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A Behavioral Medicine Approach to Weight Control and Optimal Health March 13, 2010 . Michael J. Cameron, Ph.D., BCBA Chair, Department of Behavior Analysis Simmons College, Boston, MA. Behavioral Medicine. Behavioral medicine encompasses a philosophy of

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michael j cameron ph d bcba chair department of behavior analysis simmons college boston ma

A Behavioral Medicine

Approach to Weight Control

and Optimal Health

March 13, 2010

Michael J. Cameron, Ph.D., BCBA

Chair, Department of Behavior Analysis

Simmons College, Boston, MA

behavioral medicine
Behavioral Medicine
  • Behavioral medicine encompasses a philosophy of

individual responsibility for disease prevention and health

promotion and maintenance

  • It focuses on an integration of knowledge from the

behavioral and biomedical sciences to reach solutions to

practical problems of physical health and illness

areas of research
Areas of Research
  • Assessment and treatment of migraines
  • Treatment of chronic pain
  • Childhood obesity
  • Type I and Type II diabetes management
  • Exercise promotion and adherence
  • Caffeine abuse (St. Caffeine)
  • Cardiovascular functioning
  • Working within the respondent and operant paradigm
state of the science for the behavioral treatment of obesity ten stage
State of the Science for the Behavioral Treatment of Obesity: Ten Stage
  • Structural and functional assessment of eating behavior
  • Stage 1: Comprehensive baseline assessment
stage 2
Stage 2
  • Self monitoring
    • Caloric intake
    • Fat intake
    • Time of day
    • Taste preferences (sweet, sour, salty, bitter savory), food texture preference, temperature preferences, and food volume preferences
    • Inter-meal/snack intervals
    • Trigger analysis (high risk events)
stage 3
Stage 3
  • The Motivational Interview
    • Analysis of data and self-identification of problems and patterns
    • A review of the essential behavioral repertoire
      • Grocery shopping
      • Food preparation
      • Meal and snack planning
      • Assessment and preference-based exercise plan
      • SMART goals: Specific, Measurable, Achievable, Realistic, and Timely
stage 4
Stage 4
  • The Behavioral Community
    • Correspondence training (Say-Do-Report)
    • The daily proclamation and stimulus control
stage 5
Stage 5
  • Virtual Behavioral Coaching
    • Data sharing
    • Data analysis
stage 6
Stage 6
  • Rituals, Routines, and Behavioral Rehearsals
    • Response interruption strategies (beginning with low preference foods)
    • The exercise habit and stimulus control
    • Matched stimuli and food preferences
    • Education centered on food groups, nutrition, serving sizes
    • Eating patterns of healthy peers
    • A review Skinners’ nine essential strategies for self-control (e.g., changing the stimulus, manipulating emotional conditions, deprivation and satiation)
stage 7
Stage 7
  • Stimulus Control and Motivating Operations
    • The Satiety Index (food, abolishing operations, and systematic manipulations)
    • Self-control through trigger analysis
    • Physiology of eating behavior
    • The Food Craving Inventory
    • Emotions and eating behavior
stage 8
Stage 8
  • Exercise and Intensity Shaping
    • Cardiovascular, strength, and flexibility training
    • Successive approximations to optimal health
stage 9
Stage 9
  • Relapse Prevention and Sustainable Change
    • Tacting high emotion and risk
    • The warning signs of risk
    • Analysis of caloric variation
    • Vacation and holiday planning
    • Smoking cessation
stage 10
Stage 10
  • Recovery Plan
    • Defining a “set-back” before it occurs
    • Structured plans for step-by-step recovery
    • Review of a comprehensive biopsychosocial model that helps understand the craving process
    • Developing a log to record personal successes
    • 3500 claories/1lb (caloric restriction and exercise)
    • Re-calculating your metabolic rate
    • Establishing criterion for the implementation of a recovery plan
    • Review of a developmental model of recovery
    • Relapse Support Groups
behavioral medicine18
Behavioral Medicine
  • Integration of the basic principles
  • An area for behavioral analysts