Stage Of Change

Assessing a patient's readiness to change in relation to exercise behaviour should always be a component of the exercise professional's assessment. This topic, however, is covered in Chapter 8. An evaluation of a CR programme which forms part of the Scottish Executive Demonstration Project, Have a Heart Paisley (HHP, 2004), reported that individuals assessed to be pre-contemplative and contemplators at baseline were less likely to attend.

Using the stage of change model during assessment can alert the clinician to those individuals least likely to take up or complete CR, enabling them to target resources to those most ready to change. It is also important to ensure that mechanisms are in place for pre-contemplative patients to be referred for other components of rehabilitation, such as smoking cessation, diet and nutrition, psychology and relaxation, and to access exercise services at a later date, should they reach a different stage of physical activity (see Chapter 8 for more on stages of change).

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