Practical Problem

Improved Essays
I) Practical Problem
A) “Cardiovascular disease (CVD) is a leading cause of death in the United States, and well-established CVD risk factors, such as obesity, hypertension, hyperlipidemia, and diabetes, are common in adults” (LeFevre). Physicians often advise patients to lose weight, and in this case, a physician recommends that his patient should lose 40 pounds or his patient may be at risk of a heart attack, which is the practical problem. The patient recognizes the necessity to make healthy lifestyle changes. The patient also realizes that the doctor is correct with his medical recommendation; however, the patient has a negative outlook toward making the necessary lifestyle changes, as he does not like to exercise or diet. Nevertheless,
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Additionally, this includes his negative thought patterns of uncertainties that the person can attain a positive outcome. Also, a person’s outlook to better their health due to potential medical conditions to gain positive motivation will use “The self-determination theory” (Ryan and Deci, 2000), to create optimistic outcomes which may reverse a negative self-view to achieve a healthy weight loss goal outcome.
IV) Testable Hypothesis
A) A testable hypothesis may postulate, can a person with a negative outlook better their health and create positive motivation with “The self-determination theory” (Ryan and Deci, 2000), to self-motive using resilient, self-efficacy (Bandura, 1977), and create an optimistic health outcome and reverse a negative self-view to achieve a healthy weight?

V) Evidence to Support
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According to “The self-determination theory” (Ryan and Deci, 2000), “the same behavioral goal (e.g., self-monitoring one 's diet or exercise routine) can be enacted according to various regulatory/motivational features, from externally driven (e.g., to avoid criticism from a health professional), to partially internalized (introjected) regulation (e.g., "the people in my weight loss group all keep exercise diaries; I really feel like I should do it too"), all the way to autonomous regulation” (Teixeira, Silva, Mata & Markland, 2012).
B) The second piece of evidence consists of a peer-reviewed article in which Bellg (2003), discusses the ““Maintenance of health behavior change in preventive cardiology” which identifies four self-needs (ownership, self-determination, security, and support) as well as four behavior-related needs (preference, context, competence, and coping) as motivating health behavior internalization. Behavior change strategies promote integrated internalization are identified from the self-determination theory, motivational interviewing, and transtheoretical model interventions” (Bellg,

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