1.2 Health-related behaviour

Question 1

What are the 5 models or interventions that attempts to explain and predict behaviour change ?

Answer 1

1. health belief model (HBM)
2. transtheoretical model
3. COM-B model
4. motivation interviewing
5. MECC (making every contact count)

Question 2

with the HBM , likelihood of changing behaviour is determined by what ?

Answer 2

perceived threat of the current situation coupled with the evaluation of the outcome if they change

Question 3

When trying to change patients behaviour you should emphasise ….1…. whilst also exploring the patients perceived …2..

Answer 3

1. benefits of behaviour change
2. susceptibility , severity , barriers, benefits and cues

Question 4

Fear appeals:
1. developed based on ?
2. in order to motivate ?

Answer 4

1. HBM
2. behaviour change

Question 5

What fear appeals and messages produce the greatest behaviour change ?

Answer 5

• strong fear appeals
• high-efficacy messages (messages supportive of the individual e.g. telling smokers that they are able to quit)

Question 6

What fear appeals and messages produce the greatest levels of defensive responses ?

Answer 6

strong fear appeals with low efficacy messages

Question 7

Generally how effective are fear appeals ?

Answer 7

ineffective as they don’t change a person’s beliefs, and often they will ignore the information because it’s too distressing

Question 8

As doctors relapse should be …1… and in order to increase chance of …2… next time to explore what the patient has learned from ..3..

Answer 8

1. normalised
2. success
3. failure

Question 9

6 stages of behaviour change model (transtheoretical model)

Answer 9

1. precontemplation
2. contemplation
3. preparation
4. action
5. maintenance -> termination / relapse
6. or maintenance -> stable lifestyle

Question 10

what is precontemplation as a stage of transtheoretical model ?

Answer 10

no awareness/intention of behaviour change

Question 11

what is contemplation as a stage of transtheoretical model ?

Answer 11

aware of needed behaviour change, planning for change but have not yet committed to change

Question 12

what is preparation as a stage of transtheoretical model ?

Answer 12

begin planning to make behaviour change and are committed to following through

Question 13

what is action as a stage of transtheoretical model ?

Answer 13

have implemented intended behaviour modifications in an effort to change behaviour

Question 14

what is maintenance as a stage of transtheoretical model ?

Answer 14

maintaining behaviour change and trying to prevent termination of behaviour change

Question 15

what is termination as a stage of transtheoretical model ?

Answer 15

failure to maintain intended behaviour change

Question 16

What does the health belief model not adress the important roles of ?

Answer 16

• impulsivity
• habit
• self-control
• associative learning
• emotional processing

Question 17

How is motivation defined as ?

Answer 17

all those brain processes that energise and direct behaviour, not just goals and conscious decision-making

Question 18

COM-B model stands for ?

Answer 18

Capability ->Motivation
Opportunity -> Motivation
Behaviour <-> all COM