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However, other studies indicate that the behaviour of PPTg lesioned rats varies depending on level of motivational excitement, assessed by the presence or absence of deprivation, or by manipulations of reward value.
Interventions tailored to match level of motivational readiness outperform standard interventions [ 12].
Motivational readiness described in the stages of change model [ 11] has been used to tailor interventions to an individual's level of motivational readiness to change behavior.
Neuropsychological studies concerning ADHD show a variety of cognitive deficits, altered level of motivational processes and irregularities in the stages of processing and storage of information in the brain [ 30– 38, 38– 40].
While this may be effective among persons who may consider themselves at risk of infection, the goal of interventions may initially be focused as suggested by Kelly 31 on assessing readiness for change and to determine what level of motivational and risk sensitization is needed in the early phase of HIV interventions among sex workers.
For IDUs with high-risk behavior, the PEI may provide the social-cognitive stimulus they need to move to a higher level of motivational readiness for behavior change [ 44, 45] to move from contemplation to preparation, and from preparation to action.
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The five cognitive strategies and five behavioral strategies in the Transtheoretical Model encouraged people to move from lower levels to higher levels of motivational readiness to change.
Fundamental to the TTM model are a number of cognitive and behavioural strategies that help individuals progress from lower to higher levels of motivational readiness, with the aim of modifying attitudes and fostering specific behaviours.
They recommended the need to tailor interventions specifically to women's level of motivation and identified motivational interviewing as a strategy that might demonstrate success in promoting breastfeeding initiation and continuation among extrinsically motivated women.
Criteria scores on staff level of motivation with intrinsic and extrinsic motivational factors could form part of the accreditation process for health facilities.
On a more personal level, the use of motivational interviewing techniques during consultations can enhance physicians' understanding of their patients' views and aspirations, as well as encouraging patients to change their behaviours and improving the overall physician⊟patient relationship.
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