Chapter 6 Flashcards

1
Q

how do interventions change behavior

A

they do not directly change behavior, they modify one or more physical determinants

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2
Q

types of interventions

A

informational, behavioral, social, environmental & policy

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3
Q

informational approaches

A

change knowledge and attitudes about the benefits of and opportunities for physical activity

provides people info they need to motivate themselves to exercise and to change their behavior over the short and long term.

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4
Q

behavioral approaches

A

teach people the behavioral management skills necessary for both successful adoption and maintenance of behavior change

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5
Q

social approaches

A

create social environments that facilitate and enhance behavior change

recognize social influence on exercise habits

may utilize instructor or counselor, can be face to face or involve use of various technological communications

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6
Q

environmental and policy aproaches

A

change the structure of physical and organizational environments to provide safe, attractive, and convenient places for physical activity

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7
Q

motivational interviewing

A

counseling technique that provides people with the opportunity to talk about and resolve their mixed feelings so that they can move forward with change

effective for helping people initiate and maintain an exercise regimen

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8
Q

Empathy

A

ability to identify with another person and understand his or her feelings.

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9
Q

development of discrepancy

A

develop an awareness of a discrepancy between their current behavior and their broader goals and values

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10
Q

rolling with resistance

A

no opposing or arguing from the counselor

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11
Q

change talk

A

statements regarding one’s desires, abilities, and reasons for change

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12
Q

supporting self-efficacy

A

confidence in abilities to overcome barriers and successfully implement exercise

believing they can change

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13
Q

once the client is ready to change the counselor must

A

provide information on how to change

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14
Q

3 types of informational approaches

A

mass media campaigns

community-wide campaigns

point-of-decision prompts

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15
Q

mass media campaigns

A

uses medium other than personal contact
reaching large masses

people may not remember the information

may fail to reach target audience

can be expensive

people may quickly lose interest

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16
Q

community-wide campaigns

A

interventions that engage different community members and organizations in the development and delivery of information aimed at increasing physical activity

health risk/ fitness - appraisals,
training health care professionals,
health and wellness fairs

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17
Q

health risk appraisals

A

provide opportunities within the community for people to be screened, without cost, for diseases.

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18
Q

effectiveness of community wide interventions

A

% of people in a community who are active

energy expenditure

amount of time people spend being physically active

but they need careful planning, well trained staff, resources, and a community that buys into it

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19
Q

point-of-decison prompts

A

motivational cues delivered at points where people must choose between physically active and inactive options

ex. apps, text messages, tv programs etc

no actual correlation to increase physical activity

20
Q

ways to maximize effectiveness of informational interventions

A

tailor message to specific population -“cultural tailoring’

emphasize the benefits and not the risks “gain-framed’

provide simple and detailed how-to information for starting an activity program

21
Q

behavioral skills that will help initiate and maintain an activity program

A

recognize cues and oppurtunities for physical activity

developing strategies to maintain activity levels

learning to recognize and manage situations that can sabotage activity plans

developing strategies to prevent relapse to a sedentary lifestyle

goal setting, acton plans, implementation intentions, self-monitoring

22
Q

goal setting

A

process that involves assessing one’s current level of fitness or performance

specific, measurable, realistic, challenging,

23
Q

action plans

A

help them follow through with their intentions

concrete - specify when, where, and how

24
Q

implentation intentions

A

developing a strong mental association between a situational cue and a specific behavior

25
self-monitoring
paying attention to one's own thoughts, feelings, and behaviors, and gauging these against a standard may self monitor: frequency, type, duration, and intensity of exercise
26
rating of perceived exertion scale
RPE - ranges from 6-20
27
activities log
invaluable source of self-efficacy help and individual identify and overcome exercise barriers positive reinforcement
28
self reinforcement
granting themselves personally meaningful rewards for progressing toward and achieving their goals
29
relapse
term used when an individual fails to resume regular exercise triggered by high risk situations
30
person can react and take 2 pathways following high risk situtaions
Positive coping pathway Negative coping pathway
31
positive coping pathway
increased self-efficacy --> decreased probability of relapse
32
negative coping pathway
decreased self efficacy --> initial exercise lapse --> abstinence violation effect -->negative emotional response and self-attribution -->increased probability of relapse guilt-shame-self attributions for failure
33
cognitive coping strategies
involve the use of non-observable thought processes, such as self-talk and visualization, to overcome disruptive thoughts and feelings
34
self-talk
statements that we make to ourselves which can be used to increase confidence, regulate arousal, and focus effort in order to over come high-risk situations
35
visualization
mental imagery | seeing, feeling, an experience in one's mind
36
behavioral coping strategies
involve developing and implementing overt plans to manage high-risk situations
37
cognitive restructuring
involves changing how one thinks about a lapse.
38
most effective way to increase activity
behavioral interventions but hard to implement when they are huge numbers of inactive people
39
types of social interventions
face-to-face exercise groups buddy systems group support systems (e-mail or telephone network) *success is contingent upon the idea that the group members get along
40
types of environmental and policy interventions
creating transportation policies, urban design and land use regulations, modifying policies and curricula for school based physical education, increases access to facilities
41
physical activity interventions in the real world
'people who volunteer for research may have greater motivation than gen pop' research staff may be better at delivery than gen pop you can't pay people to exercise in the real world
42
RE-AIM
``` framework to guide the evaluation of physical activity REACH EFFEFCTIVENESS ADOPTION IMPLEMENTATION MAINTENANCE ```
43
REACH
refers to the percentage of people from a a given population who participate in the intervention and the characteristics of these people
44
effectiveness
refers to the positive and negative consequences that people experience as a result of receiving the intervention
45
ADOPTION
refers to the proportion and representativeness of settings that adopt a particular intervention
46
implementation
refers to how well the intervention is delivered in the real world
47
maintenance
refers to the extent to which the intervention is sustained over time