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Behavior ModificationAka: Transtheoretical Model, Trans-theoretical Model

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

Behavior Therapy (C0004933)

Definition (MSH)The application of modern theories of learning and conditioning in the treatment of behavior disorders.
Definition (CSP)specific techniques which use classical or operant conditioning, or perceptual learning, to change behavior, especially to extinguish socially undesirable behavior, attitudes, or phobias.
Definition (CSP)therapeutic approach in which the focus is on the patient's observable behavior, rather than on conflicts and unconscious processes presumed to underlie his maladaptive behavior; accomplished through systematic manipulation of the environmental and behavioral variables related to the specific behavior to be modified; operant conditioning, systematic desensitization, token economy, aversive control, flooding, and implosion are examples of techniques that may be used in behavior therapy.
Definition (NCI)The use of operant conditioning, including rewards and punishments, in helping a person create an atmosphere where he or she does not contribute to painful stimuli.
ConceptsTherapeutic or Preventive Procedure (T061)
ICD994.33, 94.33
MSHD001521
EnglishBehavior conditioning therapy, Behavior Modification, Behavior modification psychotherapy, Behavior modification technique, Behavior modification treatments and procedures, Behavior Modifications, Behavior or Life Style Modifications, BEHAVIOR THER, Behavior Therapies, Behavior Therapy, Behavioral Intervention, Behavioral Interventions, Behavioral Modification, Behavioral psychotherapy, Behavioral therapy, Behavioral Treatment, Behavioral Treatments, Behaviour conditioning therapy, Behaviour modification, Behaviour modification psychotherapy, Behaviour modification technique, Behaviour modification treatments and procedures, Behaviour therapy, Behavioural psychotherapy, Behavioural therapy, CONDITIONING THER, Conditioning Therapies, Conditioning Therapy, THER BEHAVIOR, THER CONDITIONING
Spanishmodificacion de conductas, psicoterapia de modificacion de la conducta, psicoterapia modificadora de la conducta, terapia condicionadora de conductas, terapia condicionadora de la conducta, terapia conductal, terapia conductual, terapia del comportamiento
Parent ConceptsLearning (C0023185), psychosocial treatment method (C0683471), Behavioral Medicine (C0004937), Psychotherapy (C0033968), Individual psychotherapy (C0204525), Behavioral, Psychological or Informational Intervention (C1879796), Duplicate concept (C1274013)
SourcesAOD, CSP, ICD9CM, LCH, MSH, MTHICD9, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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