Behavioral Health Interventions Flashcards
Biomedical model: disease/illness
- Abnormal biological processes
- Should be treated with medication and surgery
Integrated care
Psychosocial services are integrated into health interventions
Overview of behavioral health
Helping people with medical conditions navigate the medical world and get the most out of treatment
Preserving health through lifestyle changes
Engaging in health promoting behaviors
- Stress management
- Sleep hygiene
- Social support networks
How do we manage chronic illnesses in patients?
- Increase patient quality of life and benefits from medical treatment
- Help patient engage in certain behaviors
- Sometimes pain level will not change at all
Biopsychosocial model: disease/illness
- The interaction between biological, social, and psychological factors
- A state of being that is not just disease
- Should be treated with psychological, social, behavioral, and medical approaches
- Prevention through lifestyle changes
Biomedical model: health
The absence of disease
Biopsychosocial model: health
A balance between biological, social, and psychological factors
Colocating care
Health services are located in the same building or near each other for ease of access
In setting goals for behavior change, it is important to…
Work with people as they are, not how they should be
What is a teachable moment?
Context or event in which behavior change becomes more salient due to health concerns; opportunity for lifestyle interventions
SMART: S
Specific
- Ex) I want to get healthy vs. I want to begin an exercise plan
SMART: M
Measurable
- Ex) I want to exercise more vs. I want to exercise 30 minutes 3x per week
SMART: A
Attainable: balance the goal with one’s own abilities
- Ex) I want to bench 200lbs vs. I want to start lifting
SMART: R
Realistic: will you actually go through with this goal/is it feasible per your environment?
- Ex) I want to run outside every day vs. I want to incorporate movement into my day every day
SMART: T
Time-limited: relatively short-term goals
- Ex) I want to lose 50lbs vs. I want to follow my exercise goal for one month and check in on my progress
What are some benefits of creating SMART goals?
- Increases the likelihood of reaching the goals
- Anticipates and plans for barriers to reaching the goals
- Reinforces continued success by setting a progressive series of goals
Step 1 to problem solving
Define the problem clearly, it must be within one’s own control, and state the problem in terms of change that are clear and achievable
Step 2 to problem solving
Generate a wide range of responses/solutions to take
Step 3 to problem solving
Evaluate the pros and cons of each response/solution
Step 4 to problem solving
Rank order of potential responses, emphasizing feasibility
Step 5 to problem solving
Select and implement a response: choose the highest ranked response, develop a specific action plan for the response
Step 6 to problem solving
Evaluate the response; if a problem remains, return to the previous steps
How can problem solving be used to promote treatment adherence?
- Clinicians should respond non-judgmentally to patient disclosures of non-adherence
- Develop an investigator mentality to learn more about the patient’s experience
- Express interest in helping the patient figure out why adherence has been difficult
Effects of chronic illness
- Interference in ability to engage in pleasurable or valued activities
- Can lead to depression, anxiety, isolation, decreased quality of life, difficulties with treatment adherence, and worsening of medical symptoms
Activity scheduling
- Identify pleasurable or valued activities
- Plan a specific time for the activity
- Anticipate and problem-solve barriers
- Monitor mood before and after
- Must be safe and the patient must commit to it
Disability spiral
4 components that exacerbate the illness:
1. Thoughts - I have to stay in bed when I am hurt
2. Behaviors - stay in bed, watch TV, stop socializing
3. Emotions - sadness, depression, anger
4. Physical sensations - pain
