Chapter 2 (Study Group) - Fundamentals of Health Behaviour Change Flashcards
Which of these is not a construct of the Health belief model?
A. Perceived benefits
B. Cues to Action
C. Self- efficacy
D. Action Plan
D. Six key constructs are perceived susceptibility, perceived severity, perceived benefit, perceived barriers, cues to action, self-efficacy
The theory of planned behaviour states that behavioural achievement is based on motivation and ability. Which of these is not one of the constructs that control behaviour?
A. Attitude
B. Behavioural intention
C. Expectations
D. Subjective Norms
C Attitude, Behavioural intention, Subjective Norms, Social Norms, Perceived power and perceived behaviour control
Chris has a BMI of 29 and is worried about the long term health risks of being overweight. He wants to lose weight and has come to you for help. He has tried before without success and is not sure how to succeed. He has not made any changes to his current routine. At which stage of the stages of change model is Chris at?
A. Precontemplation
B. Action
C. Preparation
D. Contemplation
C. Aware of need to change and seeking help to make changes= Preparation
All the key behavioural theory models have these in common except ?
A. Motivation
B. Beliefs about risks and benefits
C. Environmental influence
D. Financial capacity
D. Motivation, Beliefs about risks and benefits, Environmental influence and Self efficacy
Dr Clea sees Annie for a consultation regarding her persistent cough and asks about her current smoking status which is 5-10 rollies per day. Annie rolls her eyes and says she is not interested in stopping at the moment. What should Dr Clea do?
A. Advise Annie she needs to stop smoking immediately
B. Express empathy and roll with resistance
C. Use CBT techniques to assist Annie to change her mind
D. Ask Annie to come back to discuss a plan for smoking cessation in the next month
B Patient is in pre contemplative stage – motivational interviewing techniques are recommended
Dr Sarah sees Joe for his annual check up. He states he has recently bought a gym membership and he wants to and knows that he should increase his physical activity levels to improve his health but feels he won’t be successful as he is not disciplined enough and has not found any time in his week to actually get to the gym.
What should Dr Sarah do next?
A. Explain the benefits of physical activity and aim for 150 mins/week moderate activity
B. Reframe Joe’s non productive thinking and self talk to support behaviour change
C. Express empathy and say it’s quite hard to find time when you are busy
D. Make a referral to an exercise physiologist
B Patient is in preparation stage and CBT techniques to assist are recommended
Dr Clara sees Mike for a follow up consultation about his lifestyle action plan. Mike’s goal was to exercise for 10 minutes 5 times per week. He has been successful in meeting his goal. What should Dr Clara NOT do next?
A. Congratulate Mike on his success, review the action plan and discuss with Mike what goals he has in mind and would he would like to focus on now
B. Discuss any barriers to change
C. Assess Mike’s confidence level in achieving new goals
D. Advise that although he is exercising for 50 minutes per week he is actually still not meeting the recommended guidelines for physical activity so he should now aim for 150 minutes per week
D Although factual – 150mins/week this information needs to be delivered in a way that the patient can feel confident in achieving the goal, change should be incremental and achievable and needs to be negotiated with the patient not dictated.
Which of these is not one of the main steps of coaching ?
A. Identify the problem
B. Assist with analysis
C. Co-create action plan
D. Celebrate achievements
A- Awareness, assist with analysis, co create action plan and celebrate achievements
Janice says she can’t quit smoking as she needs to smoke when she is stressed to help her calm down. Dr Kate says “ I hear that you would like to stop smoking Janice but you feel that smoking is of benefit to you as it helps you psychologically to manage your stress so the idea of quitting seems to be very difficult for you to manage at the moment ”
This is an example of A. Simple reflection B. Amplified reflection C. Double sided reflection D. Shifted focus reflection
C
