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Adherence and non-adherence are behaviors, and adherence to medication regimens requires behavior change. Motivation is a key factor in successful behavior change and has been shown to promote adherence to chronic therapies World Health Organization, This appendix presents techniques that will be useful in assessing motivation and helping older adults increase their intrinsic motivation to adhere to medication regimens and other chronic therapies. Two models are introduced: Readiness to Change and Motivational Interviewing. These techniques and the concepts behind them are discussed primarily in the context of medication adherence, but they can also be applied to such lifestyle modifications Behavior Modification Model Motivation diet and exercise. Behavior change is rarely a discrete, single event. During the past decade, behavior change has come to be understood as a process of identifiable stages through which people pass Zimmerman et al. The Stages of Change model describes five stages of readiness Figure 5 - precontemplation, contemplation, preparation, action, and maintenance - and provides a framework for understanding behavior change DiClemente and Prochaska, For most people behavior change occurs gradually over time, with the person progressing from being uninterested, unaware, or unwilling to make a change precontemplationto considering a change contemplationto deciding and preparing to make a change preparation. This is followed by definitive action, and attempts to maintain the new behavior over time maintenance. People can progress in both directions in the stages of change. Most people will "recycle" through the stages Behavior Modification Model Motivation change several times before the change becomes fully established Zimmerman et Behavior Modification Model Motivation. The Stages of Change model is useful for identifying appropriate interventions to foster positive behavior change Table 6 ; by identifying where a person is in the change process, interventions can be tailored to the person's "readiness" to change Zimmerman et al. Anything that moves a person along the continuum towards making a positive change should be viewed Behavior Modification Model Motivation a success.

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The Transtheoretical, or Stages of Change, Model. Kendra Cherry, MS, is an author and educational consultant focused on helping students learn about psychology. Making a lasting change in behavior is rarely a simple process. It usually involves a substantial commitment of time, effort, and emotion. The stages of change or transtheoretical model seeks to explain and effect such change, and the science says it works in many cases. Click below to listen now. Whether people want to lose weight, stop smoking, or accomplish another goal, no single solution works for everyone. You may have to go through a process of trial and error to achieve your goal. It's during this period that many people become discouraged and give up on their behavior change goals. The keys to achieving and maintaining your goals are to try new techniques and find ways to stay motivated. Change might not come easily, but psychologists have developed effective ways to help people change their behavior. Therapists, physicians, and teachers use these techniques. Researchers have also proposed theories to explain how change occurs.

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The COM-B Model for Behavior Change

Do you have a behavior you hope to change in yourself or your learners? Before jumping straight into developing a new learning experience to address it, consider using the ABC Model of Behavior to gain a better understanding of the problem first. The bottom line: behavior can be impacted by more than just learning. The ABC Model of Behavior provides guidance for thinking through how environment and incentives shape behavior. The ABC Model of Behavior provides a lens for us to better understand an observable behavior or belief by examining the antecedent, or activating event A , that triggered it. Then, we examine the consequences C of and reactions to the behavior. In other words, an antecedent triggers a behavior, and that behavior has a consequence. The ABC Behavior Model is a powerful tool for looking at the whole picture instead of focusing too singularly on a problem behavior itself. This provides a deeper understanding of why a behavior is happening and helps inform more effective interventions to change or modify the behavior. When we understand the factors that influence how learners behave, we can identify alternate or supplemental solutions that help trigger the behavior we hope to see instead. The ABC Model is an essential tool for how we achieve behavior change through learning. To help us understand the factors that shape behavior, we like to apply a nuanced version of the ABC Model of Behavior. Learning is a form of intervention: we seek to influence or modify behaviors by helping learners identify different and more effective ways to respond to situations also known as antecedents, or activating events. The idea behind the ABC Model in learning is that antecedents A , with an emphasis on the environment, and consequences C , with an emphasis on incentives, influence behavior. In this scenario, a nurse working in a hospital frequently draws blood and must dispose of the needles properly to prevent any workplace accidents.

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