1. Interventions and Behaviour Change

2. Assessment of Health-Related Problem Behaviours Biopsychosocial model –Psychological factors –Biological factors –Social factors

3. The Case of Marie

4. Cognitive-Behavioural Assessment 1. Identify the problem(s) 2. Prioritize the problem(s) 3. Select the target problem(s) 4. Measure and analyze the problem(s) 5. Develop treatment goals 6. Match treatment to client 7. Assess ongoing therapy

5. Measure and Analyze the Problem… CLINICAL INTERVIEW:  Nature and dimensions of problem  Relevant historical events  Current situational determinants  Consequences of the problem in the client’s life

6. The clinical interview is aided by: Structured self-report questionnaires Direct observation Self-monitoring Psychophysiological measurement

7. Treatment Options for Marie Self-monitoring Psychoeducation Relaxation training Biofeedback training Autogenic training Time management

8. Treatment Options continued … Assertiveness training Behavioural rehearsal/role-playing Cognitive restructuring Self-talk Couples therapy Good sleep hygiene

9. The Transtheoretical Model (Prochaska & DiClemente, 1992) Precontemplation Preparation Contemplation Maintenance Action Relapse

10. Motivational Interviewing

11. Decisional Balance Sheet BENEFITSCOSTS CONTINUE TO … MAKE A CHANGE TO…

12. 5 General Principles of Motivational Interviewing (Miller & Rollnick, 1992) Express empathy Develop discrepancy Avoid argumentation Roll with resistance Support self-efficacy