Health Psychology Flashcards

1
Q

What are the two models of treatment seeking

A

Biomedical model

Biopsychosocial model

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2
Q

What is attribution
Sensations then “attributed”
as symptoms

A

Attribution is when we hypothesise what causes a symptom

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3
Q

What does it mean by saying we have illness Prototype (from self regulatory model)

A
Prototypes are ideas about the identity 
timeline 
cause 
cure 
control and 
consequences of an illness
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4
Q

When do we seek healthcare advice? (SRM)

A
It's more likely when 
Illness CONSEQUENCES are high
TIMELINE is chronic 
CURE is accessed via hcp
CONTROL is low (not through lifestyle 
CAUSE
COPING resources are low 
IDENTITY prototype and symptoms match 
Coping w non healthcare seeking is APPRAISED ineffective 
EMOTIONAL RESPONSE is high
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5
Q

Srm says patient can use here herustics or rule of thumb to aid decisions about symptom what are they?

A
Rate of change rule - seek help if unstable and get worse quickly 
Severity rule 
Age illness rule 
Stress illness rule -mental attribution 
Pattern rule 
Location rule 
Optimistic rule - it won't happen to me
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6
Q

Describe the stage model of coping with diagnosis e.g. five stages of grief
Whom is it by

A
Denial – shock
Anger
Bargaining – if I do this I will get more time 
Depression
Acceptance – not the same as giving up
By kubler Ross
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7
Q

What framework indicates Appraisal of treatment

A

The necessity- concerns framework

Doubt about treatment needs and concerns about adverse affect make a person unlikely to adhere to their medication

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8
Q

Process and outcome of good shared decision-making

A
Process; recognise need for decision, 
informed about options:risk, benefits, consequences.
Patience values
Can discuss their worry with hcp
Involved in decision-making

Outcome:accurate risk perception
Good knowledge relevant to decision
Feel that their value are Respected

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9
Q

What is the difference between self-management and self-care

A
Self-care
used in the same way as self management 
more of a short term focus
Management 
Chronic condition
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10
Q

Describe the component of self management interventions

A

1 plan and reinforce heathy behaviours -smart goals
2 cope with emotional impact
3 healthcare team
4 eduction about condition and signposting

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11
Q

What theory influences self management

Whom by

A

Social learning theory

Albert bandura

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12
Q

The social learning theory describes three ways we learned behaviour…

A

1 modelling, imitating
2 reinforcement -be rewarded
3 vicarious reinforcement - echo feelings- watch other get rewarded

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13
Q

What does the self management intervention involve (4)

A
  1. Affirmations - well done for doing Sth.
    2 vicarious reinforcement by expert patient
    3 technique teaching improve self efficacy
    4 set SMART goals
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14
Q

What are smart goals

A
Specific 
Measurable 
Achievable 
Results focused 
Time bound
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15
Q

What are the self management behaviours in asthma

A
Adhere to preventer trt
Good inhaler technique
Stop smoking 
Maintain a healthy weight 
Avoid trigger 
Flu vaccination
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16
Q

What are the self management behaviour in hypertension

A
Adhere to antiHT
Self monitor of BP
Stop smoking 
Healthy weight
Reduce alcohol intake
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17
Q

What are the problems with self management intervention

A
Time (hcp
Money
Patient engagement 
Training 
Outcomes are different for diff patient
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18
Q

Define self-management

A

Self-management refers to individual’s ability to manage symptoms, treatments, physical and psychological consequences and lifestyle changes for chronic condition

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19
Q

Scott &a Bruce’s decision making styles suggested 5 types …

A
Rational 
Intuitive 
Dependent 
Avoidant 
Spontaneous
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20
Q

Differences between intuitive and a spontaneous decision making

A

Both quick decisions, high self esteem, careless about what other think
Spontaneous decision linked to poorer outcomes

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21
Q

What’s dependent decision making? Is it linked to high or low self esteem?

A

Making decisions after seeking advices from others

Lower self esteem

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22
Q

What is common knowledge bias in decision-making as a group

A

Tend to talk about things we agree on

Miss out things that a few people knows that are also IMPORTANT

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23
Q

Groupthink - what is it?

  • when does it normally happen?
  • does it represent everyone’s view
A

A group of people agree on same thing, no disharmony
Happen when a strong leader in group
No

24
Q

What is curse of expertise?

A

We tend consider a decision by making it relevant to our own expertise and think about other aspects less

25
Q

Social loafing - what is it

- does it represent everyone’s view

A

Individual put in less work within group than they would on their own
No

26
Q

What’s risky shift

A

Group decision become extreme when after discussion, members broadly agree on the subject

27
Q

What does satisfies mean in decision-making

Who came up with this concept

A

Making a decision which will meet the minimum requirement for task
Herbert Simon

28
Q

Where are cognitive(assume) bias results from

A

From a flawed discission via heuristics (fast) decision-making

29
Q

What is confirmation bias

A

Selectively use information that fits with our existing ideas

30
Q

What’s schemes

A

Beliefs

31
Q

What’s representativeness heuristic

A

When something resembles something else, it is judged to be highly likely that they are the same thing

32
Q

What is framing bias

A

The way information is phrased influence the decision

33
Q
Other biases
Primary effects 
Recency effect 
Availability heuristic 
Ego bias
A

More focus on info presented First
—- more recent event
Influenced by things we easily recall (the seen s/e, forget other common s/e
IKEA affect, cognitive bias, people value things we produced by ourselves

34
Q

What’s the nudge unit

What did they suggest

A

The behavioural insight team that’s established by the gov

- we can change people’s behaviour by changing environment than persuading people

35
Q

What is health risk behaviour

A

Any activities that increase the risk of disease or injury

36
Q

What’s health enhancing behaviour

Examples?

A

Activities that help to prevent disease, detect disease and disability at an early stage
Adherence, self-management, healthylife style

37
Q

When did WHO published the top 10 risks factors

What is the first second and third factor

A

2009

High blood pressure, tobacco use, high blood glucose

38
Q

What are the distal and proximal influences on health

A
Distal= demographics 
Proximal= attitude, belief
39
Q

What is WHO finding on smoking

When

A

In developed country smoking attribute to greater risk of disease then any other behaviours
2009

40
Q

What is the percentage of smoking populations in man and woman

A

20% men

19% women

41
Q

What are the theories focused on health risk
What is it about
Whom by
What year

A

1 health locus of control - wallston 1992: individuals view of control over their health
2 unrealistic optimism - Weinstein 1982
3 cognitive dissonance- festinger 1962: when behaviour is inconsistent with belief, we remove the dissonance by changing our belief

42
Q

What is a realistic optimism

A

It will never happen to me

People ignore risk producing behaviour and focus on risk reducing behaviour (but at least I don’t inject drugs

43
Q

What’s com-b model?

A

Capacity
Opportunity
Motivation
–> behaviours

44
Q

What are the types of interventions to reduce health risks

A

1 De- biasing -eg smoking cessation. 1) imagine if successfully quit. 2)imagine if develop disease
2 unrealistic optimisation de-biasing intervention for unprotected sex by hoppe n ogden 1996
3) campaign (fear appeal)- useful in pre-contemplation stage cause avoidance
4) motivational interviewing - reasons for for and against the behaviour
5) alcohol use screening intervention- AUDIT C a questinnnair tool to screen.
6) pharmacological trt- alcohol and smoking NRT

45
Q

How do we select the correct intervention

A

Behaviour change wheel
Michie
2011

46
Q

What the purpose of PRIME theory / SRM/ N-C framework/ transtheretical model

A

Used in addiction
Response to illness
Adherence
Process of change over time

47
Q

Using motivational interviewing skills to explore barriers

What are the 2 major components of motivational interviewing and the division under those

A

Relational component
Technical complement
Relational - empathy( listening) - interpersonal spirit ( evoke themselves to promote change, collaborative rather than authorisation)
Technical- evoke and reinforce change talk (roll
W R, avoid arguing, self efficacy- confidence

48
Q

Core interviewing skills for reflective listening OARS

A

Open question
Affirmations
Reflections
Summarising

49
Q

What are the different types of adherence

A
  1. initiation, first dose
  2. implementation, timing, drug holidays
  3. persistence, taking full course
  4. discontinuation

Concordance:shared decision
Compliance: old fashioned- listen to doctors!

50
Q

According to the N I CE medicine nonadherends guideline, what are the two types of non-adherence

A

1unintentional, capacity, practical barrier CANT

2. Intentional, believes, Perceptual barrier WONT

51
Q

How to advise patient on physical activities

A

1 tell them WHY exercise will benefit them
2 identify barriers
3 signpost to local opportunities (tailored to individual- hobby)
4 neogoniate on acceptable plan
5 follow up (reach goals?

52
Q

What’s the most important thing about motivational interviewing

A

It is collaborative, help patient to explore their own reason for change

53
Q

What are the four stage of change talk in MI

A

Engaging
Focusing
Evoking - why u wanna change
Planning - how can u change

54
Q

What are the two types of change talk

A
DARN CATS 
1. Preparatory change talk
Desire 
Ability 
Reason
Need 
2) mobilising change talk 
Commitment 
Activation 
Talking steps 
Increasing likelihood of change
55
Q

What’s sustain talk

A

I’ll keep on smoking