Behavioral Health Interventions

Question 1

Biomedical model: disease/illness

Answer 1

• Abnormal biological processes
• Should be treated with medication and surgery

Question 2

Integrated care

Answer 2

Psychosocial services are integrated into health interventions

Question 3

Overview of behavioral health

Answer 3

Helping people with medical conditions navigate the medical world and get the most out of treatment

Question 4

Preserving health through lifestyle changes

Answer 4

Engaging in health promoting behaviors
- Stress management
- Sleep hygiene
- Social support networks

Question 5

How do we manage chronic illnesses in patients?

Answer 5

• Increase patient quality of life and benefits from medical treatment
• Help patient engage in certain behaviors
• Sometimes pain level will not change at all

Question 6

Biopsychosocial model: disease/illness

Answer 6

• 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

Question 7

Biomedical model: health

Answer 7

The absence of disease

Question 8

Biopsychosocial model: health

Answer 8

A balance between biological, social, and psychological factors

Question 9

Colocating care

Answer 9

Health services are located in the same building or near each other for ease of access

Question 10

In setting goals for behavior change, it is important to…

Answer 10

Work with people as they are, not how they should be

Question 11

What is a teachable moment?

Answer 11

Context or event in which behavior change becomes more salient due to health concerns; opportunity for lifestyle interventions

Question 12

SMART: S

Answer 12

Specific
- Ex) I want to get healthy vs. I want to begin an exercise plan

Question 13

SMART: M

Answer 13

Measurable
- Ex) I want to exercise more vs. I want to exercise 30 minutes 3x per week

Question 14

SMART: A

Answer 14

Attainable: balance the goal with one’s own abilities
- Ex) I want to bench 200lbs vs. I want to start lifting

Question 15

SMART: R

Answer 15

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

Question 16

SMART: T

Answer 16

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

Question 17

What are some benefits of creating SMART goals?

Answer 17

• 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

Question 18

Step 1 to problem solving

Answer 18

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

Question 19

Step 2 to problem solving

Answer 19

Generate a wide range of responses/solutions to take

Question 20

Step 3 to problem solving

Answer 20

Evaluate the pros and cons of each response/solution

Question 21

Step 4 to problem solving

Answer 21

Rank order of potential responses, emphasizing feasibility

Question 22

Step 5 to problem solving

Answer 22

Select and implement a response: choose the highest ranked response, develop a specific action plan for the response

Question 23

Step 6 to problem solving

Answer 23

Evaluate the response; if a problem remains, return to the previous steps

Question 24

How can problem solving be used to promote treatment adherence?

Answer 24

• 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

Question 25

Effects of chronic illness

Answer 25

• 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

Question 26

Activity scheduling

Answer 26

1. Identify pleasurable or valued activities
2. Plan a specific time for the activity
3. Anticipate and problem-solve barriers
4. Monitor mood before and after
   - Must be safe and the patient must commit to it

Question 27

Disability spiral

Answer 27

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