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*CLINICAL EXERCISE PHYSIOLOGY > CH2- Promoting a Physically Active Lifestyle > Flashcards

CH2- Promoting a Physically Active Lifestyle Flashcards

1
Q

promotion

A

use of behaviorall strategies in assessing + counseling individuals about their physical activity behavior change

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2
Q

behavioral strategies are intended to be used in the context of what environments

A

supportive social + physical environments

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3
Q

human behavior such as physical activity is shaped by ____

A

its surroundings

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4
Q

regarding human behavior being influenced by surroundings, what things must you understand

A

-understand the environment in which a client lives (social, occupational, spiritual, etc.)
-understand the physical + social contexts in which a client lives
-address environmental barriers + provide insights into how to overcome these barriers

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5
Q

2 commonly identified determinants of physical activity participation

A

-self-efficacy
-social support

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6
Q

self-efficacy

A

-person’s CONFIDENCE to exercise under a number of circumstances
-positively associated with greater participation in physical activity

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7
Q

high vs low self-efficacy

A

-high self-efficacy = greater likelihood to participate in physical activity
-low self-efficacy = less likely to participate

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8
Q

social support

A

consistently shown to be positively associated with greater levels of physical activity participation

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9
Q

physical environment can also present ____

A

barriers

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10
Q

barriers presented by physical environment for regular physical activity

A

-lack of bicycle trails + walking paths away from vehicular traffice
-inclement weather
-unsafe neighborhood

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11
Q

theories + models of physical activity promotion- OLD APPROACH

A

information sharing

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12
Q

OLD APPROACH (information sharing)

A

get individuals to be physically active by sharing information wiht them
-they would go to doctor appt + the physician would suggest they be more physically active + give them a handout
-very minimal education + clinician-client interaction
-impetus would lie on the patient themselves to do what they were being told
-not effective, very poor compliance + retention

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13
Q

theories + models of physical activity promotion- NEW APPROACH

A

cognitive-behavioral techniques

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14
Q

NEW APPROACH (cognitive-behavior techniques)

A

theories + models to promote the initiation of + adherence to physical activity
-based on trying to make physical activity more of a lifestyle + take into consideration aspects that are obstacles to participating in activity
-more comprehensive approach

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15
Q

another NEW approach

A

lifestyle-based physical activity promotion

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16
Q

lifestyle-based physical activity promotion

A

-less focus on PLANNED physical activity (aka exercise for x amount a day)
-more focus on physical activity as part of the person’s daily routine (ex: taking stairs instead of elevator, parking further away from the store/work)

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17
Q

why is a lifestyle-based focus relevant?

A

lack of time is a common barrier to regular physical activity
-promote lifestyle changes whereby physical activity can be enjoyed throughout the day as part of one’s lifestyle

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18
Q

health belief model

A

personal beliefs of perceptions influence health behavior

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19
Q

aspects of health belief model (4)

A

-perceived seriousness
-perceived susceptibility
-perceived benefits of change
-perceived barriers to change

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20
Q

which aspect of the health belief model is most predictive of behavior change

A

perceived barriers to change

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21
Q

health belief model- perceived seriousness

A

how severe is the disease if I were to contract it?
-researchers found that many people didn’t actually understand how serious certain diseases were

22
Q

health belief model- perceived susceptibility

A

how likely is it that I will contract this disease?
-many people underestimated how likley they were to contract something

23
Q

health belief model- perceived benefits of change

A

personal opinion of the value or usefulness of a NEW behavior to decrease risk of acquiring disease

24
Q

health belief model- perceived barriers to change

A

personal opinion in the way of adopting a new behavior

25
Q

what is important to know about health belief model

A

benefits HAVE TO outweight barriers in order for change to occur

26
Q

transtheoretical model is also called

A

stages of change

27
Q

transtheoretical model (stages of change)

A

6 stages of behavior change
-precontemplation
-contemplation
-preparation
-action
-maintenance
-termination

28
Q

transtheoretical model (stages of change)- does patient always start in precontemplation

A

no
-they may come to you in contemplation stage or even other stages

29
Q

transtheoretical model (stages of change)- precontemplation

A

no awareness/intention of behavior change
-stage where the health behavior is not on the radar at all, not aware of it, no intent to change behavior

30
Q

transtheoretical model (stages of change)- contemplation

A

aware of needed behavior change, planning for change but have no yet committed to change

31
Q

transtheoretical model (stages of change)- preparation

A

begin planning to make behavior change + are committed to following through
-committed to folloiwng through + PLANNING to do so, haven’t yet done

32
Q

transtheoretical model (stages of change)- action

A

have implemented intended behavior modifications in an effort to change behavior
-in the thick of it

33
Q

transtheoretical model (stages of change)- maintenance

A

maintaining behavior change + trying to prevent termination of behavior change
-really just continuing with the behavior
-behavior has become part of life/routine

34
Q

transtheoretical model (stages of change)- termination

A

failure to maintain intended behavior change
-where the behavior stops
-could be brief or extended

35
Q

transtheoretical model (stages of change)- once someone is in termination, can they return back to the behavior

A

YES
-same thing with preparation, just because someone is in preparation doesn’t mean they will actually go forward with the behavior

36
Q

why is it important to know where someone falls on transtheoretical model (stages of change)

A

depending on the stage they are at, there are specific approaches we can use to progress to the following stage to achieve the intended behavior

37
Q

ecological perspective

A

most effective interventions occur on multiple levels
-incorporation of intrapersonal + environmental determinants across 5 levels

-extremely common in many public service announcements + other types of health behavior promotion
-becoming more common recently

38
Q

5 levels of ecological perspective

A

-intrapersonal
-interpersonal
-institutional
-community
-public policy

39
Q

ecological perspective- intrapersonal

A

psychological + biological variables of the person
-within the person themselves

40
Q

ecological perspective- interpersonal

A

social groups
-looking between people (family, sports team, close friends, roommates, etc.)

41
Q

ecological perspective- institutional

A

organizations (healthcare facilities, schools, companies)

42
Q

ecological perspective- community

A

networks within a defined area
-UF, Gainesville, etc.

43
Q

ecological perspective- public policy

A

laws at local, state, + national levels

44
Q

exercise is medicine model is based on what

A

Surgeon General’s report “Physical Activity + Health” + the “Physical Activity Guidelines”

45
Q

what is the exercise is medicine model derived from

A

stages of change model

46
Q

exercise is medicine model

A

-comprehensive
-includes assessment, counseling, + referral material
-developed for use by the PCP in the clinical setting targeting apaprently clinically healthy adults

47
Q

criticisms of exercise is medicine model

A

-it was developed for the use by PCP for clinically healthy adults (not everyone sees a PCP)
-emphasis is on INDIVIDUAL behavior change (lacks sociocultural + physical environmental influences on behavior)
-more focus is required on ecological approaches to increasing participation in physical activity

48
Q

2 focuses of educating on the benefits of physical activity

A

-focus on designed outcomes
-focus on understanding

49
Q

focus on designed outcomes

A

-why was patient referred?
-what is your ExRx geared towards?

IMPORTANT to explain to patient WHY they were referred + what we are there to do for them
-many people are unaware or in denial of their Rx

50
Q

focus on understanding

A

-health benefits of physical activity
-fitness benefits of physical activity

MANY people don’t care about these, so important to gear it towards things that are important to them to change this

*CLINICAL EXERCISE PHYSIOLOGY (5 decks)

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