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HTH 451 The Precaution Adoption Process Model
Health Behavior Change
10
Health Care
Undergraduate 4
02/06/2013

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Term
Stage theories suggest an
Definition
“equation” that predicts behavior
Term
Those focusing on perceived pros & cons suggest there are ________ _______ in individuals by position in the model.
Definition
quantitative differences
Term
Interventions focus on increasing the variables that increase
Definition
prediction
Term
PAPM is a stage theory that suggests
Definition
qualitative differences among people and question whether behavior can be limited to a single equation.
Term
interventions would need to use
Definition
a series of equations to predict behavior – one for each stage transition
Term
4 principle elements of stage theories
Definition
A category system to define stages
An ordering of the stages
Common barriers to change facing people in the same stage
Different barriers to change facing people in different stages
Term
All PAPM stages prior to action are defined in terms of psychological processes within the individual rather than
Definition
factors external to the person
Term
Seven stages of PAPM
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
Six steps of using PAPM
Definition
Identify & clearly define behavior of interest
Classify person by current stage
Helps practitioner see distribution of stages within target group
Understand the factors that influence different stage transitions
Design intervention strategies specifically aimed at variables associated different stage transitions
Specify how effectiveness of the intervention will be determined
Determine a time frame for follow up assessment
Term
Three limitations of PAPM
Definition
Interpretations – this model is NOT about assessing individual perception of vulnerability / risk perception. The focus is mental state of person in regard to the health action in question.
Interpreting Data - differences between stages might indicate that variables are determinants of change rather than the other way around.
Defining stages when health behaviors are complex
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