Relapse Prevention Case Study Jane Doe

I would like to answer your question: [What would be a realistic strategy to prevent cessation of physical activity or lapse?] According to Stetson et al. (2005) on average, physically active people outlive those who are inactive. It is estimated that only about 11% of healthy adults engage in moderate-to-vigorous, purposeful activity 3 or more days per week. Lapses or “drop out” in exercise routines are quite common. For the purpose of being specific, I will equate physical activity with exercise.

Notably a Relapse Prevention Model [RPM] was described to address the cyclical nature of long-term behavior change. It provides a valuable framework for understanding factors related to slips, lapses, and relapse in exercise behavior among persons
(2005) reported the coping behavior plays an important role in understanding the relationship between exposure to challenging situations and outcome (i.e., slip, lapse, or relapse), which further showed the prevalence of coping efforts linking a desired goal and may be cognitive and behavioral. Hence, Jane Doe hopes to be modified independent as possible with her ambulation with high hopes of returning home to her husband. A realistic strategy to prevent cessation of Jane Doe from adhering to the exercise program would be applying cognitive and behavioral strategies that would garner Jane Doe to keep working toward the said
If the patient is still at the facility, chances are great. Monitor means being able to interview staff, husband in this case and patient herself with regards on her progress in doing exercises. But in the real scenario, if the patient has been discharged home there is no way other than making an effort to do follow-up phone call to ensure compliance.

Karen, let me also leave you a question: How would you be able to apply these coping strategies in your clinical practice (being a hospital clinician)? Do you think this is feasible?

Thank you.

Maricris

Reference

Stetson, B. A., Beacham, A., Frommelt, S., Boutelle, K.N., Cole, J.D., Ziegler, C.H., & Looney, S.W. (2005). Exercise slips in high-risk situations and activity patterns in long-term exercisers: An application of the relapse prevention model. Annals of Behavioral Medicine, 30(1), 25-35.doi: