ACE Behavior Change Specialist flashcards
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32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Precontemplation
- Stage of change in which a person has no intention to change behavior within the next 6 months and may be unaware of the problem.
- Contemplation
- Stage of change in which a person intends to change within the next 6 months but is ambivalent and has not yet taken action.
- Preparation
- Stage of change in which a person intends to take action within the next 30 days and has taken some initial steps.
- Action
- Stage of change in which a person has made specific behavioral changes within the past 6 months.
- Maintenance
- Stage of change in which a person has sustained behavior change for more than 6 months and works to prevent relapse.
- Self-efficacy
- A person's belief in their ability to execute the behaviors needed to achieve a goal; a strong predictor of adherence.
- Autonomous motivation
- Engaging in behavior because it is personally valued or enjoyable, associated with better long-term adherence than controlled motivation.
- Controlled motivation
- Engaging in behavior due to external pressure or guilt; associated with poorer maintenance and lower well-being.
- SMART goals
- Goals that are Specific, Measurable, Achievable, Relevant, and Time-bound; process goals are often more effective than outcome goals.
- OARS
- Core motivational interviewing skills: Open questions, Affirmations, Reflections, and Summaries used to build rapport and explore ambivalence.
- Change talk
- Client statements indicating desire, ability, reasons, need, or commitment to change; predictive of actual behavior change.
- Righting reflex
- The counselor's urge to fix or advise prematurely; it can increase client resistance and should be avoided in motivational interviewing.
- Positive reinforcement
- Adding a desirable stimulus after a behavior to increase the likelihood that the behavior will recur.
- Negative reinforcement
- Removing an aversive stimulus after a behavior to increase the likelihood that the behavior will recur.
- Relapse
- A return to a previous behavior after a period of change; treated as a normal part of the change process, not a failure.
- Decisional balance
- A technique that helps clients weigh the pros and cons of changing versus not changing a behavior.
- Scope of practice
- The range of services a professional is legally and ethically permitted to provide based on training, certification, and law.
- Informed consent
- The process of obtaining a client's voluntary agreement to coaching after explaining risks, benefits, confidentiality, fees, and alternatives.
- Confidentiality
- The ethical and legal duty to protect client information from unauthorized disclosure, with limited exceptions such as imminent harm or legal requirements.
- Referral
- Directing a client to a qualified professional when their needs exceed the coach's competence or scope of practice.
- Professional boundaries
- Limits that protect the coaching relationship, including avoiding dual relationships and maintaining appropriate physical and emotional distance.
- Dual relationship
- A situation in which a coach has another significant relationship with a client (e.g., business, romantic) that may impair objectivity or exploit the client.
- Documentation
- The process of recording client goals, progress, and referrals in a secure manner consistent with legal and organizational requirements.
- Liability insurance
- Professional coverage that protects a coach against claims of negligence or harm arising from coaching services.
- Continuing education
- Ongoing learning required to maintain certification and stay current with evidence-based practices and legal requirements.
- Red flag screening
- Identifying signs or symptoms (e.g., chest pain, dizziness) that require medical referral before continuing with exercise or nutrition coaching.
- Ethical decision-making
- A structured process for resolving dilemmas by identifying the problem, considering stakeholders, reviewing codes and laws, consulting, deciding, and documenting.
- Mandated reporting
- A legal obligation to report suspected abuse, neglect, or imminent harm to appropriate authorities, even without client consent.
- Business contract
- A written agreement specifying services, fees, cancellation policies, and responsibilities to protect both coach and client.
- Competence
- The ethical duty to provide only services within one's training and experience and to refer clients when needs exceed that scope.
- Nonmaleficence
- The ethical principle of doing no harm, which includes avoiding practices that could injure clients and referring when necessary.
- Autonomy
- The ethical principle that clients have the right to make their own decisions, including the right to refuse or withdraw from coaching.