharmacologic measures
- Nicotine Replacement
- Bupropion (start 2 weeks before cessation)
- Stage: Action
- I stopped smoking today.
- Provide behavior support
- Smoking Cessation program
- Follow-up contact (e.g. Troubleshoot triggers)
- Weekly during first month of cessation
- At time of stopping pharmacologic measures
- Stage: Maintenance
- I only smoked on one stressful day in the last month.
- Continue behavior support
- Offer additional interventions if relapse occurs
- References
- Mallin (2002) Am Fam Physician 65(6):1107-14 [PubMed]
- Prochaska (1992) Am Psychol 47:1102-14 [PubMed]