Applying a TTM Program to the Participant

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Interviews and questionnaires have shown that participant was at contemplation stage. He was aware of the pros of changing but also acutely aware of costs. Participant have shown signs and confirmed during interview that he was stuck in contemplation stage for quite a long time. From these results the assumption was made that participant is not ready for traditional action-oriented programs, so TTM was adapted to assist behavioural change. During intervention researchers used self-liberation, stimulus control, contingency management and helping relationship strategies and from outside an opportunity of social liberation strategy appeared. These 5 strategies were most useful. (Porchasaska & Velicer 1997). (4 +1 out of 10)
Participant was motivated to manage stress, maintain physical strength and avoid health-related problems. - portfolio part.
Overall, intervention shows positive results and participant's movement from contemplation to preparation stage. Throughout 4 weeks intervention client experienced positive attitude towards evening walking and was able to achieve 30 minutes of moderate intensity, physical exercise (SHS, 2013). Due to difficulties to adapt to the morning routine, client suggested to have longer evening walking. Moreover, evening walks became more preferred due to chance to meet with his cousin rising social liberation changing process. Client was provided with increased in social opportunities to support the behavioural change.
Self-liberation was promoted by increase of self confidence and allowing participant to design his own weekly plan and encouraged to act on it. It worked perfectly, as client didn't experience strong influence from researcher and was designing tasks that he found reasonable and achievable.
On the other hand, stimulus control was quite difficult to achieve. Due to time constrains, suggestions like walking to the shop, or to work were not implemented. However, evening walks and weekend gym activities were very easily accepted and were enjoyable.
To ensure prolonger engagement in new habits and to reduce the risk of withdrawal, contingency management was implemented. Researchers attempted to positively comment on success fallowing weekly schedule and during failure like adapting to morning schedule, was encouraged to find solutions on how to fit 30 minutes of exercising. Contingency management (Porchasaska & Velicer 1997) suggest that self-changers benefits much more from rewards than punishments. Client was enthusiastic about additional tasks and have not shown any form of withdrawal.
Lastly, helping relationship was probably most useful process, which was used throughout intervention. Researchers were reflecting participant's values and understanding of exercising importance to promote and encourage behavioural change truth the clients own value system.

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