Compliance & Motivation of the Learner

Question 1

what is the definition of compliance

Answer 1

obedience, passive acceptance, submissive yielding, PT is the authority, patient/client is submissive, state outcome/achievement of goal

Question 2

what is the definition of motivation

Answer 2

precursor to action and measured by behavioral consequences of results

Question 3

what is the definition of adherence

Answer 3

support or commitment to plan of care

Question 4

what is non-compliance

Answer 4

decision not to comply with recommendations put patient at health risk

Question 5

example of non-compliance

Answer 5

type II diabetes doesn’t workout or diet

Question 6

what is non-adherence

Answer 6

decision not to commit to recommended program, may be intentional or nonintentional

Question 7

example of non-adherence

Answer 7

type II diabetes financial status

Question 8

what are the compliance theories (5)

Answer 8

1 biomedical theory
2 behavioral/social learning theory
3 communication model
4 rational belief theory
5 self-regulatory system

Question 9

what is the biomedical theory

Answer 9

demographic info and severity of disease and treatment complexity

Question 10

what is the behavioral/social learning theory

Answer 10

is there a contract or reward, social support is needed to get them through it

Question 11

what is the communication model

Answer 11

communication between patient and healthcare provider

Question 12

what is the rational belief theory

Answer 12

cost benefit analysis, do pros out way the cons

Question 13

what is the self regulatory system

Answer 13

very internal, patient is looking to problem solve through the illness.

Question 14

what make you motivated (8)

Answer 14

1 personal attributes
2 environmental influences
3 support system
4 state of anxiety
5 learner readiness
6 realistic goals
7 learner satisfaction
8 uncertainty reduction

Question 15

what are personal attributes

Answer 15

attitude, intrinsic motivation, and physical attributes

Question 16

what are environmental influences

Answer 16

set up of facility, physical therapist/receptionist attitude

Question 17

what are support systems

Answer 17

family, friends, transportation

Question 18

what are state of anxiety

Answer 18

moderate state of anxiety is best

Question 19

what is learner readiness

Answer 19

have some desire to reach the goal

Question 20

what is goal characteristics

Answer 20

the patient and therapist need to be involved and do not under shoot/over shoot

Question 21

what is learner satisfaction

Answer 21

are we happy with where we are headed or end result

Question 22

what is uncertainty reduction

Answer 22

some cost benefit is happening, what is the outcome going to be, and how long will it take to get better

Question 23

how do we assess motivation (5)

Answer 23

cognitive variable, affective variables, physiologic variables, experiential variables, and environmental variables

Question 24

what are cognitive variables

Answer 24

capacity to learn, readiness to learn

Question 25

what are affective variables

Answer 25

constructive emotional state and level of anxiety

Question 26

what are physiologic variables

Answer 26

ability to perform required behavior

Question 27

what are experiential variables

Answer 27

previous successes

Question 28

what are environmental variables

Answer 28

social support, community resources, physical environment

Question 29

what are the health behavior change theories (2)

Answer 29

health benefit model and transtheoretical model

Question 30

what are the stages of the health belief model (3)

Answer 30

1 perception 2 modifying factors 3 likelihood of action

Question 31

what is the perception stage

Answer 31

perceived susceptibility or seriousness of disease

Question 32

what is the modifying stage

Answer 32

perceived threat of disease based on variables (demographics, media, family)

Question 33

what is the likelihood of action stage

Answer 33

benefits vs minuses and likelihood action is taken

Question 34

what are the stages of the transtheoretical model (5)

Answer 34

``` 1 pre-contemplation 2 contemplation 3 preparation 4 action 5 maintenance ```

Question 35

what is the pre-contemplation stage

Answer 35

patient doesn't want to make changes

Question 36

what is the contemplation stage

Answer 36

patient is considering making changes but no changes occur

Question 37

what is the preparation stage

Answer 37

still no change but a deadline for change is close

Question 38

what is the action stage

Answer 38

patient decides to do something

Question 39

what is the maintenance stage

Answer 39

keep the behavior going at least 6 months

Question 40

what is our role in health education as a facilitator

Answer 40

promote and educate people about what and why they need to do, meet level of motivation

Question 41

what is our role in health education as a contractor

Answer 41

have an end game or goal, goals help keep you on track

Question 42

what is our role in health education as a organizer

Answer 42

help them organize the exercises into their day, make sure the information makes sense

Question 43

what is our role in health education as an evaluator

Answer 43

evaluate yourself, encourage patient to evaluate themself, and evaluate each other.