List the guidelines that Behavior Therapy proposes for helping patients to improve adherence to the behaviors necessary for effective weight control.

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i) Through the therapy, patients are helped to understand the rationale for changing behavior (WHY?). Patients are helped to respond to statements like….. “Why do you think I'm asking you to keep food records? Telling the patients “it is important” has been found to be ineffective in promoting adherence.
ii) Through the therapy, patients are helped to identify a goal and establish a specific plan (WHAT?). Patients are helped to select goal; the behavior they are expected to change is then described in concrete and specific terms: the patient is then helped to select a specific plan (e.g., limit eating to 250 calories between 7:00 and 11:00 PM or walk three times a week for 20 minutes after dinner on Tuesday, Thursday, and Saturday) rather than a general statements (e.g., eat less at night or exercise more). The more specific the goal is, the more the patients are likely to adhere to the program.
iii) Patients are assisted to identify facilitators and barriers to success (HOW?). To successfully implement the plan, patients are helped to reflect on the steps that will be essential in achievement of their goal (e.g., buying alternative foods to eat in the evening). They are further helped to identify steps that they need to implement in order to avoid or overcome potential barriers.
iv) Patients are assisted to make a written record of the plan and key implementation steps. The patient uses a chart to document the specific plan and the implementation modalities. At the next visit, the patient’s progress is then reviewed with the specific plan instead of asking generally, “How was it?” Was the change implemented or not? In case of successful implementation, the strategies used to achieve the success are established. If unsuccessful, the barriers and how they can be overcome in the future is established. Here the focus is on behavior change—or non-change-- and not on why things did not go as planned

Titany answered the question on July 28, 2021 at 07:22

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List the guidelines that Behavior Therapy proposes for helping patients to improve adherence to the behaviors necessary for effective weight control.

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