I've made many
positive changes on my journey to better health; however, these changes haven't
come without some serious growing pains. Almost no one is capable of long
lasting behavior change without a few step backs, including me!
Lately, I've been
thinking about an experiment I took part in during medical school. We were
asked to change one behavior for one month and write about our progress. The
point was to highlight how difficult it is to break bad habits and institute
new behaviors. The experiment was designed to help us med students understand
what we will be asking of our patients when we talk about lifestyle changes,
like quitting smoking, taking a medication or losing weight. My behavior change
was to floss daily, and I think I made it through a week before skipping a
night when I felt too tired to care about flossing.
There is a model of
behavior change theorizing that all people are in one of the five stages of
change at any given time. These five stages are:
- precontemplation
(not ready)
- contemplation
(getting ready)
- preparation (ready)
- action
- maintenance
I'm currently
working my way through these five phases. In precontemplation, the change is
often something you've dealt with before and you actively avoid thinking about
it. Up until now, I had been actively avoiding my weight, nutrition and stress
level for years. Contemplation begins when something piques your interest and
gets you thinking about the change you might want to make. For me, my
unhappiness with my weight and fitness level piqued when I went down-hill
skiing in Montana and had trouble keeping up with my family and friends.
My preparation
phase had me setting aside time to exercise, buying a pair of new sneakers,
getting a body composition analysis, researching meal planning ideas and
meeting with a nutritionist. The action phase is the most difficult phase and
where I currently am: going to the
gym, using my sneakers and preparing healthy meals. Once an action
or change has been implemented for six months, you move in the maintenance
phase. This is where I will cross my fingers and toes and do my best not to
fall right back into my old habits.
I've already hit a
few bumps. I sprained my left foot and I have had knee and low back pain that I
can easily attribute to working out with an extra 40 pounds on my frame. I also
got sick and went right back to my bad food choices of processed sugars and
chips as a way to cope with not feeling well. I felt pretty demoralized after
consuming that junk, but I reminded myself that I am human and I make mistakes.
I'm doing my best to change my negative self-talk into something positive and
effective rather than being so hard on myself.
Toward the end of my
medical school experiment on behavior changes, we discussed how almost everyone
relapses back into bad habits. For example, research has shown that smokers
attempting to quit went through the action and maintenance stages at least
three times before successfully quitting. I'm continuously reminding myself of
this lately—that sometimes the best I can do is to aim for the positive and
learn from my mistakes.