1. Taylor Retzer and Astrid Elizondo Department of Health Sciences Stages of Readiness In Health Improving Behaviors among Patients with Chronic Disease

2. Introduction  What is PSMP?  Initial visit will have patients meet with Health Coaches for about 30 minutes -Stages of readiness and confidence scales -Identifying barriers -Setting weekly goals  Subsequent visits can be shorter. -Will be used for follow up (in office or by phone) -Review of weekly progress  HC will meet with providers periodically.

3. Research Purpose As a preliminary step to measure the impact of health coaching on behavior change, the purpose of this research was twofold: 1.To examine overall stages of readiness in four health improving behaviors among patients at risk of lifestyle associated chronic diseases.  Sub-questions: Avoiding foods high in fat, eating a diet high in fiber, exercising at least three times a week for 30 minutes, and reducing stress.

4. Literature  Behavior change is a process  TTM & Stages of Change – Identify stages of readiness – Precontemplation – Contemplation – Preparation – Action – Maintenance

5. Method Type of study: This was a pre, descriptive study that measured patients’ stages of readiness in four health improving behaviors. Procedures: A total of 64 uninsured adult patients who visited a local clinic due to their chronic illnesses were asked by health care providers to complete a four-item modified Stages of Change questionnaire upon their arrival at the clinic. Data Analysis: Respondents’ stages of readiness were classified into five categories according to the Stages of Change Model: pre-contemplation, contemplation, preparation, action, and maintenance.

6. Results: Demographic Information

7. Results: Stages of Readiness

8. Conclusions  M any patients are not ready to change  A need for education – Fill gap – Motivate patients – Improve health Recommendations  Implement effective promotion of PSMP; encourage providers to utilize this free service  Ensure competent HC’s  Provide language services to patients

9. References Prochaska, J. & Velicer, W. (1997) The Transtheoretical Model of Health Behavior Change. American Journal of Health Promotion: September/October 1997, 12 (1), pp. 38-4.8