Behavioral Health Interventions Flashcards

1
Q

Biomedical model: disease/illness

A
  • Abnormal biological processes
  • Should be treated with medication and surgery
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2
Q

Integrated care

A

Psychosocial services are integrated into health interventions

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3
Q

Overview of behavioral health

A

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

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4
Q

Preserving health through lifestyle changes

A

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

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5
Q

How do we manage chronic illnesses in patients?

A
  • Increase patient quality of life and benefits from medical treatment
  • Help patient engage in certain behaviors
  • Sometimes pain level will not change at all
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6
Q

Biopsychosocial model: disease/illness

A
  • 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
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7
Q

Biomedical model: health

A

The absence of disease

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8
Q

Biopsychosocial model: health

A

A balance between biological, social, and psychological factors

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9
Q

Colocating care

A

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

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10
Q

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

A

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

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11
Q

What is a teachable moment?

A

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

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12
Q

SMART: S

A

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

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13
Q

SMART: M

A

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

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14
Q

SMART: A

A

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

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15
Q

SMART: R

A

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

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16
Q

SMART: T

A

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

17
Q

What are some benefits of creating SMART goals?

A
  • 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
18
Q

Step 1 to problem solving

A

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

19
Q

Step 2 to problem solving

A

Generate a wide range of responses/solutions to take

20
Q

Step 3 to problem solving

A

Evaluate the pros and cons of each response/solution

21
Q

Step 4 to problem solving

A

Rank order of potential responses, emphasizing feasibility

22
Q

Step 5 to problem solving

A

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

23
Q

Step 6 to problem solving

A

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

24
Q

How can problem solving be used to promote treatment adherence?

A
  • 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
25
Q

Effects of chronic illness

A
  • 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
26
Q

Activity scheduling

A
  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
27
Q

Disability spiral

A

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