The Effects Of Tobacco Cessation Program On Veterans With The Substance Abuse Disorder ( Suds )

Solution-Focused Interviewing, The Transtheoretical Model, and Motivational Interviewing are three approaches used by practitioners to assist and guide people in changing their behavior. Each approach has its own format and process and this paper will compare and contrast some similarities and differences between these three approaches. This will be done by looking at five client scenarios and comparing and contrasting them with the approaches. The five client scenarios are; the client who wants something and sees themselves as part of the solution, the client who says someone else needs to change, the client who seems uninterested or resistant to changing, the client who wants what is not good for them and finally the client who does not seem to want anything.

The Transtheoretical Model of Behavior Change (TTM) was created by Prochaska and DiClemente. It is based on “(1) the stages of change, (2) the decisional balance scale, (3) the strong and weak principle, (4) self-efficacy, and (5) the processes of change” (Kelly, 2008, p. 149). A person’s progression through the stages depends on their perception of the advantages of adopting a healthy lifestyle (Kelly, 2008).

Substance abuse among our veterans is much greater than our civilian populations. This is largely caused by post-traumatic stress disorder, associated from combat, and who have endured multiple deployments. In most cases, veterans who have turned to alcohol or drugs have a dual diagnosis. They not only have a problem with alcohol or drugs, but they also suffer from a mental or mood disorder that has a major impact on these issues. In most cases the mood disorder is post-traumatic disorder(PTSD), which results from being in combat. According to

In this part of my assignment I will describe 2 different theories of behaviour change in relation to health.

Hypothesis is typically used in quantitative research only. Moreover, when a question poses an inquiry on the relationship between two variables, a hypothesis is a statement declarative in nature of the relationship between different variables (Pajares 2007). A researcher chooses whether to use a question or a hypothesis depending on the purpose of the research, its objectives, the methodology for the research and the preference of the audience to receive the research. A researcher must be able to interpret the final outcome with reference to the research questions or the hypothesis used (Pajares 2007). A research requires a minimum of two hypotheses namely a null and an alternative hypothesis.

While drugs and alcohol are detrimental to so many, there are several veteran substance abuse programs available to help former service members, including VA addiction treatment and private substance abuse centers. Veterans’ families suffer tremendously as a result of dealing with addiction and mental health issues, but they also have a big role in the detection, treatment, and recovery of veterans.

The researchers included both a hypothesis and research questions. They stated a hypothesis, however it is a research hypothesis versus a null hypothesis. A research hypothesis explains there is correlation between two or more variables. A null hypothesis is a classification of hypotheses that states there is no connection between the independent and dependent variables. Statistical testing is performed to determine whether the statement is acceptable or not. Whereas the research question is an analysis statement detailing the variables and population of the specified research study (Adams, 2015). The hypothesis, the authors were hoping to prove, was whether the use of music would reduce pain and anxiety in postoperative pain in a particular patient population during a defined time frame (Allred et al., 2010). An example of a null hypothesis for this study would state music would have no effect on postoperative pain in a particular patient population during a defined time frame. There were four research questions the researchers attempted to answer. Three of the four questioned the effect of music on the patient’s pain, anxiety, and physiologic parameters. However the fourth question pertained to the impact of music on the amount of opioids taken from the beginning of the intervention until six hours later (Allred et al., 2010). The clinicians had not mentioned this component of the study before

The intrapersonal model focuses on health promotion and health education efforts in order to increase awareness of health-related issues among individuals, such as knowledge, attitudes, personal beliefs, and the individual’s skill set (Riegelman and Kirkwood, 2015). This is important because it zeros in on the individual and what they know and can do in order to allow for change. One of the many models within the intrapersonal theory is the transtheoretical model, also known as the stages of change model. The transtheoretical model’s constructs are that the individual goes through incremental stages when changing a behavior instead of making big changes all at the same time (Riegelman and Kirkwood, 2015). The first construct is the precontemplation stage, where the individual has not yet thought about changing their behavior. Next, is the contemplation stage, where the individual is actively thinking about the pros and cons of change. Then the next stage is preparation, where the individual is thinking about a plan of action. Next, is the action stage, where the change is taking place in the individual’s behavior. Finally, the maintenance stage, where the change becomes a permanent change in the individual’s lifestyle. (Riegelman and Kirkwood, 2015). The importance in this model is the ability

It is irrefutable that the formulation of the Transtheoretical Model (TTM), has efficaciously contributed to current perspectives in health psychology, allowing for a greater understanding in facilitating healthy behaviour change (Adam & White, 2003). TTM is a comprehensive six-stage theory which logically describes behaviour change as a process rather than a single event, providing the pathway to a more enduring and successful outcome (Adam & White, 2003; Prochaska, 2008). These stages include: pre-contemplation, contemplation, preparation, action and maintenance, which occur cyclically in the event of relapses, until temptation is no longer present, resulting in termination (Marshall & Biddle, 2001; Prochaska, 2008).

The transtheoretical model helps explain the patient’s behavior change related to the health aspects. As per this change agent, the patient’s purposeful behavior change consists of the cognitive and the performance-based elements. The five stages of the model are precontemplation, contemplation, preparation, action and the maintenance stage (Virginia Tech Continuing & Professional Education, n.d.).

The Transtheoretical Model is a theory of health behavior that suggests that behavior change is a process, not an event. There are five stages of change someone can go through while attempting to engage in positive behavior: precontemplation, no intention to act within six months; contemplation, intention to act within six months; preparation, intention to act within the next thirty days along with some behavioral steps; action, changed behavior for less than six months, maintenance, changed behavior for more than six months; termination, end of the behavior. These stages are not linear, so an individual can move up and down the stages of change indiscriminately.

The process of change describes how people change. These processes of change are divided into two categories; cognitive and behavioral. Cognitive is the thinking process of change and behavioral is the action process of change. The transtheoretical model suggests that people use different strategies, techniques or different amounts of each at different stages in their change process. Self-efficacy refers to confidence and an individual’s experience with confidence to perform specific behaviors in specific situations. Self-efficacy is a good predictor of behavior change. An individual with higher self-efficacy may be more likely to change a behavior even if the situation doesn’t have any positive reinforcements (Campbell, Eichhorn, Early, Caraccioli, Greely, 2012).

ABSTRACT The purpose of this article is to summarize several change theories and assumptions about the nature of change. The author shows how successful change can be encouraged and facilitated for long-term success. The article compares the characteristics of Lewin’s Three-Step Change Theory, Lippitt’s Phases of Change Theory, Prochaska and DiClemente’s Change Theory, Social Cognitive Theory, and the Theory of Reasoned Action and Planned Behavior to one another. Leading industry experts will need to continually review and

Strategies for success include gaining the support of social venue owners; however, this may prove

Changing situations throughout the world affect all organizations in business today. Therefore, most organizations acknowledge the need to experience change and transformation in order to survive. The key challenges companies face are due to the advancements in technology, the social environment caused by globalization, the pace of competition, and the demands regarding customer expectations. It is difficult to overcome the obstacles involved with change despite all the articles, books, and publications devoted to the topic. People are naturally resistant to fundamental changes and often intimidated by the process; the old traditional patterns and methods are no longer effective.