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This program focuses on counseling techniques, promoting wellness, and enhancing health knowledge to prevent CAD progression and improve quality of life. Encouraging independence, self-learning, and social support are key elements. It covers Dr. Halbert Dunn's concept of "wellness" and John Knowles's views on health rights vs. responsibilities. Adult learning principles, behavior modification techniques, and social learning theory are discussed for effective implementation. The readiness for change theory is explored, along with the importance of educational materials tailored to different reading levels and cultures.
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Chapter 7 Education & Behavior Modification for Risk Factor Management
Delays CAD Progression Promotes Plaque Stabilization Reduces Mortality & Reinfarction Rates Decreases Need for Interventions Reduces Hospitalizations Improves Quality of Life Benefits
Foundation of Knowledge • Exercise & Health Sciences • Education • Counseling • Guideline 7.1
Counseling (Nonverbal) • Eye Contact • Body Movement • Voice Volume • Facial Expressions • Touch • Room Arrangement
Active Listening • Paraphrasing • Reflection • Probing • Summary
Encouraging Independence • Self-learning • Self-Motivation • Social Support
Wellness – Total Person Dr. Halbert Dunn – Concept of “wellness” & “zest for living” • Social • Physical • Intellectual • Emotional • Spiritual
Health Rights vs. Responsibility • John Knowles M.D. – 1977 • “The cost of sloth, gluttony, alcoholic intemperance, reckless driving, sexual frenzy, and smoking is now a national and not and individual responsibility. This is justified as individual freedom, but one man’s freedom is another man’s shackle in taxes and insurance premiums. I believe the right to health should be replaced by the idea of an individual’s
Health Responsibility (cont.) ..moral obligation to preserve one’s own health – public duty if you will. The individual then has the “right” to expect help with information, accessible services of good quality, and minimal financial barriers.”
Adult Learning • Readiness • Barriers • Self-directed • Time Frame
Principles of Behavior Modification • Goal Setting • Short Term • Intermediate • Long Term
Intrinsic vs. Extrinsic Rewards • Contracts & Agreements • Feedback • Self-monitoring • Prompts • Rewards • Social Support
Social Learning Theory • Self-Efficacy – Albert Bandura • Behavioral • Cognitive • Environmental
Social Learning (cont.) • Persuasion by Authority • Role Models • Successful Performance • Physiological Feedback
Readiness for Change Theory • Precontemplation • Contemplation • Preparation/Action • Maintenance
Educational Material • Reading Level • Culture • Language