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Health Behavior Change Exam 1
HBM, TTM, PAPM, TRA TPB
63
Health Care
Undergraduate 4
09/25/2014

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Term
Based on general principles of value expectancy
Definition
The Health Belief Model
Term
Perceived Susceptibility
Definition
Belief of the possibility of acquiring a diseaseor harmful state as a result of a particular behavior
Term
Perceived Susceptibility Intervention approaches include:
Definition
Define population at risk (descriptive epidemiology)
Personalize risk (discussion, role play, simulation, case
study)
Term
Perceived Severity
Definition
Belief regarding the extent of harm that can
result from the acquired disease or harmful state as a result of a particular behavior
Term
Constructs of the HBM
Definition
Perceived Susceptibility
Perceived Severity
Perceived Benefits
Perceived Barriers
Cues to Action
Self Efficacy
Term
Perceived Severity Intervention approaches include:
Definition
Specify consequences of the risk and the condition
(personalize with stories, lecture, discussion, self-reflection, case study, case narration, video presentation)
Term
Perceived THREAT =
Definition
Perceived Susceptibility + Perceived Severity
Term
Perceived Benefits
Definition
Belief regarding the usefulness of the methods
suggested for reducing risk or seriousness of the disease or harmful state resulting from a particular behavior
Term
Perceived Barriers
Definition
Belief regarding actual and imagined costs of
performing the new behavior
Term
Perceived Barriers Intervention approaches include:
Definition
Reassurance (one-on-one counseling, case study,discussion, active listening)
Correction of misinformation (lecture, video presentation, role play)
Incentives (tangible and intangible aids, verbal encouragement, case accounts)
Assistance (providing services, transportation)
Term
Outcome Expectancies =
Definition
Perceived Benefits + Perceived Barriers
Term
Cues to Action
Definition
Precipitating force that makes the person
feel the need to take action
Term
Self Efficacy
Definition
Belief or confidence to perform a behavior
Term
The HBM stipulates that action depends on :
Definition
1. The existence of sufficient motivation to make health issue salient or relevant
2. The belief one is susceptible (perceived threat)
3. The belief that following a particular
recommendation will be beneficial in reducingperceived threat and at a subjectively-acceptable cost
Term
Applications of HBM
Definition
Screening behaviors (TB, breast cancer, colorectal cancer,influenza vaccinations, Tay-Sachs disease, high blood pressure, etc.)
Preventive behaviors (seat belt use, smoking cessation, physician visiting, etc.)
Health promotion behaviors (exercise, healthy nutrition, etc.)
Treatment compliance behaviors (diabetes, end-stage renal disease, bronchial asthma, weight loss, etc.)
Term
1ST Construct of The Transtheoretical Model
Definition
Stages of Behavior Change
Term
STAGES OF CHANGE
Definition
Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination
Term
Precontemplation
Definition
No intention to take action ~ 6mos.
Term
Contemplation
Definition
Intends to take action ~ 6mos.
Term
Preparation
Definition
Intends to take action ~ 30days, some
behavioral steps taken
Term
Action
Definition
Changed overt behavior < 6mos.
Term
Maintenance
Definition
Changed over behavior > 6mos.
Term
Termination
Definition
No temptation to relapse & 100% confidence
(some question whether this phase truly
exists)
Term
Some people question whether this phase truly
exist
Definition
Termination
Term
2ND CONSTRUCT of The Transtheoretical Model
Definition
PROCESSES OF CHANGE
Term
PROCESSES OF CHANGE
Definition
Consciousness Raising
Dramatic Relief
Self-reevaluation
Environ. Reevaluation
Self-liberation
Helping Relationships
Counterconditioning
Reinforcement Mgmt
Stimulus Control
Social Liberation
Term
Consciousness Raising
Definition
Finding /learning new things that support healthy behavior change
Term
Dramatic Relief
Definition
Emotional arousal about behavior & relief from changing it
Term
Self-reevaluation
Definition
Affective & cognitive components, related to self identity
Term
Environ. Reevaluation
Definition
Realizing the – impact (unhealthy) & + impact (healthy behavior) has on proximal social / physical environment
Term
Self-liberation
Definition
Making a firm commitment to change
Term
Helping Relationships
Definition
Seeking & using social support for change
Term
Counterconditioning
Definition
Substitute healthy alt. behaviors/thoughts for unhealthy ones
Term
Reinforcement Mgmt
Definition
Increase rewards for + change, decrease for unhealthy behavior
Term
Stimulus Control
Definition
Remove reminders/cues to engage in unhealthy behavior, add reminders for healthy behavior
Term
Social Liberation
Definition
Realize social norms are changing in direction of supporting healthy behavior change.
Term
3RD CONSTRUCT of The Transtheoretical Model
Definition
DECISIONAL BALANCE
Term
DECISIONAL BALANCE
Definition
Relative weighing of the pros and cons of changing
Pros: benefits of changing
Cons: costs of changing
Term
4TH CONSTRUCT of The Transtheoretical Model
Definition
SELF-EFFICACY
Term
SELF-EFFICACY
Definition
Self Efficacy - Belief that one can engage in healthy behavior across different challenging situations
Term
5TH CONSTRUCT of The Transtheoretical Model
Definition
TEMPTATION
Term
TEMPTATION
Definition
Temptation to engage in unhealthy behavior across different challenging situations
Term
6th construct of The Transtheoretical Model
Definition
LEVELS OF CHANGE
Term
Population Impact (PI) =
Definition
Participation Rate (PR) x Effectiveness Rate (ER)
Term
Precaution Adoption Process Model Steps
Definition
Stage 1 : Unaware
Stage 2 : Unengaged
Stage 3 : Undecided
Stage 4 : Decided not to Act
Stage 5 : Decided to Act
Stage 6 : Acting
Stage 7 : Maintenance
Term
PAPM Stages of Inaction
Definition
Stage 1 : Unaware
Stage 2 : Unengaged
Stage 3 : Undecided
Stage 4 : Decided not to Act
Term
Assumes people are rational and that reasoning is
the primary determinant of behavioral intent
Definition
THEORY OF REASONED ACTION
Term
Distinguishes attitude toward an object from
attitude toward behavior,
Definition
THEORY OF REASONED ACTION
Term
Usually a single, observable action performed by
an individual
Definition
Behavior
Term
Behavior should be defined in terms of its
Definition
target, action, context, and time (TACT)
Term
Perceived likelihood of performing the behavior
Definition
BEHAVIORAL INTENTION
Term
Beliefs that behavioral performance is associated with certain attributes or outcomes
Definition
Behavioral beliefs
Term
Values associated with a behavioral outcome or attribute
Definition
Evaluation of behavioral outcomes (outcome evaluation)
Term
Attitude =
Definition
Behavioral belief x Evaluation
Term
Beliefs about whether each referent approves or disapproves of the behavior
Definition
Normative beliefs
Term
TRA TPB ATTITUDE TOWARD BEHAVIOR includes
Definition
Behavioral beliefs & Outcome Evaluation
Term
Motivation to adhere to what each referent thinks the person should do
Definition
Motivation to comply
Term
TRA TPB CONSTRUCT SUBJECTIVE NORM includes
Definition
Normative beliefs & Motivation to comply
Term
TRA TPB PERCEIVED BEHAVIORAL CONTROL includes
Definition
Control belief & Perceived powe
Term
Perceived likelihood of occurrence of facilitating or constraining conditions
Definition
Control belief
Term
Perceived effect of conditions in making behavioral performance difficult or easy
Definition
Perceived powe
Term
don’t necessarily explain behavior change
Definition
TRA TPB
Term
National Institute of Mental Health (NIMH) organized a theorists workshop
Definition
IBM
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