Health Psychology Flashcards

(55 cards)

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
Social loafing - what is it | - does it represent everyone's view
Individual put in less work within group than they would on their own No
26
What's risky shift
Group decision become extreme when after discussion, members broadly agree on the subject
27
What does satisfies mean in decision-making | Who came up with this concept
Making a decision which will meet the minimum requirement for task Herbert Simon
28
Where are cognitive(assume) bias results from
From a flawed discission via heuristics (fast) decision-making
29
What is confirmation bias
Selectively use information that fits with our existing ideas
30
What's schemes
Beliefs
31
What's representativeness heuristic
When something resembles something else, it is judged to be highly likely that they are the same thing
32
What is framing bias
The way information is phrased influence the decision
33
``` Other biases Primary effects Recency effect Availability heuristic Ego bias ```
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
What's the nudge unit | What did they suggest
The behavioural insight team that's established by the gov | - we can change people's behaviour by changing environment than persuading people
35
What is health risk behaviour
Any activities that increase the risk of disease or injury
36
What's health enhancing behaviour | Examples?
Activities that help to prevent disease, detect disease and disability at an early stage Adherence, self-management, healthylife style
37
When did WHO published the top 10 risks factors | What is the first second and third factor
2009 | High blood pressure, tobacco use, high blood glucose
38
What are the distal and proximal influences on health
``` Distal= demographics Proximal= attitude, belief ```
39
What is WHO finding on smoking | When
In developed country smoking attribute to greater risk of disease then any other behaviours 2009
40
What is the percentage of smoking populations in man and woman
20% men | 19% women
41
What are the theories focused on health risk What is it about Whom by What year
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
What is a realistic optimism
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
What's com-b model?
Capacity Opportunity Motivation --> behaviours
44
What are the types of interventions to reduce health risks
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
How do we select the correct intervention
Behaviour change wheel Michie 2011
46
What the purpose of PRIME theory / SRM/ N-C framework/ transtheretical model
Used in addiction Response to illness Adherence Process of change over time
47
Using motivational interviewing skills to explore barriers | What are the 2 major components of motivational interviewing and the division under those
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
Core interviewing skills for reflective listening OARS
Open question Affirmations Reflections Summarising
49
What are the different types of adherence
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
According to the N I CE medicine nonadherends guideline, what are the two types of non-adherence
1unintentional, capacity, practical barrier CANT | 2. Intentional, believes, Perceptual barrier WONT
51
How to advise patient on physical activities
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
What's the most important thing about motivational interviewing
It is collaborative, help patient to explore their own reason for change
53
What are the four stage of change talk in MI
Engaging Focusing Evoking - why u wanna change Planning - how can u change
54
What are the two types of change talk
``` DARN CATS 1. Preparatory change talk Desire Ability Reason Need 2) mobilising change talk Commitment Activation Talking steps Increasing likelihood of change ```
55
What's sustain talk
I'll keep on smoking