Psychologic strategies to help patients deal with threats to adherence

Counter-conditioning – Substitute other activities or experiences when tempted by cravings or stress (eg, relaxed abdominal breathing when driving in stressful traffic).

Stimulus control – Avoid situations that are likely to produce temptations or pressures (eg, avoid lunch with friends who smoke; do not walk by the bakery section in the supermarket).

Reinforcement management – Provide yourself with rewards (eg, a movie, a shopping trip) when you do well at sticking with the desired changes.

Adapted from Turk, D, Meichenbaum, D. In: Handbook of Clinical Psychology in Medical Settings, Sweet, JJ, Rozensky, RH, Tovian, SM (Eds), Plenum Press, New York, 1991.

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Psychologic strategies to help patients deal with threats to adherence