Understanding the cycle of behaviour change

 
Understanding any behaviour change and what happens before and after the behaviour is very important. Sometimes you can reduce or even prevent certain behaviors. If you pay
attention and understand what happens before or “triggers” the behavior, this can help you to reduce or prevent the behavior.

Let’s look at the following example

Afrah has dementia like the person you care for. Her husband Ali is taking care of her, like you are caring for your family member or friend.

Ali often asks Afrah if she can remember who came to visit last week or what she had for dinner yesterday. Afrah cannot remember these things and gets agitated. As a result, Ali feels frustrated.
 
The diagram below shows what’s happening.


What happens before the behaviour?

What do you think happens before Afra gets agitated that you might be able to change? 
Below are some examples.

i.  Ali asks questions that Afrah cannot answer.
ii. The tone of voice that Ali uses to ask these questions makes Afra feel nervous.


1. Check your understanding
Identifying what happens before the behaviour.

Now you try the next one. Please fill in your ideas on what comes before Afra gets agitated in the box below. When you are done, check the answer section at the end of this lesson for more ideas.

Now let’s look at Ali’s response
 
So, what are we trying to do? We are trying to separate what comes before the behavior and what the carer’s response is after the behavior.

How does Ali respond in this example?

Ali gets frustrated because his wife Afra forgot who came to visit and what she had for dinner.

Ali can choose to change his response.
2. Check your understanding
Different ways of responding to behaviour change.

Here are some responses, some are good, others are not. Please check what you think could be good responses.

Ali could: