1 |
Increased consciousness |
- Clients learn the Stages of the Change Model. |
The Stages of Change. |
- Clients complete the exercise to determine their own stage of change for problem behaviors. |
Where am I? |
- Clients reflect on how their days have been, how they have been eating and how they have been related to the activity and/or physical exercise. |
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2 |
Self-reassessment and Emotional Relief. |
- Clients discuss ways in which other people have expressed concerns about their lifestyle. |
Expressions of concern and values. |
- Clients wonder if they themselves have personal concerns about their lifestyle. |
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- To help clients identify their personal values. |
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- To help clients determine if their personal values are discrepant or in accordance with their lifestyle. |
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3 |
Surrounding Revaluation |
- Clients recognize that the behavior can affect several areas of their life (personal, professional, leisure, etc.). |
Relationships and roles |
-Clients identify current and potential relationships, and think about whether the unhealthy lifestyle can harm relationships with others. |
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- Clients discuss whether their relationships have changed due to unhealthy lifestyle. |
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- Clients identify the roles they play in life. |
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- Clients recognize how the unhealthy lifestyle has affected such roles. |
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4 |
Pros and cons |
- Clients learn how to identify the pros and cons of behavior. |
- My pros and cons of poor diet. |
- Clients learn how to attach importance to the pros and cons. |
- My pros and cons of not exercising. |
5 |
Efficacy |
- Clients identify situations in which they are more tempted to get out of the diet and not exercise. |
- Temptation and confidence in food. |
- Clients seek to increase their confidence about their ability to stay on the diet and exercise even in tempting situations. |
- Temptation and confidence for Physical Exercise. |
- Clients discuss the implications of various levels of temptation and trust. |
- Examples of problem solving. |
- Clients learn to think about problems and review an example of how to solve problems. |
- Description of your problem. |
6 |
Self-deliberation |
- Clients learn about how to set appropriate goals. |
- Determination of objectives and change plan |
- Clients create declared aims and a plan to change to achieve those aims. |
- My goals and my plan of change |
- Clients review the topics seen during the course of the group. |
- Review |
- Clients discuss changes and the progress they have made. |
- Cards with several achievements or successes of each of the group members during the course, to be delivered to them. |
7 |
Conditioning, Stimulus Control, Counterconditioning, Reinforcement Management |
- Clients create "clues" to start new health behaviors |
- My "clues" to start new behaviors |
- Clients identify situations or emotions that are a trigger to get out of the diet or not exercise. |
- When am I more tempted to get out of the diet? |
- Customers create appropriate ways to avoid or to change these "triggers". situations |
- When am I more tempted not to exercise? |
- Clients discuss desires and impulses, identify the differences among them. |
- Handling Impulses and Desires |
- Clients learn how to replace desires and impulses with positive/functional thoughts and behaviors. |
- Rewarding My Success |
- Clients understand the importance of gratifying positive behaviors. |
- When am I more tempted to get out of the diet? |
- Clients identify recent achievements. |
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- Clients have ideas on how to reward their positive behaviors. |
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8 |
Stimulus Control, Counterconditioning, Reinforcement Management. |
- Clients identify how thoughts can generate temptation to get out of the diet and to not exercise. |
- Identifying and challenging maladaptive thoughts. |
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- Clients learn techniques on how to manage their thoughts. |
9 |
Counterconditioning and Reinforcement Management |
- Clients learn three communication styles (passive, aggressive, and assertive). |
- Effective Communication |
- Clients determine their typical ways of communicating with others. |
- Practicing Refusals |
- Clients learn tools to communicate effectively. |
- Handling Reviews |
- Clients think of people who often eat poorly and/or are sedentary, and who can offer you foods out of diet or who can encourage them not to exercise. |
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- Clients practice skills to refuse offers to get out of the diet or to not exercise. |
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- Clients learn how to receive, appropriately, criticism from others. |
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- Clients learn techniques to criticize others constructively and effectively. |
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10 |
Stimulus Control, Counterconditioning, Reward Management, Help Relations and Social Deliberation. |
- Clients identify healthy activities that can be pleasurable |
- New ways to enjoy life |
- Clients identify potential problems in performing these activities and solutions to these potential problems. |
Who and what can help me? |
- Clients identify potential sources of social support, understand its importance and learn how to develop it. |
- Needs and resources |
- Clients identify areas of life that have not been fully developed or that have been harmed due to an unhealthy lifestyle. |
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- Clients identify locations for information and assistance to develop these areas. |
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11 |
Self-Deliberation |
- Clients review strategies to maintain the behaviors they started. |
- Review |
- Clients plan management strategies if they resume their old lifestyle. |
- My action plan |
- Clients choose the best strategies according to their personality. |
- "What can I do after a lapse?" |
- Clients understand that relapses and lapses are a part of any behavior change. |
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- Clients create ideas/strategies on how to resume lifestyle change (diet and exercise adhering) after a lapse. |
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12 |
Self-Efficacy and Reinforcement Management |
- Clients review the topics worked on during the course of the group. |
- Cards with messages prepared by you, in advance for each client, that list several achievements or successes achieved by them during the course of the group. |
- Clients discuss the changes and progress they have made. |
- "Review" Leaflet |
- Clients engage in closure activities. |
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