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The begining of a new calander
year is a great time to change your life and improve your health. The
future is filled with uncertainties, but each of us has the ability to control
our behaviors and our health.
Research indicates that keeping
New Years' Resolutions is easier for some than others. While certain
individuals can simply make a decision to change and then do it, about 70% of
people are not able to change or maintain resolutions that they make. The
research on long term health behavior change is rather complex, but much of the
research can be synthesized down to a few basic principles. What follows are
some strategies that have been proven effective in assisting people to make
lifestyle related changes. If you are serious about improving yourself,
the following guidelines will help with any behavior.
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1. Identify and Set Behavioral
Objectives
2. Explore the Behavior and
Formulate a Strategic Plan
3. Build a Support System for Your
Resolution
4. Program for Success and Maintenance
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Most people have a general idea of what they would like to change when they decide to set a New Year's resolution. Others are a little less sure of where to begin, and still others go overboard trying to change everything all at once. Trying to exercise daily while making significant changes in your diet, quitting smoking and altering your sleep patterns may be a bit too stressful to change and maintain over the long run. Although healthy changes -like practicing relaxation exercises and quitting smoking - can compliment each other, it is sometimes better to initially concentrate on one behavior at a time. Once you achieve success in one area you can always move on to the next.
Alternatively, I'm always amazed
by people we see in so called "health stores" who are fanatic about
purchasing supplements and micronutrients for their questionable health
enhancement properties. This same person can be seen going out to their
car, lighting up a cigarette and driving away without their seatbelt on.
The health effects of specific behaviors are not the same. For help in
prioritizing appropriate health behaviors there are a number of free health
risk appraisals avialable on the Internet. A health risk appraisal will
take information regarding your personal health history and health behaviors
and compare this to National data on causes of morbidity and mortality to help
you prioritize effective areas for change. One that my university health
promotion students seem to like is RealAge.com.
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Goals: If you don't know where your going any road will take you there, and
it doesn't matter how long it takes.
Clearly defined written goals
are the tools, which make resolutions achievable. To be successful, resolutions
must be desirable, specific, measurable, and realistic. The toughest
thing about making a lifestyle change is the ultimate realization that the
behavior will have to be maintained. Begin by making sure that the
resolution is something you really want and is well thought out. You must
think about this as a lifetime change. Be honest with yourself. If you do
not enjoy running, don't tell yourself that you will go out and jog every
day. Why would you do that to yourself?
It is not unusual for people to make unrealistic demands on themselves. When someone is trying to cure a serious addiction such as tobacco or alcohol, we hope that the individual will be able to quit for good. When focusing on other behaviors, it is important to be careful with absolutes. I once had a young lady who ate chocolate on a daily basis tell me in a written resolution that she would never eat chocolate again. Why? Obviously she enjoyed chocolate. She was setting herself up for failure. Wouldn't if be more reasonable to suggest that she only allow herself to eat two small pieces a week? One of the reasons most diets fail is because people go to extremes. They go on and off diets, losing weight and then gaining back in a vicious cycle. If you want to eat healthy, you have to see yourself eating that way for the rest of your life.
Another reason people fail at
New Years' Resolutions is that their resolutions are intentionally or
unintentionally vague, e.g., "I will be healthier this year",
or "I get in shape". Be certain to focus on goals that
identify specific behaviors. Saying that you will lose 10 pounds of fat
is not a behavior. Loosing weight is an outcome of behaviors such as
exercising aerobically four days a week, or reducing your daily calorie intake
by 500 calories a day.
In writing about successful
achievers, Dennis Waitely has said, "Winners in life have clearly defined,
constantly referred to game plans and purposes. They know where they are
going every day, every month, every year. Objectives range all the
way from lifetime goals to daily priorities. The reason most people never
reach their goals is that they don't define them, learn about them or even
seriously consider them as believable or achievable. In other words they never
set them."
An additional reasons for
behavior change failure is that individuals fail to set short and intermediate
objectives in addition to their long-term goals. It is difficult to stay
focused on a long-term goal with out weekly and daily benchmarks. Weight
control programs are a good example. Indulgent lifestyles may be
responsible for a weight gain of 15 pounds over ten years. Unfortunately,
people tend to look for quick fixes. They are not content with waiting
and working through an additional 10 years of prudence to return to a
significantly lower body fat percentage. Measurable short-term behavioral
objectives will provide the reinforcement for continued motivation and
attention to the intended behavior. Using weight loss as an example,
rather than obsessing about daily trips to the weight scale, one should focus
on the daily behaviors that will lead to the desired outcomes.
Quitting
smoking is easy, I've done it lots of times. Mark Twain
To increase the likelihood of
success with a resolution it is important to formulate a detailed plan.
Entrapenures and CEOs have explicit business plans to guide their
operations. Financial planners advocate the need for a well-researched
fiscal plan for our future. A construction crew can not build a building
without a plan. Why should we view health behavior changes any
differently? Poorly planned behavior changes result in failure. To effectively
plan a successful resolution one has to do their homework. A sample worksheet
is available at this Website to help you with this.
In examining an existing behavior, it is
important to note when and how often the target behavior occurs. If we
have a baseline measurement of the behavior, it also becomes easier to set
realistic objectives. Examples include, how often and when a person uses
tobacco, or eats high calorie snacks, or displays outbursts of anger.
If we know when a behavior occurs then we
can begin to identify possible motivations and antecedents (triggers).
For example, is this a behavior that is related to certain stressful situations,
or other emotional triggers? Is one accustomed to lighting up a cigarette
when they have a cup of coffee or a glass of beer? What need (e.g., relaxation,
emotional relief, socialization) does your current behavior fill and how will
you fill the void in the future? If the motivations and antecedents are
known then we can plan for alternative coping mechanisms.
Understanding your behavioral history can
also provide clues to winning resolutions. If you have tried to change this
behavior in the past, but have not been successful, what went wrong? Why
will it be different this time? In the case of tobacco addictions, one
may need to attempt to quit a number of times (three to four times for most
people) before they finally become successful. The point is, every time
you try, you learn something new about yourself and the behavior which can be
applied to the next attempt.
Two of the most common explanations for
health resolution failure are poor time management and/or increased levels of
stress. Behavioral changes are difficult enough without the added demands
of trying to balance work, relationships, family demands and life in
general. When things get tough, people often revert back to old behavior
patterns. Knowing this ahead of time allows one to prepare and plan for
such occurrences as they arise. For help on both stress management and
time management take a look at Optimal Health Concepts' Stress Management
and Emotional Wellness Page.
Not only should you explore elements of
your behavior, but it would also be helpful to see what you can learn from
research on your specific behavior. A wealth of information is now
available the best practices for a number of difficult behavioral
changes. Stay away from unhealthy regimens and avoid experimenting on
yourself when valid and reliable information is available. The Internet
offers access to a world of health information never before available to so
many people. Unfortunately, not all information on the
Web can be considered reliable or valid, so make sure you check Optimal Health
Concepts Guide
to finding and evaluating health information on the Internet.
There is also nothing wrong with seeking
help from qualified experts in your area. A certified health education
specialist can assist you in putting together a generic plan for any health
behavior. Other professionals offer advise in their area of
specialization such as a certified personal trainer for exercise programs, and
a registered dietitian for nutritional improvement. Make sure to question
a professional's qualifications and don't hesitate to ask for scientific references
to support the validity of any behavioral prescriptions. A number of
professional organizations have Websites that can help to identify resources
for your healthy resolutions.
Tell everyone about your intended
behavior change. Research indicates that one of the qualities of those
who are successful at making changes is that they have excellent support
systems. Many of those who make resolutions never tell others about
them. Consciously, or subconsciously they think, "If I fail, no one
will view me as a failure if they don't know I was trying to
change". Communicating your resolution and intentions increases your
accountability to the behavior. From the very beginning it is important
to share your objectives and goals with those around you so that you can enlist
their support. A sample behavioral contract is available with the worksheet
at this Website to help facilitate this process. Not only will this
contract encourage the support of others but it also makes your commitment
public, helping to convince both you and others that you are serious about this
change.
It is very difficult to remain
smoke free when smoking friends keep offering you cigarettes, or to practice
good communication skills with a partner that doesn't want to put in any
effort, or to control your eating when your family insists on eating large
quantities of unhealthy foods in front of you. As part of the plan
described above, include strategies to initiate involvement of others in your
efforts. In an ideal situation, you may be able to lure a buddy into
joining your behavior change with you. Having someone to workout with or
quit chewing tobacco can give a big boost to success. Whether it is a
spouse, boyfriend/girlfriend, roommate, co-worker, or just an acquaintance,
knowing that you are accountable to someone other than yourself will help to
keep you on track.
A
pessimist is one who makes difficulties of his opportunities, and an optimist
is one who makes opportunities of his difficulties. Harry Truman
With any endeavor as important
as a lifestyle change it is vital to have the proper mental attitude. The
first recommendation is to expect success. Winners model the behavior
they are working towards and have the mindset that their goals are within
reach. This can be enhanced through both positive self-talk and
visualization. One must visualize themselves already having achieved
their new lifestyle. Have an image of who you want to become and then act as if
you are already that person. You must see yourself as a non-smoker, as a
physically fit - active person, as an emotionally happy individual. To
see yourself in any other light invites self-doubt and contradictions.
Keeping this positive midnset
isn't always easy. With difficult changes one must expect the occasional
setback. Setbacks should be anticipated and planned for. Some set
New Years' Resolutions with an all or nothing attitude. At the first sign
of difficulty they assume that they will never succeed and back out of their
behavior change. Examples include the ex-smoker who lights up a
cigarette, or the problem drinker who takes that first drink, or the dieter who
sinks their teeth into a hot fudge sundae and then decides that they shouldn't
even bother to try anymore. The important thing is to think of setbacks
as just that, a temporary setback and not a failure. So what if you screw-up.
You're human, it happens. Get right back in there, learn from your
mistakes and move on.
I haven't failed, I've found 10,000 ways that don't work. Ben Franklin
One of the ways to stay positive in light of difficulties is to continually reward any achievements. Rewards and incentives reinforce behaviors and proper attitudes. Ultimately, rewards must be intrinsically focused. We assume that success is its own reward, however new behaviors are uncomfortable, so it is helpful to add external stimulus, so that one can feel good in the face of discomfort. As an example, beginning an exercise program can be painful and time consuming, with few quick results. An effective exercise prescription would involve activity that is not viewed as total drudgery. In this situation, you have to have something to look forward to. Something has to be done to make you feel good about your workout, so try and couple your exercise with a pleasurable activity. Whether it is a well-deserved massage, hot tub, or an enjoyable healthy meal, the behavior needs reinforcement so you can feel good about your effort.
Some people choose to punish
themselves when they don't meet objectives, e.g., I didn't go to the gym today,
so I won't allow myself to watch my favorite TV show. I personally feel
that people tend to beat themselves up enough and that you don't need to punish
yourself. What you are trying to do is feel good about your new behavior,
not feel worse. Focus on rewarding the positives. Advertise your
success and celebrate achievements with your support system. Some examples
and guidelines for the successful rewards are available at this Website.
Another way to keep yourself motivated is to keep a visual record of your success. This can be as simple as a calendar with stars on it, or a chart of progress toward some intermediate goal. Many individuals choose to keep track of their daily achievements or setbacks in a journal. The journal becomes a means of documenting what is working and what requires modification. Writing about daily accomplishments or setbacks also encourages further accountability to the behavior. If you know that you are going to write about your efforts, then you are more likely to follow through.
A journey of a thousand miles begins with but a single
step.
Chinese proverb
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Adopting a new healthier
lifestyle can be challenging, but also very rewarding. I hope this
article has given you some ideas on how to increase the chance of becoming
successful. If you are still undecided about trying to make a healthy New
Year's Resolution consider this: During our lifetime advances in medical
sciences will add about 2 years to your life, changes in your personal behavior
(lifestyle) can add 15+ years. Isn't it about time to make some changes?
Last Updated
12-20-2002 Copyright © 1999-2002 Optimal Health Concepts, all rights
reserved.
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