UNIT 1: Week 3 Flashcards

(36 cards)

1
Q

Social cognitive theory

A
  • behaviour is based on dynamic interactions btwn individual, environment and behavioural
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2
Q

Social cognitive theory - self-efficacy

A
  • someone’s belief in their capability to successfully complete a specific task
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3
Q

4 sources of self efficacy

A
  1. Performance accomplishments (past experiences)
  2. Emotional arousal
  3. Verbal persuasion
  4. Vicarious experiences (modeling by otherrs)
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4
Q

How could PTs assess a client’s self efficacy?

A
  • confidence ruler or scale
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5
Q

Trans Theoretical model

A
  • proposes that people change behaviours through 5 distinct stages
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6
Q

5 stages of trans theoretical model

A
  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action (30 days)
  5. Maintenance (6 months)
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7
Q

Pre-contemplation

A
  • no recognition or interest in change
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8
Q

Contemplation

A
  • acknowledging the problem, thinking about changing
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9
Q

Preparation

A
  • clear intention to change in near future
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10
Q

Action

A
  • adopting new habits
  • 30 days
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11
Q

Maintenance

A
  • ongoing practice of new healthier behaviour
  • 6 months
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12
Q

The 5 As framework

A
  • practical model of behaviour change
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13
Q

What are the 5 As?

A
  1. Ask
  2. Assess
  3. Advise
  4. Agree
  5. Assist
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14
Q

5 As - Ask

A
  • permission to discuss
  • readiness to change
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15
Q

5 As- Assess

A
  • cardiorespiratory activity
  • resistance activity
  • sedentary behaviour
  • risk screening
  • preferences
  • barriers
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16
Q

5 As - Advise

A
  • offer client specific advise
17
Q

5 As - Agree

A
  • collaborative negotiation: goal setting
18
Q

What model is best to use when goal setting?

19
Q

Process oriented goals vs outcome goals

A
  • process oriented goals are the most effective goal type for improving performance and self-efficacy
20
Q

5 As - assist

A
  • resources
  • referral
  • follow up
21
Q

Therapeutic exercise prescription (TEP)

A
  • the systematic performance of planned activities intended to enable clients to prevent impairment, enhance function, reduce risk, optimize health and enhance fitness
22
Q

TEP framework (SOAPIE)

A
  • subjective
  • objective
  • analyze
  • plan
  • intervention
  • effect
23
Q

TEP- Subjective: goal

A
  • determine appropriateness of exercise as an intervention from the clients history
24
Q

TEP - Subjective: what info is being gathered

A
  • current health condition/injury
  • past medical history
  • lifestyle behviours
  • contextual factors
  • precautions/ contraindications
  • goals
25
TEP - Objective: goal
- determine appropriateness of exercise as an intervention from the client's examination
26
TEP - Objective: what info are we gathering
- hypothesize measurement of interest - measure baseline status of impairment of interest - measure symptom reproduction (RPE or NPRS)
27
TEP - Analyze: goal
- determine appropriateness of exercise as an intervention by analyzing findings from subjective and objective assessment
28
TEP - Analyze
- summarize factors potentially affecting a TEP from client's history - summarize impairments and symptom reproduction - link impairments to clients goals - prioritize impairments - select exercise type
29
TEP - Plan: goal
- plan an initial TEP at a client-specific optimal dosage
30
TEP - Plan
- review evidence based guidelines - estimate clients' exercise tolerance (history, contextual factors, factors affecting adaptation)
31
Factors affecting adaptation
- contextual factors - age - health - injury - medical history - lifestyle behaviour s - activity tolerance - activity demand
32
TEP - Intervention
- exercise demonstration by PT - exercise rehearsal by client
33
Methods of cueing client to perform an exercise
- auditory - imagery - proprioceptive - visual
34
TEP - Effect
- determine exercise effect using perceived exertion (RPE) or symptom reproduction (NPRS) - modify exercise as necessary - collaborate to develop a feasible dosage, adherence strategies and an action plan
35
Adherence strategies
- written aids - visual aids - point of decision prompts - goal setting - self monitoring - support
36
Action plan examples
- if then... - ie. acute onset of muscle soreness - decreased perceived exertion - excessive symptom reproduction