Julie Kelly May 6 2013 Health Behavior Part One: Revised Self-Assessment: I take on too many activities and I do not know how to say no to something. I am involved in too many things. I do more than I am capable of. I do not give myself time to relax. My mind is always running. I have a need to control and plan everything. I am overwhelmed and I am stressed. MY GOAL: All of these factors are reasons why I am striving to implement a behavior change in my lifestyle. I want to allot at least thirty minutes daily to cope with my stresses. These thirty minutes do not have to be spent all in one way or even all at once. Through journal writing, relaxation methods, breathing exercises, yoga, reflections, self-affirmations and the establishment of ‘me’ time, I hope to successfully be able to make room for thirty minutes of stress mastery. While this goal may be specific, I have allowed for myself to become flexible with it. By this, I mean that I can do a variety of activities and will not be able to use the excuse that I do not have the time in my day. Thirty minutes is a small increment in a twenty-four hour day and I hope to be able to learn how to find this time in my day to manage my stress. I am aware that I currently do not try to find the time in my day to de-stress which has a negative impact on my overall behavior. In order to ensure that I keep up with this habit, I will write in a journal everyday to record how long I ‘de-stressed’ and what techniques or activities I performed in an attempt to master my stress. I will then rate how I felt before and after each relaxation method or process in order to understand what works best for me and what does not. WELLNESS WHEEL: I began our behavior goal project with a simple assessment of my own strengths and weaknesses through the wellness wheel activity that asked me to examine different areas of my life to decide what was the most and least important. The Circle of Life Assessment allowed me to see what is important to me, clearly laid out. Although I know what my strengths and weaknesses may be, seeing them outlined let me compare one aspect to another and determine which area I should concentrate on for change. I found that my top three strengths were exercise, relationships and work. None of these surprised me; I love the dedication I have to all three of these aspects of my life. While they could always use improvement, I am not worried about them in terms of a necessary and immediate change. My three weaknesses, on the other hand, were stress mastery, life purpose and play. I realized that these were all interconnected after observing that they were all of the areas in my life which remained unclear. The lack of effective coping with my stress had hindered me to be able to find a definite life purpose and allow time for myself to ‘play’ or relax. I was able to see, through this assessment, the relation all of my weaknesses had with one another and better zone in on a focus area for my behavior change. TEST YOUR READINESS: The next assignment was designed to test our actual readiness to make a change regarding the weaknesses and areas of concern recognized from the Circle of Life Assessment. By completing this, I was able to understand that I am certainly ready to change my stress into something more positive in my life- realizing that it influences more than one area of my life in a negative way. I scored a Green on the analysis which meant that, according to the statistics, I am ready for change. This assignment allowed me to realize that I have all of the tools and mental abilities necessary to initiate a change. It reinforced my willingness and desire to change by forcing me to consider specific things. For example, I recorded a ‘5’ or a ‘very good time’ to change when asked the question of whether or not it was a good time to focus on the change. I realized that focusing on a change in my life now will ensure that I can maintain that behavior further in my life. I want to reduce my stress now so that when I become older and have more countless stresses, I can be better equipped to handle it. Furthermore, after reading the concept about the support system that may or may not be present in my life, I was surprised. I found myself surprised because I do not take advantage of this solid support system that is present in my life and can help guide me through a change. Knowing that I have a backbone to catch me when I fall or attempt to make changes to my life allows me to become more motivated to change and truly dedicate myself to it. BLUEPRINT FOR CHANGE: This activity was the most useful of the three assignments we completed. I outlined my goals, intentions, action steps, focuses, challenges, strengths and weaknesses. This really stimulated my thought process on my goal and allowed me to see how much work I have to do; however, it also allowed me to see that my goal is certainly attainable. I began with a broad and vague goal on this blueprint, noting that I want to reduce my stress and develop better relaxation and sleeping habits. After thinking about this, I realized that this is more of an outcome goal and not a specific and SMART behavior goal. I wanted my goal to consist of an observable change that would allow me to see a difference in myself and I knew that with this vague goal, I would not be successful. Therefore, I decided to make it more specific. I changed my goal to the current one- allotting at least thirty minutes a day to cope with my daily stresses. LONG AND SHORT FORM ALGORITHMS: After establishing my goal, I performed the URICA (long-form) and short-form staging algorithms in order to properly determine which stage of change I am currently in. After completing the short-form from the Changing for Good book, I found that I was in the Preparation stage, according to Prochaska. When I finished the long-form and added up my scores, however, I was placed in Contemplation by the URICA model. I was placed in different stages for both of these models, but feel that I can agree with the URICA model. It is much more in-depth and specifically analyzes my thoughts and feelings about my behavior change or the lack of it. While it does not include preparation as a stage, like the short-term one does, I still believe that contemplation is the correct placement for me. I am definitely working toward a goal and brainstorming plans for action; however, it is simply brainstorming at this point. Ideally, I would like to begin to make my change as soon as possible yet I know that I have not acquired all of the resources and thoroughly developed all of the action plans yet. For example, I need to research different techniques and methods of relaxation, get a journal for writing down my reflections and worries, plan when to start my change and the specific time frame I want to follow and ensure that I have enough resources (such as tea, writing materials for recording my process, a quiet area to relax etc) before I can actually begin my change. Prochaska’s algorithm was very brief and that is why I believe it placed me in preparation when I do not think I am quite ready yet. Since I answered yes to being willing to make my change within a month as well as yes to making a change within six months, I was placed in preparation. Realistically, I understand that my change may not happen within one month, but I would like to believe that I can start and implement an action plan within that time. In actuality, I may need more time which is fine with me as long as I can ensure that change will occur eventually. Therefore, I understand that I am still in the contemplation stage in which I am weighing the pros and cons of changing (as I provided in my portfolio) and understanding that a change has the capability of improving my lifestyle as a whole. To be honest, there is no reason that I cannot start tomorrow; however, I still find myself in contemplation, looking for ways to make sure that once I begin my change I will be able to stick with it. I do not want to rush into preparation just to fail at making my change. PROCESSES OF CHANGE: There are a few processes of changes recommended for use in order to ensure that I can effectively move from contemplation into preparation. One of these processes is helping relationships. As I previously mentioned, I want to take advantage of my support system and rely on the amazing family and friends that I have to help me through my behavior change. I plan on doing this by utilizing a member of our coaching group, Chelsea. We both have similar problems with stresses and have been attending yoga every Thursday for the past two weeks. I want to make sure that we attend weekly and use Chelsea as a reason for me to remain dedicated to going to yoga each week. Also, I have an incredible and understanding support system with two of my close friends that I work with at the Rec Center. We are all guilty of taking on more than we can handle and do not accept that we have to say no to certain things. We often talk about this and I would like to use them in order to learn how to say ‘no’. I tell them when I have successfully or unsuccessfully said ‘no’ to something and they do the same for me, praising each other once we have become efficient at saying ‘no.’ This will help me realize that other people are there to work through my problem with me as they have similar ones. Another process is social liberation. This is when other options are presented to allow my change to be supported and maintainable. I feel that I can achieve this process by avoiding stressful situations. This seems like a difficult task, yet I feel I can accomplish it through my own actions. For example, by placing myself in a quiet setting without electronics and only a cup of tea, right before bed- I am providing an alternative for myself. Instead of staying in the living room watching a pointless reality TV show with my roommates, I can give myself the option to relax before sleep and hopefully achieve a better night’s rest. Self-reevaluation is another process of change used to move into preparation and I have already been attempting this. I have made various lists that rate the pros and cons of my change and the positive aspects of changing. I plan to create a notebook or journal that records my worries, stresses and my daily techniques to reduce stress. In this journal, I want the first pages to consist of the activities we completed from our Circle of Life book and my overall goals and anticipations. If I look to my future and understand that my life can be happier and healthier with a better stress mastery, it can motivate me to change further. The final process of change that is recommended for me is dramatic relief or emotional arousal. This is the process of engaging my feelings and emotions into my change. I need to accept that it will be difficult and emotional working through the stages of change. By understanding this, I can develop even more motivation and encouragement to start my change as soon as possible so that I can see results. The beginning of my journal will really allow me to express my emotions toward my change. I can begin with the self-reevaluations I previously mentioned and work to put all of my feelings about my change onto paper. This way, I will have documentation of my emotions and be able to compare the amazing difference there is when I have accomplished my change. It will be an easy way to keep track of the ways in which I utilize my support system, reaffirm my behavior, change my actions and specifically record my daily coping methods with stress. TRACKING: I have mentioned the use of a journal throughout my paper and I plan to implement this very soon. I have always loved writing and putting my thoughts down on paper so I am excited to begin this part of my change. I want each journal page to include the following: Time spent in ‘de-stressing’ mode Activities performed Level of stress before and after each activity Thorough description of each technique or activity Additional reflections on my day: things that I am thankful for at the conclusion of my day, situations which I said ‘no’ to, ways in which I utilized my support system Recording of my worries (this will allow me to see them written out and once they are written I hope to be able to stop thinking about them as much) Any other challenges or accomplishments of my day Reaffirmations Looking back on this each day will allow me to see my progress and recognize that I am truly working hard to create a healthier lifestyle for myself. SELF-ASSESSMENT: Prochaska’s individual assessment in his Changing For Good book effectively concludes my progress on changing my specific behavior. The individual contemplation self assessment on page 136 left me with a total of 17 points. Prochaska notes that a score of 14 or higher means that one has utilized the self-reevaluation correctly and is ready for movement into the preparation stage. This assessment reinforces my acknowledgement that I am truly still in contemplation even though the short form assessment may have said otherwise. The rating scale makes me confident that I can soon advance into that preparation stage once I have gathered my resources and mentally prepared myself to take on a difficult yet rewarding task. I am well on my way to change! Julie Kelly 6 May 2013 Health Behavior FINAL DISCUSSION: It has now been about six weeks since beginning my behavior change. Over the course of the past six weeks, I have made tremendous progress in my ability to master stress, appreciate my life and understand the importance of my behavior change. By implementing the processes of change identified to help with my stress management, I worked to adapt them to my lifestyle and find ways to utilize them each day to work toward achieving my goal. Becoming more efficient at handling my stress and anxiety was not the only goal I achieved in the past six weeks however. Little did I know when I began this change, another lifetime achievement would play a vital role in my successful steps in the action stage of my behavior change. In the past month, I ran my first half marathon. On April 21, 2013 I beat every personal record, placed 8th in my age group, 309th overall and finished 13.1 miles in 1:40:36. It was an incredible and extremely powerful and indescribable experience and being in the process of establishing a behavior change during my training made a huge impact. I was able to utilize many of the processes of change to help me get through the rigorous training, which in turn allowed me to focus more attention on truly working on my behavior change. It proved to be the perfect time to choose to do a half marathon! First and foremost, I learned of the huge influence and support of my family and loved ones in my life. They were there for me every second of the way in preparation for my race. From dealing with me when I had to schedule hours of my day to train to walking the spectator course to cheer me on, my parents were waiting for me at that finish line to see me achieve my dreams. I am forever grateful for the incredible amount of motivation and support from every one of my friends who constantly gave me compliments and help, my coworkers who offered invaluable advice to me that truly proved to make me even more dedicated and determined and my family members who cheered me on and sent countless emails and phone calls to congratulate me. I really understood the power of the amazing people I am surrounded by, allowing me to successfully utilize my process of change effectively. Through their unconditional support of my goals, my ability to implement my process of change and inadvertently manage my stress greatly increased simply as I finally allowed myself to understand that their presence can truly lower my stress as it ensures me that I have a solid backbone in my relationships. I know they will always be there for me and have the most important impact on my life, helping me to successfully manage my stress, emotions and behavior, listen to my problems and achieve lifelong dreams. Another process of change that I utilized heavily throughout the six weeks and was also highly effective because of my training was my use of positive self-affirmations. Every evening before I went to sleep, I would write a note near my bed that contained a quote, song lyric or a positive statement about my life, goals, dreams, friends, family, anything that meant something to me. It was the first thing that I saw when I woke up every morning and pushed me to get through the day. I really think that they allowed me to manage my stress level because it encouraged me to begin each day with a clear mind and a positive attitude. Remembering why I wrote the note, how it could help me in my day and the goals I was working toward let me reinforce a good attitude which resulted in a day that ended with less stress and more productivity. I successfully tracked my behavior day to day with my journal, as I had hoped I would be able to do. I began my journal with the emotional arousal and self-reevaluation that I spoke about in the first part of my paper, allowing myself to truly express my feelings toward making a change and the necessity of establishing and maintaining it. My goal was to thoroughly track and record my levels of stress, techniques/times/descriptions of de-stressing activities, reflect on my day, challenges or worries and reaffirm my attitude and behavior. When I started off, my journal entries were very lengthy. I was excellent at providing detail and a solid reflection and utilization of techniques every single night; however, as time progressed I definitely got lazier. I made sure that I wrote in the journal daily and achieved that goal most of the time except for a few times on the weekends. Unfortunately, my entries became less descriptive and I was not particular about rating my stress level because it seemed to be unproductive. I still included anything I did that day to make myself less stressed and really focused on the reflecting aspect of the journal rather than forcing myself to rate my stress levels, and this proved to be a lot more helpful than I had imagined. When I originally set out to make this change and began to brainstorm techniques, I did not account for the fact that the actual reflection each night would serve as a huge stress reliever. Just writing down my daily accomplishments and feelings, along with a motivational quote to look at the next day allowed me to view my life in a different perspective. I focused on the good things present in my life and wrote down my worries in order to forget about them. I made time to be thankful for what I was happy about in my life and this allowed my stressors to appear as minor and unimportant. Also, as I reflected on my days I realized that my worries were resulting from my need to control. Looking back at my entries, I can see that the events that were unplanned and spontaneous were the ones that turned out the best. By writing things down and viewing my life from this different perspective, it allowed me to see the insignificance of my worries and greatly contributed to helping my behavior change progress overall. I cannot say that I was successful in allotting thirty minutes every single day to manage my stress; however, I can say that on the days where I did allot myself this time- I felt better. As I progressed in my change, I began to feel that the thirty minutes were somewhat forced. I did not want my change to be something that I dreaded and it was becoming more of a task that I could not seem to find time for in my day. But then I remembered that was my initial problem in the first place and I was determined to find a solution to the lack of time in my day available to de-stress. From here, I implemented little things into my day to set me on the right path. For example, I began to dedicate ten minutes to stretching and foam rolling after a workout at the gym while listening to soothing and relaxing music and sounds. This gave me time to reflect on my workout, thank and renew my body and prepare for the rest of my day. Also, I found time for social liberation- sitting on the couch after a long day and surfing the net, looking up recipes and funny quotes, drinking a cup of tea, reading a book or magazine- mindless tasks like these allowed me to realize the importance of making time for myself to let go of the pressures of the outside world. This was all part of implementing social liberation into my change. By separating myself from reality for a little bit each day, I was able to concentrate on my stress level and the importance of maintaining it. I am definitely still in the action stage of change. I made progress and learned about techniques that work with my schedule and time constraints as well as my social and academic life, and now know how to better implement strategies that benefit me the most. I know that I could have applied my change more in my life and attempted to achieve the daily thirty minutes each day. However, this behavior change helped me understand that it is not about the time that I spend in de-stressing mode, it is about the quality of my thoughts and actions and how I apply my happiness and stress-free behavior to my daily life. With my newfound understanding of how to best implement my processes of change with reflections, stretching, yoga, ‘me’ time and reaffirmations, I was able to see that little things throughout my day release my tension and truly make the difference. By applying all of these different aspects and writing my reflection every night, I came to see that the thirty minutes will not make or break my stress level. However, reaffirmations, supports systems, achieving dreams, reaching goals, reflecting on my life, being thankful, going with the flow, talking with distant family and friends, writing down my worries, telling others my concerns, getting ahead on homework, reading a good article, making my own delicious dinner, going to yoga because I actually want to, going for a ten mile run- all of these things contribute to my level of stress and I have learned and proven to myself over the course of the past six weeks that the recognition of this is my biggest accomplishment. Our coaching groups really helped me come to this realization and brainstorm ways to adapt to my processes of change and techniques. I really enjoyed our weekly meetings that allowed us to make personal connections with one another as we learned about our behaviors, emotions, concerns, worries and weaknesses. Talking to the girls in my group opened up my eyes to the recognition that there are so many other people who can relate to my problems and sometimes my worries and concerns seem so tiny and miniscule compared to other things people have to deal with in their life. This forced me to see that these daily stressors I encounter are incomparable to major problems and should not take over my life in the way that they seem to at times. I looked forward to talking with my group each week because I knew that they could relate with what I was saying. I established a solid support system with them, reinforcing my goal to recognize the helpful people around me as a process of change. Expressing feelings and emotions is always a powerful experience for me; I find that I can realize more things about myself and my problems or conflicts when I actually say them out loud. My group’s feedback, responses and questions let me see different perspectives and understand myself and them on a whole different level. Not only did I benefit from getting coached, but I strongly improved on my coaching ability as well. I learned to avoid giving advice and focus more on finding connections, correlations and solutions to the presented problems. By doing this, my clients were able to realize their problem on their own, making it a much more meaningful experience for them. I concentrated on asking powerful questions which improved over the course of the semester too. I tried not to rely on the questions that were given to us and instead drew questions from what each of the clients said or observations I made from week to week. The gratification and satisfaction that I gained from being a coach proved to me that our group was doing something right. I came to understand that significance of coaching clients like this and feel that utilizing this in the health field is extremely beneficial to finding solutions to problems. I saw the success of my coaching firsthand, which is why I feel so passionately and strongly about using specific techniques from class in our field. By the end of our last session, I felt that one of my clients, Casey, had really accepted her problem and finally understood where it stemmed from. When we started off she had not been able to see the different causes and triggers of her nail biting habit and was trying methods to solve her problem that simply did not work for her. Through our sessions, she was able to see how to make techniques and processes work best for her. Seeing this progress truly established the strength of coaching sessions and how powerful questions and effective coaching can lead to breakthroughs and realizations. I can honestly say that this project was extremely beneficial to me and I am proud of my progress made over the course of the semester. I enjoyed tracking my behavior and my daily reflections and hope to continue doing it even after turning in this paper. After these six weeks I can see what areas I need to focus on more specifically if I was to do it again. For example, I would love to find more relaxation techniques and ways to implement calming exercises and mood enhancers into my life. I can take what I have learned about myself and the effective or ineffective processes of change that I applied to my life and work from there to continue to master my stress. I have found that documenting my thoughts and emotions not only allows me to see my life in a different light, but it allows me to become at one with my worries and stresses and understand the countless aspects of my life that certainly outweigh every single pointless worry, stress and complaint. While I know that stress will always be a powerful trigger of anxiety and apprehension in my life, I feel that I have learned beneficial and effective ways and techniques to counter and master this stress and over time, I really see myself making much more progress. I may be in action for a while longer, but as long as I am learning new things about myself and progressively dealing with my stress while I am here- then, for now, I am satisfied.