Intervention Flashcards

(41 cards)

1
Q

What constitutes the health belief model?

A
Perceived susceptibility 
Perceived severity
Perceived benefits
Perceived barriers
Cues to action
Self-efficacy
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2
Q

Perceived susceptibility

A

Beliefs about the chances of getting a condition

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3
Q

Perceived severity

A

Beliefs about the seriousness of a condition and it’s consequences

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4
Q

Perceived benefits

A

Beliefs about the benefits of taking action to reduce risk of seriousness

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5
Q

Perceived barriers

A

Beliefs about the material and psychological costs of taking action

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6
Q

Cues to action

A

Factors that activate “readiness to change”

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7
Q

Self-efficacy

A

Confidence in one’s ability to take action

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8
Q

What’s are the states of change?

A
Pre-contemplation
Contemplation
Preparation 
Action
Maintenance
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9
Q

Pre-contemplation stage

A

Has no intention of taking action for the next six months

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10
Q

Contemplation stage

A

Intention to take action in the next six months

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11
Q

Preparation stage

A

Intends to take action in the next 30 days and has taken some behavioral steps in this direction

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12
Q

Action stage

A

Has changed behavior for less than 6 months

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13
Q

Maintenance stage

A

Has changed behavior for more than 6mths

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14
Q

Define a theory and what it can do

A

Presents a systematic way of understanding situations

Set of concepts, definition and proposition

which can predict these events by illustrating relationships between the variables

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15
Q

What was the point of Kramish study in 1994?

A

Aim: improve dietary behaviours using tailored messages
Participants: persons visiting family practice clinics

Surveyed participants at the clinics for their dietary intake and stage they are at
Mailed participants newsletter within 3 weeks
Resurveyed participants after 4 months

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16
Q

What were the findings in kramish study?

A

Total Fat intake fell by 23% for tailored group, 9% for non-tailored and 3% for control.

No differences in fruit and vegetable intake

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17
Q

Briefly describe Diabetes Prevention Program

A

Aim: reduce and maintain a 7% weight loss + 150 minutes exercise

One-on-one counseling
16 lessons in the first 24 weeks
2 optional exercises per week
4-6 week group course

Disadvantage: costly
Limited continuing success if not accompanied by a supportive environment

18
Q

What constitutes the social cognitive theory?

A
Reciprocal determinism
Behavioural capability
Expectations
Self-efficacy
Observational learning (modeling)
Reinforcement 

REORBS

19
Q

Reciprocal determinid

A

The dynamic interaction of the person, behavior and the environment where the behavior is performed

20
Q

Behavioural capability

A

Knowledge and skill to perform a given behavior

21
Q

Expectation

A

Anticipated outcomes of a behaviour

22
Q

Self-efficacy

A

Confidence in one’s ability to take action and overcome barriers

23
Q

Modeling

A

Behavioural acquisition when observing the actions and outcomes of others’ behaviour

24
Q

Reinforcement

A

Responses to a person’s behaviour that increase or decrease the likelihood of reoccurrence

25
Device a health intervention at a inter-personal level
Use of peers. Peer mentors are those people who have successfully faced a particular challenge. They are typically people of the same age, gender and ethnicity. They are also trained to provide intervention, act as role-models and provide social support,
26
What kind of interventions could be done at the institutional level?
Changes in policies changes in availability changes in built environment These changes are done to support behaviour change
27
What is the name of the case-study on community level and what is it about?
Shape-up somerville. Used community based participatory research method (CBPR) where researchers involve community members in all aspects of research (design, implement).
28
What is the aim of community based participatory research / shape-up somerville?
influence every part of a eleentary schoolchild's day
29
What were the major takeaways of the shape-up Somerville programme?
flexibility is important
30
what were the barriers for participation?
lack of time concern about profits concern about waste concern about consumer acceptance
31
Give examples of publicity incentives
Articles and coupons in SUS newsletters A series that spotlighted the mayor of somerville eating at approveed restaurants catering opportunities at events, meetings and trainings A guide that listed partcipating restaurant
32
Provide examples of nutrition policies
Agricultural and trade policies - trans-fat legislation, fortification and supplementation Pricing policies- subsidies and taxation Nutrition education policies- dietary guidelines, nutrient labelling Avertising policies
33
What are the rationale for use of pricing strategies?
Price can determine food purchase behaviour revenues generatred from taxes can be used to subsidize- cost of healthy food and drinks, costs related to improving built environment or providing community health programs imperfect knowledge of adverse health consequences, people prefer short term gratification over LT effects
34
Define Price elasticity demand
measure of sensitivity to price | used to estimate the effects of altering the price of food on the amount that is purchased
35
PED=0
perfectly inelastic- qty dmd doesnt change with price
36
0
inelastic | change in qty demanded less than change in price
37
PE=1
unit elastic | change in qty demanded is equal to change in price
38
PED>1
elastic | change in qty demanded more than change in price
39
What are some factors that can affect Price elasticities?
Availability of close substitutes Cost associated of switching between products- higher cost =inelastic Necessity vs luxury - necessity more inelastic Habitual consumption of food - inelastic Proportion of income allocated to spending - high proportion means more elastic CHAIN
40
Define Own-PEs
changes in demand of an item due to changes in its own price
41
Define Cross-PEs
change in demand of an item in response to price changes in another related food