Barriers to Effectively Self-Manage Lifelong conditions Flashcards
Name five factors that impact ability to self-manage
- Emotional well-being
- Motivation
- Importance
- Health benefits
- Experiences
What are key ingredients for a patient to effectively self manage?
Knowledge -> intention -> behaviour
Can education alone change a person’s behaviour to effectively self-manage?
No, have to support people through the process and help people find their own solutions to problems
What is the health belief model?
Psychological model that attempts to explain and predict health behaviours
What are the factors of the health belief model?
- Seriousness of condition
- Effectiveness of treatments
- Cost and benefit
- Self-efficacy
- Vulnerability to future problems
- Impact of illness
What are psychological issues affecting wellbeing of patient?
- Anxiety & Stress
- Depression & Low Mood
- Adjustment problems
- Eating-related & body image difficulties
How does stress impact diabetes?
Stress makes blood glucose levels rise
What is the impact of depression?
- Rumination, fatigue, < socialising, sadness, < motivation, < enjoyable activities
- Generally more reluctant to seek treatment
How does anxiety impact diabetes?
- Worry, nausea, < focus, restlessness, shaking, muscular tension, sweating, avoidance
- Deposits glucose in the blood and reduces insulin efficiency
- Symptoms overlap lead to inappropriate self-care behaviours
How do you describe behaviour?
Idiosyncratic - people do the same thing for different reasons
Why do we behave as we do?
- Understanding helps us change behaviour
- Generally trying to be happy and avoid pain
- It is idiosyncratic
How does positive reinforcement influence behaviours?
- Reward: get something you want
* Punishment: get something you don’t want
How does negative reinforcement influence behaviours?
- Reward: lose something you didn’t want
* Punishment: lose something you wanted
How can people break well established habits?
Understand better why people do what they do what they do
• What’s the behaviours?
• What led up to that behaviour?
• What happened afterwards? Short and medium term consequences?
What is a key method of formulation to change behaviour?
ABC: antecedents, behaviours and consequences
Example:
A - Get home late, sick of diabetes, feeling angry and fustrated
B - Don’t take insulin
C - Short term: anger dissipates
Later: wake up groggy, and BG very high so spend rest of day correcting levels –> more anger and frustration
