Final Exam Flashcards
(91 cards)
What is the Health Belief Model?
Decisions about health behavior are based on 4 interacting factors that influence perceptions about health threat: Perceived susceptibility, perceived severity of health threat, perceived benefits and barriers of treatment, and cues to action.
What is the Theory of Planned Behavior?
Specifies relationships among attitudes and behavior, is the most accurate in predicting goal-oriented, rational behaviors.
What factors shape behavioral intentions?
Attitude toward behavior, subjective norm and perceived behavioral control.
Transtheoretical Model (TTM)
Proposes that people pass through 5 nonlinear stages in altering health.
Stages of TTM
Stage 1: Precontemplation
Stage 2: Contemplation
Stage 3: Preparation
Stage 4: Action
Stage 5: Maintenance
Precontemplation Stage
“I have no plans to quit smoking”
Contemplation Stage
“I need to quit smoking”
Preparation Stage
“I’ve seen my doctor and told her I am going to quit smoking. She wrote a prescription to help reduce my craving for nicotine”
Action Stage
“I am actively cold turkey, and it’s week two. So far, so good”
Maintenance Stage
“I’ve been tobacco free now for 6 months”
Health Action Process Approach (HAPA)
Motivational phase (goal-setting)
Volitional Phase (Goal-pursuit)
Primary Prevention
Aimed to prevent disease or injury before it occurs
Secondary Prevention
Aimed at reducing the impact of injury or disease
Tertiary Prevention
Aimed at softening the impact of ongoing chronic illness/disease
Cognitive behavioral interventions
Focus on conditions that elicit health behaviors and factors that help to maintain and reinforce them. (Self monitoring and conditioning)
Conditioning
Discriminative stimuli (you only get a reward if you do…)
Taste aversion/Antabuse
Contingency contracting (consequences for achievement/failure)
Stimulus control interventions
Controlling cues related to reward, arousal, sleep in the environment (social and communication skills, increased knowledge of disease/treatment and managing “illness intrusiveness”
Relapse Prevention
Recognizing early stages of relapse (self monitoring) and mind-body relaxation
Contingency contracting
Identify behavior, the conditions in which it is supposed to occur and consequences for achieving/failing to achieve behavior
Work-site wellness programs
Ideal for promoting health because of convenience for workers, opportunities for social support, follow-through and feedback.
Preventing disease is easier, cheaper and far more desirable than treating disease
Behavior change techniques (BCTs)
Goal setting, avoiding provocative situations, (self) monitoring of target behaviors, information about health consequences, instruction, social support, feedback.
Why do people delay in seeking treatment?
Group/cultural differences, misinterpretation of symptoms, worried about looking silly, worried about “bothering” the doctor, reluctant to disrupt their routine, can’t afford care, fear/phobias, etc.
Gender and physician contact
Women:
More likely to report symptoms and use health services, may be exposed to more illnesses and may be more sensitive to their internal bodily symptoms.
Men:
Over 1/3 would not go to the doctor immediately, only 32% checked for cancer
Socioeconomic status
Predicts both symptom reporting and the shaking of health care.
High SES people report less symptoms and better health than low SES people
When sick, high SES people are more likely to seek health care.