1 / 20

Transtheoretical Model (Stages of Change)

Transtheoretical Model (Stages of Change). Stages of Change. Principles of Change. Based on a variety of psychological theories of change A person’s relationship to changing a behavior is dynamic The stages of change are NOT linear Relapse/recycling

lisbet
Télécharger la présentation

Transtheoretical Model (Stages of Change)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Transtheoretical Model (Stages of Change)

  2. Stages of Change

  3. Principles of Change • Based on a variety of psychological theories of change • A person’s relationship to changing a behavior is dynamic • The stages of change are NOT linear • Relapse/recycling • People are in different stages for different behaviors • Steps in behavior change are incremental

  4. Your Role in Change • Clients are competent to make choices and changes in their lives. • Change cannot be imposed. • Reward and encouragement are more effective than punishment and judgment. • Change depends on the pros of change outweighing the cons.

  5. Counseling and Testing • HIV Test • Counseling in Behavior Change • Health Education • Client-centered disclosure counseling • Referrals

  6. Tests • Conventional HIV Testing (2 visits) • Informed Consent • Client receives counseling and gives sample • ELISA or EIA test • If positive 2x at lab, confirmed w/Western Blot • 1-2 wks later, given result

  7. Standardized Test Results • HIV-positive • HIV-negative • Inconclusive

  8. Tests • Rapid Testing (1 visit) • Informed Consent • Oral or blood sample • OraQuick ADVAJNCE rapid HIV-1/HIV-2 antibody test • Health Education or HIV counseling • 20-40 minutes

  9. Results Rapid Test • Preliminary positive • Confirmed positive • Negative • Invalid

  10. Notes on Testing • Does not determine whether or not someone has AIDS • Further testing required to understand state of immune system • Accuracy of tests • Considered one of the most accurate medical screening tests • Positive results tested 2x, negative tested 1x

  11. Further Notes on Testing • 98% of HIV antibody tests given are negative • 2/3rds of clients receiving positive result have previously received at least 4 negative • HIV-positive persons offered variety of referrals • Always make individual assessments and referrals

  12. Informed Consent • Anonymous Testing • Confidential Testing • Differences: • Consent forms • Written results • Identifiers • HIV reporting by name

  13. Window Period • Difference between exposure and infection • Window Period • Incubation Period

  14. Window Period

  15. Practice • Section 2: HIV and the Immune System • 1. What is an antibody? • 2. Why do you test for an antibody instead of the virus itself?

  16. Practice • Section 8: Rapid and Conventional HIV Testing • 3. Why do I have to wait seven to 14 days for a conventional test or confirmatory • positive test result? • 4. Can you tell me if I have AIDS? • 5. What’s the difference between conventional testing and rapid testing? • 6. What does a positive test result mean? • 7. What does a negative test result mean? • 8. What does an inconclusive test result mean? Is an invalid test result the same thing? • 9. What does a preliminary positive mean?

  17. Practice • Section 9: The Window Period • 10. If I test negative, then I don’t have anything to worry about, right? • 11. What is the window period? • 12. How often should I come back for testing? • Section 11: Informed Consent • 13. What is the difference between anonymous and confidential testing? • 14. How sure can I be that the system you have in place is completely confidential?

  18. Safer Sex Demonstration Male Condom Female Condom

  19. THRIVE http://thrive.preventioninstitute.org/thrive/index.php

  20. Community Mapping • http://breeze.cce.cornell.edu/communityresources/

More Related