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Health Behavior Change Test 1: Introduction
N/A
37
Health Care
Undergraduate 3
02/18/2014

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Term
Concept of Health
Definition
“Health is a state of complete physical, mental, and social well-being and not merely an absence of disease or infirmity.” (WHO, 1945)
Term
Concept of Behavior: Any overt human action, conscious or unconscious, with measurable
Definition
Frequency
Intensity
Duration
Term
Concept of Behavior: Levels of influence on any behavior
Definition
Intrapersonal or individual factors
Interpersonal factors
Institutional or organizational factors
Community factors
Public policy factors
Term
5 Factors Influencing Change
Definition
Intrapersonal
Interpersonal
Institutional
Community
Public Policy
Term
Intrapersonal Factors
Definition
Individual characteristics that influence behavior, such as knowledge, attitudes, beliefs, and personality traits
Term
Interpersonal Factors
Definition
Interpersonal processes, and primary groups including family, friends, peers, that provide social identity, support, and role definition
Term
Institutional Factors
Definition
Rules, regulations, policies, and informal structures, which may constrain or promote recommended behaviors
Term
Community Factors
Definition
Social networks and norms, or standards, which exist as formal or informal among individuals, groups, and organizations
Term
Public Policy
Definition
Local, state, federal policies and laws that regulate or support healthy actions and practices for disease prevention, early detection, control, and management
Term
Health Behavior
Definition
“Those personal attributes such as beliefs, expectations, motives, values, perceptions, and other cognitive elements; personality characteristics, including affective and emotional states and traits, and behavioral patterns, actions, and habits that relate to health maintenance, to health restoration, and to health improvement.”
Term
Health-directed behaviors
Definition
Behaviors that a person consciously pursues for health improvement or health protection
Term
Health directed behavior example
Definition
seeking an immunization, a physical examination, a low-fat food, or a condom
Term
Health related behavior
Definition
Actions that are performed for reasons other than health but have health effects.
Term
Health related behavior example
Definition
a person trying to lose weight so he can improve his appearance
Term
Primary prevention
Definition
Refers to those preventive actions that are taken prior to the onset of disease or an injury with a view to remove the possibility of their ever occurring.
Term
Secondary prevention
Definition
Refers to actions that block the progression of an injury or disease at its incipient stage.
Term
Tertiary prevention
Definition
Refers to those actions taken after the onset of disease or an injury with a view to assist diseased or disabled people.
Term
8 difficulties to change behavior
Definition
-health habits are hard to break
-Little incentive
-Disincentive
-Health beliefs
-Adherence/compliance
-Reciprocal determinism
-Differences in readiness to change
-Health promotion is never politically neutral
Term
Medication example of adherence/compliance: direct refusal
Definition
tell HCP they do not intend to take medicine
Term
Medication example of adherence/compliance: indirect refusal
Definition
accept prescription, but don’t get it filled
Term
Medication example of adherence/compliance: partial adherence
Definition
some but not all prescribed dose
Term
Premature discontinuation
Definition
stop taking chronic meds w/out knowledge or advice of HCP
Term
Five reasons they may not adhere to change
Definition
May not have necessary skills to change
May not understand importance of change
May believe change may pose additional risk to health
Emotional dysfunction
Culture or environment not supportive to change
Term
Reciprocal determinism
Definition
Environment shapes our lifestyles
Our lifestyle choices shape the environment
Term
Differences in readiness to change
Definition
Models gear toward the level of readiness
Term
Health promotion is never politically neutral
Definition
We hold citizens sovereign. Value choices.
As health professionals, we need to use our knowledge to guide decisions…not play the “know it all”.
Term
Four reasons why its a good time to change
Definition
People value good health more than ever
More info/knowledge about health risks
People dissatisfied w/medical treatment
Reduce medical costs
Term
Two ways to reduce medical costs
Definition
Prevention cheaper than treatment
Easier to treat when detected early
Term
Health education
Definition
-Any combination of planned learning experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire information and the skills needed to make quality health decisions.
-Any planned combination of learning experiences designed to predispose, enable, and reinforce voluntary behavior conducive to health in individuals, groups, or communities
Term
Health promotion
Definition
Any planned combination of educational, political, regulatory, and organizational supports for actions and conditions of living conducive to the health of individuals, groups, or communities
Term
Why be concerned about health problems (4)
Definition
Personal behavior changes / experiences
Extend life span
Increase awareness
Decrease secondary prevention / treatment techniques $$$
Term
Ten leading health indicators
Definition
Physical activity
Overweight and obesity
Tobacco use
Substance abuse
Responsible sexual behavior
Mental health
Injury and violence
Environmental quality
Immunization
Access to health care
Term
Definition of a theory
Definition
A set of interrelated concepts, definitions, and predispositions that present a systematic view of events or situations by specifying relations among variables in order to explain and predict the events or situations
Term
Two ways how to make a theory work
Definition
Theories do not have specified content or topic areas
They have shape and boundaries, but you have to fill the boundaries
Term
7 benefits of applying a theory
Definition
Helps in discerning measurable program outcomes
Specifies methods for behavior change
Identifies the timing for interventions
Helps in choosing the right mix of strategies
Enhances communication between professionals
Improves replication
Improves program efficiency and effectiveness
Term
4 Intrapersonal theories we will discuss
Definition
Health Belief Model
Self efficacy
PRECEDE/PROCEED
Transtheoretical Model
Term
4 Interpersonal theories we will discuss
Definition
Theory of reasoned action
Social cognitive theory
Social marketing
Diffusion of innovation
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