| Learning Objective #1: describe the theoretical and empirical underpinnings of the NIC Therapeutic Enhancement for patients struggling to achieve health behavior change. | |||
| Learning Objective #2: describe specific interventions to enhance long term health behavior change. |
Therapeutic Enhancement: A theoretical and empirically based nursing intervention category
This presentation introduces a new nursing intervention category (NIC) for the nursing diagnosis of Therapeutic Regime Management called Therapeutic Enhancement. Therapeutic Enhancement integrates Commitment to Health Theory, which is a middle range theory developed out of theory testing of the Transtheorectical Model of Behavior Change (TTM). Commitment to Health (CTH) is specific for the action to maintenance stages of health behavior change. Included in Therapeutic Enhancement is the use of the Commitment to Health Scale. The CTH scale can be used to measure and predict the likelihood that a patient will continue to perform a specified health behavior such as diet and or exercise adherence. The intervention method of Therapeutic enhancement is based on the TTM’s Processes of Change and Miller & Rollick’s Motivational Interviewing technique.
The strength of Therapeutic Enhancement is the combination of strong theoretical and empirical support for nursing interventions that promote continued performance of health enhancing behaviors for those who have self initiated new health behaviors. The presentation will provide details regarding the theoretical underpinnings, the empirical support as well as a discussion with examples of how to structure nursing care for patients who are at risk for relapse into unhealthy patterns of behavior.
Key words: Health behavior change, Nursing intervention, Therapeutic Enhancement, Commitment to Health, Transtheoretical Model.
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