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Definition
“Health is a state of complete physical, mental, and social well-being and not merely an absence of disease or infirmity.” (WHO, 1945) |
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Concept of Behavior: Any overt human action, conscious or unconscious, with measurable |
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Definition
Frequency Intensity Duration |
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Concept of Behavior: Levels of influence on any behavior |
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Definition
Intrapersonal or individual factors Interpersonal factors Institutional or organizational factors Community factors Public policy factors |
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5 Factors Influencing Change |
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Definition
Intrapersonal Interpersonal Institutional Community Public Policy |
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Definition
Individual characteristics that influence behavior, such as knowledge, attitudes, beliefs, and personality traits |
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Interpersonal processes, and primary groups including family, friends, peers, that provide social identity, support, and role definition |
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Rules, regulations, policies, and informal structures, which may constrain or promote recommended behaviors |
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Social networks and norms, or standards, which exist as formal or informal among individuals, groups, and organizations |
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Local, state, federal policies and laws that regulate or support healthy actions and practices for disease prevention, early detection, control, and management |
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“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.” |
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Health-directed behaviors |
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Definition
Behaviors that a person consciously pursues for health improvement or health protection |
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Health directed behavior example |
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Definition
seeking an immunization, a physical examination, a low-fat food, or a condom |
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Definition
Actions that are performed for reasons other than health but have health effects. |
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Health related behavior example |
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Definition
a person trying to lose weight so he can improve his appearance |
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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. |
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Refers to actions that block the progression of an injury or disease at its incipient stage. |
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Refers to those actions taken after the onset of disease or an injury with a view to assist diseased or disabled people. |
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8 difficulties to change behavior |
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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 |
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Term
Medication example of adherence/compliance: direct refusal |
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Definition
tell HCP they do not intend to take medicine |
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Medication example of adherence/compliance: indirect refusal |
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Definition
accept prescription, but don’t get it filled |
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Medication example of adherence/compliance: partial adherence |
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Definition
some but not all prescribed dose |
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Premature discontinuation |
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Definition
stop taking chronic meds w/out knowledge or advice of HCP |
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Five reasons they may not adhere to change |
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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 |
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Environment shapes our lifestyles Our lifestyle choices shape the environment |
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Differences in readiness to change |
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Models gear toward the level of readiness |
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Health promotion is never politically neutral |
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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”. |
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Four reasons why its a good time to change |
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Definition
People value good health more than ever More info/knowledge about health risks People dissatisfied w/medical treatment Reduce medical costs |
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Two ways to reduce medical costs |
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Definition
Prevention cheaper than treatment Easier to treat when detected early |
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Term
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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 |
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Term
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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 |
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Why be concerned about health problems (4) |
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Definition
Personal behavior changes / experiences Extend life span Increase awareness Decrease secondary prevention / treatment techniques $$$ |
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Ten leading health indicators |
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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 |
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Term
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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 |
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Two ways how to make a theory work |
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Definition
Theories do not have specified content or topic areas They have shape and boundaries, but you have to fill the boundaries |
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7 benefits of applying a theory |
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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 |
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4 Intrapersonal theories we will discuss |
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Definition
Health Belief Model Self efficacy PRECEDE/PROCEED Transtheoretical Model |
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4 Interpersonal theories we will discuss |
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Definition
Theory of reasoned action Social cognitive theory Social marketing Diffusion of innovation |
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