PU505: Health Behavior Unit 1 Introduction Flashcards
(45 cards)
UNIT 1 - INTRODUCTION TO THEORY
Why is understanding and being able to use theories essential?
They provide the foundation for professional practice.
What does theories help us accomplish?
Solve problems and formulate programs, interventions, projects, and policies.
What type of theory or model can explain, predict, or suggest ways to change behavior by focusing on factors within people that affect their behavior, such as knowledge, skills, attitudes, beliefs, and past experiences?
Intrapersonal theories or models
What is a theory from a health promotion and disease prevention perspective?
It represents an interrelated set of propositions that serve to explain health behavior or provide a systemic method of guiding health promotion practice.
“Theory, then, provides a framework for explaining phenomena and may serve as the basis for further research as well as practice application”
Simply put, theories explain behavior and thus can suggest ways to achieve behavior change.
What is a a set of assumptions developed to explain why something happens and to predict its occurrence?
A theory
It is “ a set of interrelated concepts, definitions, and propositions that present a systematic view of events or situations by specifying relations among variables in order to explain and predict events or situations.”
What is a a composite, a mixture of ideas or concepts taken from any number of theories and used together?
A model.
This can help us understand a specific problem in a particular setting which one theory may not be able to do alone.
What theory belongs at the interpersonal level?
Social cognitive theory
What type of theory or model can explain, predict, and suggest ways to change behavior by focusing on factors within social systems (communities, organizations, institutions, and public policies) that influence behavior, such as rules, regulations, legislation, norms, and policies?
Community-level theories
What are the three different types or levels of influence within theories and models?
Intrapersonal
Interpersonal
Community
What theories and models belong in the intrapersonal level? (6)
The health belief model
The theory of reasoned action/planned behavior
The self-efficacy theory
The attribution theory
The protection motivation theory
The transtheoretical model
What are theories and models that explain, predict, and suggest ways to change behavior by focusing on factors related to the influence that other people have on a person’s behavior?
These other people can be family, friends, coworkers, healthcare providers, and clergy, influence behavior when they share their thoughts advice, and feelings and when they provide emotional support assistance.
Interpersonal theories and models
What is a common theory used at addressing behavior at the interpersonal level?
Social Cognitive Theory
What do community-level models and theories attempt to explain, predict, and suggest ways for?
To change behavior by focusing on factors within social systems (communities, organizations, institutions, and public policies) that influence behavior, such as rules, regulations, legislation, norms, and policies.
Changing a social system from one that maintains and supports unhealthy behaviors to on that supports health behaviors ultimately supports individual behavior change.
What are some common community-level theories?
Diffusion of Innovation Theory
Social Ecological Model
Social Capital Theory
Why are theories even born?
They are born from the need to solve a problem or find an explanation that would account for some repeatedly observed occurence.
What is the goal of theory development?
To identify a few principles that can account for (explain) a large range of phenomena.
Scientific inquiry is a cyclical process where theory and data can be regarded as either starting points or endpoints. In a spiral-shaped process of research, inductive and deductive phases of inquiry follow each other. The starting points are ideas, hypotheses, or conceptual frameworks that guide future research. Endpoints are attained when there is a well-substantiated explanation of a particular facet of reality based upon empirical evidence
What does the development of theory begin with? (2)
Inductive reasoning and qualitative methods.
Inductive reasoning, if you recall, starts with specific observations or evidence and moves to a conclusion.
For example, using inductive reasoning we observe that COVID-19 is transmitted through respiratory droplets, and we observe that masks and social distancing reduce exposure to respiratory droplets. Therefore, we conclude that masks and social distancing reduce or prevent the spread of COVID-19.
What is the difference of deductive reasoning compared to inductive reasoning?
Deductive reasoning starts with the conclusion–masks and social distancing reduce or prevent the transmission of COVID-19–and seek the observations to support the conclusion–masks and social distancing reduce or prevent the spread of disease through droplet transmission.
COVID-19 is spread through droplet transmission.
What led to the health belief model?
Observation, Inductive reasoning, and qualitative research methods.
The health belief model was developed by researchers at the U.S. Public Health Service in the late 1950s as a means to understand why so few people were being screened for tuberculosis (TB). Triggered by the observation of poor screening utilization, possible reasons why people might or might not utilize these screenings were identified and research conducted to determine if the reasons proposed did in fact explain the behavior.
They did explain the behavior, and the outcome was the health belief model, one of the most widely used theories in health education and health promotion.
What is a theory that was developed when existing ones were revised?
The theory of reasoned action.
The theory is very useful in predicting and explaining behavior that is under a person’s volitional (willful) control, but it is not very useful for behaviors that are not under volitional control.
To make the theory more useful for these types of behaviors, the perception of behavioral control—that is, the perception of ease or difficulty of doing something—was added to the theory of reasoned action and in so doing, the theory of planned behavior was born.
What does health behavior include?
It is the things we do that influence our physical, mental, emotional, psychological, and spiritual selves.
What are some factors that influence the types of behaviors we engage in?
Factors such as socioeconomic status, skills, culture, beliefs, attitude, values, religion, and gender.
What is socioeconomic status (SES)?
How is it typically reflected? (3)
Known risk factor for? At older ages? (9) (6)
Bias associated with low SES?
It is the social standing or social class of a person or group.
It reflects a combination of income, education level, and occupation.
Risk factor for psychiatric disorders, substance abuse, self-harm, and over time is associated with liver and renal diseases, ischemic heart disease, cerebral infarction, chronic obstructive bronchitis, and lung cancer. At older ages, it’s associated with increased risk of premature mortality, coronary heart disease, diabetes, depression, disability and dementia, and accelerated aging.
Low SES people are perceived as being less intelligent, less independent, less responsible, less rational, and less likely to comply with medical advice and follow-up visits.
These perceptions impact clinical decisions, delay diagnostic testing, repress referrals to specialists, and result in prescribing of more generic medication.
Consider this—if education and, by extension, knowledge were the driving forces behind health behavior, then physicians, nurses, dentists, and other healthcare professionals wouldn’t smoke. Yet, some do. Why?
Although heath care workers in Florence, Italy, were knowledgeable about vaccine preventable diseases, their behavior did not reflect what they knew. In fact, following a daylong course to update them about these diseases, 72% of those susceptible to mumps, 74% susceptible to measles and pertussis, 79% susceptible to rubella, and 84% at risk of contracting varicella (chicken pox) were not willing to be vaccinated for these diseases.