Healthy Women Take 10 Take 10 Healthy Women
www.healthywomen.org   August 2005

Feature Article

Ready, Set, Go!:
Taking Charge of Change

by Robin Warshaw

August starts out as the slowest month, with long, laid-back days and not much on your to-do list. But it's also often a time when we begin to anticipate changes that lie just ahead.

You may be thinking about impending changes, small and large: kids (or you) going back to school or away to college, work projects increasing as the summer doldrums end, a move to a new home or living situation, or finally beginning that exercise program, weight-control plan or other more healthful behavior you've been promising yourself for so long.


Change can be scary, even when it's a change you want to make. Yet, it's possible to avoid feeling overwhelmed and to accept change, take charge of it, and feel comfortable with it.

Even if you've tried to make a similar change before--as happens so often with starting to increase your physical activity or eat more healthfully--you can learn from your previous experiences to make your lifestyle changes ones you can sustain.

If only…

Who hasn't wished for an overnight miracle--a magic pill, or something like it, that could quickly help us lose 20 pounds, or become more fit, or adjust to a changing personal relationship?

Making healthful change takes longer, however. University of Rhode Island researchers, looking at people who wanted to reduce their dietary fat, found that it took up to 18 months for most people in the study to take action.1

Many of us are ready to improve what we eat or increase exercise.2 People who succeed at change are more likely to follow a process, one that has distinct stages. [For information on these stages of change, click here.]

You control change

It's important to take personal control of a change, say psychologists Robert Brooks, Ph.D., Harvard Medical School, and Sam Goldstein, Ph.D., University of Utah. In their book, The Power of Resilience: Achieving Balance, Confidence, and Personal Strength in Your Life, they emphasize that assuming responsibility for a situation or change, recognizing what is in your control, and taking ownership of your behavior concerning it, is empowering.

That forms the core of what they call "the resilient mindset," a strength which can be learned and developed.

Such resiliency fortifies against the feelings of helplessness that often accompany change. It lets us not only accept and adapt to change, but to confidently initiate it as well.

Making change part of your life

Taking charge of change can seem intimidating. How do you go about doing that? And how do you stick to the change when the benefit isn't seen immediately?

"Every behavior at some point has to start out as novel or intentional. But at some point it may become habit if it is repeated over time in a stable context," says Judith A. Ouellette, associate professor of psychology at the State University of New York at Cortland. She co-authored an analysis that found that creating a steady context for a new behavior helps to secure and support that change.3

Taking a medication every morning after you brush your teeth is one way of creating such a context, she says. "Habits run your everyday life," she adds. There are also what Ouellette calls "non-use" habits. For example, if you don't exercise, that becomes your habit.

She suggests linking the change you want to make to a behavior that you're already doing routinely and automatically. So, for example, begin an exercise routine by scheduling the exercise after you have had your morning cup of coffee and newspaper. "The key to continuing the new behavior is that the context for the new behavior has to be something in your own daily life," she says. With time, you accept the change as part of your routine.

You can create a context that helps you adjust to, and support, becoming more physically active with this advice from Ouellette:

  • Identify four things you know you do every day.
  • Pick the ones that are at times of day when you might want to exercise.
  • Ask yourself if you can realistically fit the change in to one of those.
  • If you can, then try it. "Be consistent. That's the key," she says. "If one day you do it at night and one day in the morning, that's not a stable context."
  • Start with small amounts of time and add a few minutes as your enjoyment grows.

Keeping change on track

Change doesn't always run smoothly. In addition to looking toward ourselves for strength, we also need to turn away from the counterproductive behaviors we've relied on in the past, Brooks and Goldstein say.

For example, when we have unrealistic expectations about a desired change (losing a lot of weight quickly, going to the gym six times a week), we're more likely to fail. To counteract that pitfall, the psychologists suggest creating an exercise or weight-loss plan with "clearly specified and achievable short-term goals." That lets you manage change, instead of allowing it to manage you (which promotes a sense of helplessness).

Brooks and Goldstein also note that an important aspect of taking personal control of a change is to anticipate setbacks and be prepared with a backup plan.

Let's say you decide to increase your physical activity level by taking 20-minute walks around your neighborhood with a friend, three times a week. Everything goes well for a month or so. Then your walking partner can't join you for a week or maybe longer.

When you have an alternative strategy (or several) to fall back on--like taking your dog with you or walking by yourself, with a radio for company--you can keep going.

"Barriers to context can impede habit," Ouellette says. "You might say, 'Oh yeah, I used to exercise every day after dinner, but then I had a baby.' That's understandable, but you have to now figure out where to fit that in. What works for you today? Don't keep yourself to some past guideline that doesn't work."

In that way, you'll be able to take personal control and embrace the change that once seemed overwhelming. Instead of feeling fearful and helpless, you'll be rewarded with success and better health.

    References

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