Module 3 - Health Promotion Flashcards

(49 cards)

1
Q

Individual-Focused Perspectives

A

Theory of planned behavior
Transtheoretical model (stages of change)

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2
Q

Theory of planned behavior

A

states that individual behavior is influenced by beliefs, attitudes, behavior, and intent

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3
Q

Transtheoretical model (stages of change)

A

Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination

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4
Q

Lalonde Report (1974)

A

shift from biomedical to health promotion approach
included 4 determinants of health
behavioral model –> victim blaming
address individual risk factors

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5
Q

Alma Ata (1978)

A

address health inequities b/w high and low-income countries
health for all by 2000
expanded DOH to include socioenvironmental factors

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6
Q

WHO Principles of Health Promotion (1984)

A

build healthy public policy
develop personal skills
create supportive environments
support community action

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7
Q

Ottawa Charter (1986)

A

expanded the determinants of health
included 5 action strategies to promote health

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8
Q

Epp Report (1986) challenges

A

1) reduce health inequities between low/high income groups
2) increase prevention efforts
3) enhance coping skills

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9
Q

Ottawa Charter 5 Actions

A

“blue crabs sing dank raps”

1) building healthy public policy
2) creating supportive environments
3) strengthen community action
4) develop personal skills
5) reorient health services

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10
Q

Epp 3 mechanisms

A

1) self care
2) mutual aid
3) create healthy environments

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11
Q

Population Health Model Components

A

What = determinants of health
Who = client (individual, family, etc)
How = Ottawa Charter 5 strategies

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12
Q

Stage: Precontemplation

A

not thinking about it at all

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13
Q

Stage: Contemplation

A

considering action in next 6 months

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14
Q

Stage: Preparation

A

preparing for action in next 30 days

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15
Q

Stage: Action

A

have taken action in the last 6 month

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16
Q

Stage: Maintenance

A

have maintained change for over 6 months

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17
Q

Stage: Maintenance

A

have maintained change for over 6 months

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18
Q

Stage: Termination

A

no longer have temptation. permanent behavior

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19
Q

Community-focused perspectives

A

1) Diffusion of innovation
2) Community mobilization framework

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20
Q

Diffusion of innovation (5) categories

A

innovators
early adopters
early majority
late majority
laggards

21
Q

Diffusion of innovation (6) conditions

A

“cruel fiends really singe asses cruelly”

1) compatibility
2) flexibility
3) reversibility
4) simplicity
5) advantageousness
6) cost-efficiency

22
Q

Community Mobilization (3) approaches

A

1) social planning
2) locality development
3) social action

23
Q

Public Policy frameworks

A

1) Milio’s framework
2) Weiss framework
3) Health impact assessment

24
Q

Milio’s four elements

A

See icy igloos chill

1) social climate**
2) influence
3) interests
4) capacity

25
Milio's main players
policy holders policy influencers public media
26
3 Health Promotion Approaches
1) biomedical (pathophysiology) 2) behavioral (lifestyle choices) 3) socioenvironment (determinants of health)
27
Biomedical appraoch
curative/rehabilitative treatment disease prevention --> reduce risk factors (primary, secondary, tertiary)
28
Behavioral approach
lifestyle changes to promote health address behavioral risk factors aka "lifestyle choices" ex: social marketing, health campaigns, education
29
Socioenvironmental approach
health is a resource identifies/address psychosocial/environmental risk factors
30
Health Promotion
focuses on social determinants of health increase client control over health reduce health inequities between populations
31
Empowerment
actively engage client to take more control over their life political efficacy, improved quality of life, social justice
32
Change Theory
change and improvement are not mutually inclusive but change is a necessary pre-req for improvement provide a model to predict individual behavior to guide nursing action
33
Challenges
consciousness raising --> raise awareness on the benefits of change
34
Constructs
situational self-efficacy
35
Temptations
how to positively cope without moving backwards
36
Decisional balance
consider pros/cons of changing behavior
37
Health Impact Assessment
inform decision making around public policy evaluate the health impact (+/-) of different policies on populations
38
Who coined the term healthy public policy?
Milio
39
Milio's development process
initiation action implementation evaluation reformulation
40
Health Impact Assessment 6 Steps
screening scoping assessment recommendation reporting monitoring/evaluation
41
CHN & Public Policy
advocate for policy support community action advocate for change
42
Lalonde 4 DOH
human biology physical environment lifestyle behaviors healthcare system
43
Significance of Alma Ata
introduced social determinants of health intersectoral collaboration (interventions required o/s the health sector) primary health care systems
44
Build Healthy Public Policy means
legislation fiscal measures taxation organizational change
45
Create supportive environments means
emphasis on sustainability work, leisure, life patterns
46
Strengthen community action means
community empowerment setting priorities, making decisions, planning, implementation
47
Community development
draws on human/material resources to enhance self-help/support. strengthen public participation
48
Develop personal skills means
information education enhancing life skills
49
Reorient health services means
primary healthcare > primary care health research changes in education/training