Learning Objective 1: identify the main concepts in Commitment to Health Theory.
Learning Objective 2: apply Commitment to Health Theory in the clinical setting.
Methods: Commitment is defined as a freely chosen internal resolve to perform health behaviors, even when encumbered or inconvenienced by difficulties. Health is defined as optimal level of well-being. Commitment is an independent continuous variable, but can be categorized into three time oriented categories, (1) low level, (2) middle level and (3) high level commitment. The higher level of commitment, the more likely the individual will adopt long term behavior change.
Results: Nurses can use the theory to understand the cognitive processes of patients when confronted with a behavior that puts them at risk for current or future health concerns. The nurse can discuss with patients their commitment level and work with them to increase commitment. Nurses can also extent their involvement in change by using the nursing diagnosis Regime management, the Nursing intervention therapeutic enhancement (Kelly, 2008) and the nursing outcome Commitment to Health Scale (Kelly, 2005).
Conclusion: The presenation will introduce new mediating concepts identified in current research specific for diet, exercise and smoking behavior change. These are importance of change, confidence of change and their relationship with with commitment and stage of change.
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