Chapter 6: Health related behaviour and health promotion Flashcards

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1
Q

What are Health behaviours?

A

Activity that people perform to maintain or improve health

Often involves stopping unhealthy behaviours

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2
Q

What are some aspects of a healthy lifestyle?

A
Nutrition 
Exercise
Sleep
Not smoking
Limited alcohol
Hygiene
Wearing seatbelts
Wearing sunscreen
Medical checkups/screenings
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3
Q

What promotes health behaviours?

A

Beliefs and attitudes concerning… Threat, consequences, Importance, benefits , Ability, Norms. All these variables are interconnected, they have small to moderate correlations between them

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4
Q

What is the health belief model?

A

the likelihood that someone will take preventative action (i.,e, perform a health behaviour) is determine by two assessments. Two key variables: perceived threat (potential illness or symptoms) and benefits and barriers

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5
Q

What are the 3 factors that influence perceived threat?

A

The perceived seriousness of the illness: people consider how severe the natural and social consequences are if they develop the health problem.
perceived susceptibility: people evaluate the likelihood of developing a health problem.
the cues to action: people are reminded or alerted about a potential health problem (are there cues or signs in my surrounding environment that tell me to engage in a behaviour) Billboards, media campaigns, social networks.

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6
Q

What is perceived threat?

A

The degree to which people feel threatened or worried by the prospect of a particular health problem

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7
Q

What is the benefits to barriers ratio?

A

Benefits must outweigh barriers for a preventive action to occur (after weighing the pros and cons)

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8
Q

What are perceived benefits?

A

people evaluate what they will gain from changing behaviour

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9
Q

What are perceived barriers?

A

people evaluate the costs to taking the action or the obstacles they face

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10
Q

What is the relationship between variables in the health belief model?

A

Perceived susceptibility, seriousness, benefits and barriers all modified by individual characteristics. Age, sex, race, ethnic background, knowledge about health problem/behaviour (some of the things you may be able to use to help determine what your client’s perception is). • Preventive action occurs when the benefits outweigh the barriers. Likelihood of preventative action is based on the combination of the perceived threats and benefit to barriers ratio

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11
Q

What are the problems with the health belief model?

A

Various components tested, not all equally predictive of outcomes
does not account for habitual behaviours
No standard way of measuring it components
Providing cues to action is difficult (how do you get people to recognize cues?)
Stresses personal responsibility (implies that they have faulty thinking because they arent perceiving things properly)
Barriers often outweigh other components
This model assumes you have the motivation

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12
Q

What evidence is there for the health belief model?

A

Effect sizes were weak and inconsistent
Perceived barriers and benefits consistently linked to behaviour
Perceived severity only weakly predicted behaviour
Perceived susceptibility did not predict behaviour

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13
Q

What is the theory of planned behaviour?

A

people decided their intention in advance of most voluntary behaviour and intention is the best predictor of behaviour. Intention is the key variable, you need to get people to intend to be active.

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14
Q

What are the three variables that influence intention?

A

Attitudes, Subjective norms (do the people in your environment make this behaviour “normal”), Perceived behavioural control

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15
Q

Describe the attitude variable

A

An evaluative judgement about if the behaviour is a good thing to do (will it be enjoyable or miserable?)
Determined by:
- Likely outcome: the likelihood that behaviour will lead to a given result
-Reward: would outcome be rewarding?

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16
Q

Describe the subjective norms variable

A

A judgement that reflects the impact of social pressure or influence on if the behaviour is acceptable or appropriate
Motivation to comply: your desire to comply with the behaviour

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17
Q

Describe the perceived behavioural control variable

A

Person’s expectation of success in performing the behaviour (Similar to self-efficacy)
Determined by…
-Beliefs about personal competence and effort
-Complexity of the task
-Potential barriers

18
Q

Define intentions

A

A plan or aim to engage in a behaviour. Intention behaviour gap: despite the theory’s prediction, intention only weakly predicts behaviour (Gap can be reduced)

19
Q

What is the research on the theory of planned behaviour?

A

Many studies showing influencing of all three factors on intentions

20
Q

What are the problems with the TPB?

A

Does not consider emotion or past experience

Intentions and behaviour are only moderately related

21
Q

What were the results from the meta analysis about the TPB?

A

Effect sizes were moderate
All variables predicted the other variables in a manner consistent with theory
When behavioural measures were self report theory variables accounted for much more (11%)

22
Q

What are the other strategies/models related to health behaviours?

A
  1. Habits
  2. Trans theoretical model
  3. Goal setting
  4. Goal pursuit
23
Q

What are habits?

A

something someone performs automatically and without awareness. Typically triggered by internal or external cues

24
Q

Can we change our negative habits?

A

Monitoring can help us become aware of the habit. Writing it down when we engage in a habit. Change might depend on if we are ready to change our habit or not.

25
Q

What is the transtheoretical model?

A

Also called “stages of change model”: explains if someone is ready to change and what stage of readiness they are at.

26
Q

What are the stages of the transtheoretical model?

A

The first stage is called pre contemplation: not even thinking about it or aware
Contemplation: aware and thinking about change
Preparation: intending to act
Action: begins to modified behaviour
Maintenance: maintaining modified behaviour over time

27
Q

Is the progression through the stages linear?

A

Rate of moving through the stages is different for different people and Progression through changes is not linear

28
Q

What is goal setting?

A

Set SMART goals

Have good quality motivation

29
Q

What is involved in goal pursuit?

A

Implementation intentions
Build good habits
Self regulation
Monitoring

30
Q

What does SMART stand for?

A
Specific 
Measurable
Attainable (Under you control/ability)
Realistic (In relation to your life, other goals etc.)
Time limited
31
Q

What does more autonomous goal motivation predict?

A

Weight loss, Health eating, Smoking cessation, Exercise and physical activity, Rehabilitation after injury. Want-to goals (autonomous motivation) feel easier to pursue, Experience less obstacles, Differences in automatic preferences; less conflicting desires

32
Q

What does emerging research suggest about self control and temptation?

A

Temptations are related to lower goal attainment even if resisted. Intensity of resistance seems to matter less than whether or not you experience a temptation in the first place. In one study of 159 students: Want-to goals were related to perceiving lower temptations. Have-to goals were related to perceiving more temptations

33
Q

What are some alternatives to reduce temptation?

A
  1. Changing your surroundings/context
  2. Re-evaluating desire
  3. Making good behaviours automatic (Implementation intentions, Habits)
  4. Plan for obstacles
  5. Self-monitor
  6. Be kind to yourself
34
Q

How do you make good behaviours automatic?

A

Set implementation intentions: if/then plans
○ When
○ Where
○ How
Purpose: make the behaviour automatic, routine

35
Q

What do implementation intentions result in?

A

High implementation intentions result in strong intention behaviour relations
(Reduce the intention behaviour gap) Supported by experimental research
Key findings: Attitudes and intentions did not change, Intention-beahviour strengthened

36
Q

Implementation intentions and habit

A

Help us break bad habits: Use environmental cues
Particularly when habits are weak or moderate (not strong)
Help create new habits:
Associate environmental cues with new healthy behaviour and Automatize healthy behaviour

37
Q

What does self monitoring involve?

A

Can include tracking pre & post states

Better monitoring=better progress (Even better if you write it down)

38
Q

How could you be kind to yourself?

A

Accept that mistakes happen

and use Self compassion: treating oneself with care, kindness, and concern in the face of setback or failure.

39
Q

Describe the quality of motivation diagram from the left to the right

A

The left starts controlled/have to goals: extrinsic, introjected, and now in the middle/neutral: identified and then in the green zone which is want to/autonomous: integrated and then finally intrinsic

40
Q

Define extrinsic and introjected

A

Extrinsic - engage in a behaviour for external reasons (have-to motivation)
Introjected - controlling as you’ll feel guilty if you don’t participate in the behaviour (not good for long term health behaviour change)

41
Q

Define identified, integrated and intrinsic

A

Identified - when you identify the value in the behaviour Integrated - its become part of your identity
Intrinsic - engage in a behaviour because its fun/interesting (want-to motivation)