Behavioural Psychology

Submitted by ally.price@up… on Fri, 10/28/2022 - 09:46
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Behaviour is how we act. It is a response to:

  • thoughts and feelings.
  • the environment, including other people (NSW Health, 2020).

Behaviour is the expression of our conscious and subconscious decisions. For example:

  • the way we express (or don’t express) how we feel.
  • the thoughts we act upon and how we act upon them.

Over time, the continuation of these decisions (from the small ones to the big ones) form our behaviour.

The cognitive triangle

Cognitive behavioural therapy (CBT) considers how thoughts, emotions, and behaviour are linked. In simple terms, how we perceive a situation (our thoughts) will influence our response (emotions and behaviour), more than the situation itself (Beck Institute, n.d.).

The cognitive triangle illustrates the relationship between thoughts, emotions, and behaviour that underpins CBT.

A diagram depicting a positive experience

(KASA Team, n.d.)

Let’s look at a few scenarios. In each scenario, consider how your thoughts impact your emotions and behaviour. And how in turn, your behaviour and emotions reinforce thoughts.

Scenario 1

You have a stressful situation coming up. You wake up thinking about it and can’t shake your worry. You have feelings of anxiety. How might this affect your behaviour throughout the day and in social situations?

Scenario 2

You are feeling really good and energised after a great sleep. You look at yourself in the mirror and think “Yeah, I’m going to crush my goals today.” You think more optimistically about the day. How are your emotions and behaviour influenced?

Scenario 3

You don’t go to the gym as planned and feel guilty. You start to have negative self-talk, and this leads to more negativity. How did your perception of missing the gym – your thoughts – impact your emotions? What behaviour might result from this?

Scenario 4

You think about achieving a major exercise goal, maybe bench pressing 100kgs for the first time or hitting a personal best running. Those thoughts make you feel pumped up, eager and driven to attack your workout. Your behaviour and emotions are conducive to better performance within the workout.

A person staring intensely after a workout
We are the stories we tell ourselves

Decisions are based on thoughts and emotions. But what influences both these things?

  • Do you choose what you think? Where do thoughts come from?
  • Do you get to decide how you feel? What dictates our feelings?

Emotions and self-awareness change our thoughts.

New positive emotional experiences create consistent positive emotions. At some point, this will be assimilated into new thoughts.

What we pay attention to grows

We can decide which thoughts we must pay attention to. You can change, enhance, and alter your perspective on things! Let’s do an activity to illustrate.

Grab a piece of paper or pull up a note on your computer or phone. Write down everything that comes into your head for 1 minute.

Where did those thoughts come from?

Now get ready to listen. Write down everything you can hear for 1 minute.

You may have thoughts like, “That humming would be annoying I if was focusing on it the whole time. I never noticed that before.” It’s not always easy. And for some, it is harder than for others. But with practice, you can choose what thoughts you want to focus on.

Experiences dictate our emotions

As a coach, you are in the experience industry, not the fitness industry.

You’ve seen the stats. Most people aren’t physically active. They don't like going to the gym. Even if they know it’s good for them.

But you have the power to manipulate the experience of every client positively. If you optimise the experience to align with a positive emotional outcome, then you lay the foundation for a behaviour change. And this leads to more performance or goal-orientated successes… and more happiness!

A diagram depicting a positive experience

Repeated new experiences lead to a change in emotional interpretation and new feelings being generated.

When trying to develop healthy habits, we should focus on rewarding the behaviour instead of the outcome.
Dan Ariely – Professor of Psychology and Behavioural Economics, Duke University

You’ll learn more about successful client consultations and creating optimal workout experiences in Exercise Prescription Parts A and B and Special Populations and Exercise Adherence.

Change is not linear. There are stages to decision making and change. Recognising what stage your client is in helps you help them.

Stages of change

The Stages of Change Model (also known as the Transtheoretical Model or Prochaska’s Model) defines 6 stages of change.

A diagram depicting cycle of change

The model was developed in 1986 by Prochaska and DiClemente as a way of understanding how some people can quit smoking easily and independently, while others need greater support.

Nowadays this model is applied to a broad range of behaviours.

The model is widely used in the health and fitness industry to understand where clients are in relation to making new habits and sustained behavioural change. Use this model to guide you in how you choose to motivate your clients.

Each stage of Prochaska's Model has principles and processes to support change. The time a client may spend in each stage is variable, but the steps to move on to the next stage are not. Certain tasks and principles of change are better suited to some stages than others. These tasks and principles are designed to reduce resistance, encourage and support progress and avoid reverting to old habits.

1. Precontemplation

People in this stage are not yet thinking seriously about making any changes and are not looking for help. They may be defensive about their level of health and fitness or not feel it is a problem. They are unlikely to consider making changes within the next six months.

Your goal is to:

  • Help your client develop a reason for changing
  • Validate their experience
  • Encourage further self-exploration
  • Leave the door open for future conversations – “plant the seed”.

2. Contemplation

Your client is more aware of the personal consequences of the behaviour in question. They spend time thinking about their problem but cannot consider the possibility of changing. They may appear ambivalent. They may doubt that the long-term benefits of a change will outweigh the short-term costs.

Your goal is to:

  • Validate their experience
  • Clarify their perceptions of the pros and cons of behavioural change
  • Encourage further self-exploration
  • Leave the door open for moving to preparation.

3. Preparation

Your client has committed to making a change. This could present in the form of researching what they need to do to make a change. Often people will move directly from contemplation into action, skipping preparation. This frequently leads to failure because they haven’t adequately researched or accepted what it will take to make a major lifestyle change.

Your goal is to:

  • Praise the decision to change behaviour
  • Prioritise behaviour change opportunities
  • Identify and assist in problem-solving and overcoming obstacles
  • Encourage small initial steps
  • Encourage identification of social supports.

4. Action

Your client believes they can change their behaviour and are actively taking steps to do so. They review their commitment to themselves and develop plans to deal with pressures that may lead to slips. They may use short-term rewards to sustain their motivation and analyse their behaviour change efforts in a way that enhances their self-confidence.

There is a risk of relapse, so it is important to keep providing encouragement and motivation.

Your goal is to:

  • Guide and help implement action towards the goal
  • Provide encouragement and motivation
  • Identify and assist in problem-solving – remind the client of their end goals
  • Acknowledge successes
  • Monitor progress.

5a. Maintenance

Your client has adopted new behaviours and is aiming to maintain these.

Effective preparation in earlier stages means your client can anticipate situations that could lead to a relapse and develop coping strategies.

They remain aware that what they are striving for is personally worthwhile and meaningful. They are patient with themselves, recognising that it often takes a while to let achieve sustained behavioural change.

Your goal as the exercise professional is to:

  • Encourage adherence to the programme
  • Monitor progress.

5b. Transcendence or termination

Some researchers add the stage of transcendence or termination to the model. This is a stage where the client has no desire to return to the past behaviours and is confident they will not relapse. This stage is rarely reached, with people staying in the maintenance stage long-term.

6. Relapse

The path to successful and sustained behavioural change is full of obstacles. Even the most dedicated individual may experience a relapse. It is common to have at least one relapse, often accompanied by feelings of disappointment and failure.

While relapse can be discouraging, it is important to note that the journey to change is not a straight path. Individuals will naturally cycle between the stages several times before achieving maintenance or termination.

The following video provides an overview of the Stages of Change Model. Watch the video and consider how this could be used with clients and yourself to succeed with behavioural modification.

Facilitating positive behaviour modification

Facilitating behaviour change in others is hard. You won’t always get it right. Things that you can’t control will influence your client. However, if you support your client using the suggested goals for each stage, you can optimise your client’s experience for a positive outcome.

Facilitating positive behaviour modification
  1. Build rapport and trust
  2. Do your best to find out what motivates your client, what they enjoy and their reasons for change
  3. Consistently try to optimise your interactions to ensure maximum satisfaction from your client
  4. Your client is more likely to continue training with you, and the biggest #gains in mental and physical health are to be made.

Scenarios

It’s time to apply the Stages of Change Model to some real scenarios you may encounter as a personal trainer.

  • Identify what stage of change is exhibited in each scenario.
  • List any potential emotions the client could be feeling.
  • Determine the likelihood of the client’s decision to continue based on the interaction between the client and trainer.

Scenario A

Scenario B

A person with bulging muscles because of effort

Motivation is the reason we do something. It's what inspires us to behave a particular way or to make a specific decision. There are two types of motivation – intrinsic and extrinsic.

Extrinsic motivation is when we are motivated by external forces such as rewards or punishment.

You may have heard this referred to as the carrot and stick approach. The phrase comes from the idea of getting a donkey to move forward by either dangling a carrot in front of it or hitting it with a stick if it does not move. The donkey is motivated to behave a particular way because it either thinks it will be rewarded (with a carrot) or for fear of punishment (the stick).

Extrinsic rewards include things such as money, praise from others, promotions, good grades, and awards. Extrinsic punishments could include negative performance reviews, demotions, losing privileges, social isolation (time-outs), and poor grades.

Intrinsic motivation is doing something purely for enjoyment or interest in the activity.

A diagram depicting intrinsic motivation

Take your approach to study. If you are only motivated to complete a module to get a good grade on an assessment, receive praise from a tutor, graduate, and get a well-paid job, we could say you are extrinsically motivated.

However, if you are motivated to complete a module because you enjoy learning and developing your skills, find the topic interesting, and get enjoyment and a sense of fulfilment from what you achieve, we could say you are intrinsically motivated.

One is not better than the other. You will probably find that you are sometimes motivated extrinsically and sometimes intrinsically. A combination is likely the best.

Write down as many extrinsic and intrinsic motivators you can you think of in a health and fitness setting.

A person drinking water after a run in a hot day

Motivation components

Different people tend to gravitate towards either intrinsic or extrinsic motivation. However, our motivations are not fixed. What motivates you today may change tomorrow. You may be extrinsically motivated at work but intrinsically motivated when working on your own fitness goals.

Other components of motivation include:

Direction The goal that an individual is working toward. The goal keeps the client focussed and forward-thinking (i.e., gives direction), and is therefore motivated. Goals may be set by the individual (intrinsic) or by the fitness professional (extrinsic).
Intensity The level of effort an individual is willing to apply to attain their goal/s. People tend to display higher levels of intensity if they perceive an outcome as being readily achievable.
Persistence The duration of time in which a person is willing to apply effort (intensity) to work towards their goals (direction).

When discussing client goals, you should try to identify:

  • what type of motivation the client is exhibiting - intrinsic or extrinsic.
  • the specific goal that is motivating them to undertake the activity.
  • how committed they are to achieving the goal.
  • what ongoing behavioural changes they are willing to make once the initial goal is achieved.

Adapting your communication style depending on these factors will help. E.g., an intrinsically motivated client may not need as much verbal praise or tangible rewards and may not appreciate grand public displays of achievement celebration. Whereas extrinsically motivated clients may thrive on these rewards.

A person leading a spinning session

Maia is a group fitness instructor for Elev8 Fitness Club.

Her responsibilities include:

  • leading group fitness classes.
  • teaching members the proper techniques for participating in classes.
  • tailoring each class to the group.
  • paying attention to people’s age, fitness levels, and any injuries or health concerns.

Elev8 Fitness Club offers group fitness classes from high intensity to gentle reconditioning and everything in between.

Can you briefly describe the process of instructing a group fitness class?

“This begins with developing a plan beforehand, and then instructing the class so that they know the what, when, how, and where. I observe everyone, throughout the workout, for correct technique and level of intensity. I need to be prepared to adapt or modify the session plan because of the needs of one or more people on the day. I may need to lower the intensity of the exercises or raise it; I may have to change the music that I chose or decide not to play music at all; I may have to adapt equipment used. I always request feedback so that I am confident that what I am doing is working for the members.”

How do you know if the class is working out to the level that's needed?

“That’s done by monitoring exercise intensity. If I am leading a class that uses equipment with built-in heart rate monitors, then it’s simply a matter of checking heart rates against target heart rates. I can also use the ‘Talk Test’, which means, if people can talk while exercising and not lose their breath then they are not exercising hard enough. There is also the ‘Exertion rating scale’ where I can observe and rate physical signs of exertion to gauge if they need a rest or need to work harder.

On the other hand, I must monitor for and avoid over-exertion. Extreme breathlessness, extreme perspiration, dizziness, nausea, pain, pressure around the chest or in the arm, and breathing problems. Any one of these things would be classed as an emergency.”

How do you communicate your exercise plan to the group?

“I demonstrate the exercises. I perform them in front of the class slowly while talking through what I am showing them with clear verbal instructions. Precise and to the point. I don't give long-winded explanations. I follow this with a demonstration in real-time at a normal pace.

During the class, I demonstrate next actions while participants are continuing with current actions. I give hand signs or verbal cues when an activity is to change. And I don't have the music on too loud, the class needs to hear their instructor.”

Do the members in your class need you to motivate them?

“Yes, of course they do. Not many people will come to a fitness class ready to go and even if they do, it’s very hard to sustain that feeling right through the session without some help. There are some techniques that I use, such as, remaining upbeat throughout, using music, varying the exercise to make it fun, slowing down or speeding up, providing encouragement and support, always celebrating their achievements. I want them to return to my next class so I create high-energy classes and have different routines each time.”

Motivational strategies can be used to promote behaviour change for your clients. Aligning the most appropriate method for individual clients is part of the responsibilities of a good personal trainer. Using the correct strategy will result in an increased overall success rate and high client satisfaction levels.

A diverse group running by the coastline

Motivational strategies include:

  • Contracting
  • Prompts
  • Reinforcement
  • Perceived choice
  • Feedback
  • Self-monitoring
  • Social support
  • Decision balance sheet
  • Physical setting
  • Exercise variety
  • Group training
  • Minimised discomfort and injury
  • Enjoyment
  • Assessments and progress

To read about each strategy, click to expand.

An exercise contract is a written agreement between a trainer and a client. It seeks to address specified behaviours within an agreed timeframe. Some people require the formality of a written document to keep them motivated.

Prompts are a method of using words, visual signs or notes, technological devices, and actions to remind a person to complete a task or participate in an activity. They help change behaviour by establishing routine habits.

Some examples of prompts include:

  • using certain words at the start of a fitness class.
  • regularly reminding clients to stretch before and after exercise
  • sending out reminder messages.
  • leading by example to prompt the client to respond and react in a certain way.
  • a sign that reminds them that towels are mandatory when using resistance machines.

Reinforcements to an exercise routine are reward systems set in place to help participants to complete their training routines to reach their exercise goals. They can be external rewards (positive reinforcement), internal rewards, or negative reinforcement (punishment).

Negative reinforcement is not recommended and should only be used in extreme circumstances, such as aggression or excessive rule-breaking.

Providing the client with a range of choices will improve the success rate. It could be the choice between two types of exercise equipment, the time of day in which the session is scheduled, or intensity level adjustments. People with a feeling of control and/or input regarding how the decision was reached are often more satisfied.

Feedback is a great tool to promote changes to exercise behaviour as it can be constructive or motivational and can be used to shape how the participant responds to the program.

Self-monitoring should be encouraged in participants. Participants must be encouraged to observe and rate their behaviour consistently.

There are a variety of apps and devices which can help with self-monitoring, including wearable technology.

People need and thrive on social support, and this can come in the form of numerous types of social networks, including family, friends, colleagues, mentors, and personal trainers. When clients know that people care about them, it helps them maintain a positive outlook and mental wellbeing.

A decision balance sheet is essentially writing a pros and cons list. This may help with decision-making, providing focus, and motivation.

The physical setting that exercise takes place in can create a motivating or demotivating environment. This can result in a mindset change for the client. It is important that the physical setting:

  • has natural light and adequate lighting from other sources.
  • is a clean, uncluttered environment with a logical floor plan and plenty of space for individuals to exercise without crowding.
  • has good air circulation allowing for comfortable air temperatures and clean air.
Exercise variety can result in behavioural change by:
  • reducing boredom and resentment.
  • creating a sense of fun and adventure.
  • providing new challenges.

Teach your clients the importance of correct technique, the value of flexibility exercises, and avoiding overexertion. This will help to minimise discomfort and injury so that exercise is associated with positive thoughts and memories rather than negative pain-related ones.

Exercise groups can act as a social network for some people, providing support, conversation, and inspiration. Friendly competition can also be utilised as a means of motivation.

Discover what a client enjoys doing and create an exercise program to suit. This will result in a higher success rate. The following tools can help you figure out what your client enjoys.

  • Surveys
  • Interviews
  • General conversation
  • Feedback forms
  • Client reviews on public forums

Achieving a result and having it officially recorded helps to provide a visual confirmation of progress. Individuals will have an intrinsic boost to motivation as they have achieved a personal goal and the proof of their success is clearly available.

Regular fitness assessments should be scheduled every 3- to 6-months. Too frequent, and the assessments will not be motivating as progress will not be evident yet, but too far apart and enthusiasm may wane.

A trainer talking to clients about goals
Setting goals helps trigger new behaviours, helps guide your focus and helps you sustain that momentum in life.
Leslie Riopel, Positive Psychology

Without goals, it would be hard to know what a client wants to achieve and how they wish to achieve it. Goal setting is worth investing time and effort into.

Personal trainers are in a special position to be able to assist clients with achieving some life-changing goals. So, a systematic process must be followed.

Pre-exercise health screening and initial consultation are key to setting goals with your client. You’ll learn more about that in Special Populations and Exercise Adherence. What we want to focus on in this module is using the SMART framework to develop your own goals.

There are 3 main types of goals

Outcome goals are singular and often involve winning or receiving some sort of reward. When achieved these types of goals can be very motivating. However, the outcome is often out of the individual's control.

Process goals are fully under the individual's control and are often used as stepping stones towards a larger, long-term style goal.

Performance goals relate to achieving a specific level of performance. They are often organised into stages in which performance ability increases by the individual pushing themselves a little bit harder once each stage has been completed.

Performance goals can help people achieve outcome goals.

Goals will have varying durations depending on the desired outcome.

  • Short-term: Small goals that can be fully achieved in one day, week, or month. E.g., "join a gym", "book an appointment with a personal trainer", or "start jogging three times a week".
  • Medium-term: Moderate-sized goals which will take a regular commitment to achieve. E.g., "lose 10kg in 10 weeks", "run 2km without stopping", or "learn how to swim".
  • Long-term: These are much larger, often life-changing goals that will not be achieved without a significant level of commitment and effort. E.g., "quit smoking", "lose 50kg", or "undertake a marathon".

SMART goals

A diagram showing SMART goals

The SMART framework provides a method for goal setting. It sets out that the goals should be:

  • Specific – what, when, and how will you achieve your goal
  • Measurable – consistent, on a regular basis, define evidence
  • Achievable – the goal should be a stretch, challenge, maybe even tough, but doable
  • Relevant – align the goal with your values and long-term objectives
  • Time-bound – no more than 6 months out

“I want to lose weight” is an example of a poor goal. This goal can be improved by making it SMART. “I will lose 10kg within 10 weeks by weight training twice a week and doing one HIIT workout weekly. I will reduce sugar and increase protein and fibre intake."

Focus on one SMART goal at a time. Only set multiple goals if you know that you can handle and accomplish all of them.

Set yourself a SMART goal to achieve within the next 6 months. It could be relevant to your studies or your health and fitness (or both!) Write it down now. Remember to make it specific, measurable, attainable, relevant, and time-based.

Look back at the goals you set in your self-assessment pre-screen. Are they SMART goals? Can you improve how they are written?

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