Education for Lifelong Conditions

Question 1

What factors may affect you completing guidelines?

Answer 1

• Emotional wellbeing
• Importance
• Motivation
• Health beliefs

Question 2

What is the NICE national target for glycaemic control?

Answer 2

T1DM

-6.5% (48mmol/L)

Question 3

What are the 3 essential components to achieving goals?

Answer 3

• Knowledge
• Intention
• Behaviour

Question 4

Insanity

Answer 4

Doing the same thing over and over again and expecting different results

Question 5

What influences health beliefs?

Answer 5

Perceived

• Seriousness of condition
• Effectiveness of treatments
• Costs and benefits of following advice
• Self-efficacy
• Vulnerability to future problems
• Impact of illness

Question 6

What can affect our psychological wellbeing?

Answer 6

• Anxiety & Stress
• Depression & Low Mood
• Adjustment problems
• Eating-related & body image difficulties

Question 7

What are the components of the basic 5 areas approach?

Answer 7

• Situation and events
• Emotion
• Cognitions
• Behaviour
• Physiology

Question 8

Why do we behave as we do?

Answer 8

• We are generally trying to be happy/avoid pain

- The function of behaviour is idiosyncratic- people do the same thing fro dissimilar reasons

Question 9

Give 2 reasons why someone may not check their glucose levels.

Answer 9

• I don’t want to have to inject myself with needles

- Not great readings make me feel anxious & not good enough

Question 10

What is the functional component of not injecting themselves with insulin?

Answer 10

Avoid feeling of pain and uncomfortable feelings

Question 11

What is the functional component of avoiding bad glucose readings?

Answer 11

Avoid uncomfortable thoughts & feelings

Question 12

What are the 3 components of the functional analysis of understanding behaviour?

Answer 12

• Antecedent
• Behaviour
• Consequences

Question 13

Antecedent

Answer 13

What is happening before:

• 1.setting/environment
• 2. Events, when, what time of the day
• 3. Interaction. Who is around, alone, often certain behaviours happen when with others or alone.

Question 14

Behaviour

Answer 14

Describing the behaviour as it is happening now – some rules:

• 1. be specific
• 2. detailed
• 3. objective – record facts not opinion – good information

Question 15

Consequences

Answer 15

What happens after a behaviour occurs, the persons’ repsonse to the behaviour - thoughts, feelings, behaviour, body, environment

Question 16

What makes a behaviour more likely to reoccur?

Answer 16

Consequences that are reinforcing

Question 17

How can we break well established habits?

Answer 17

Understand better why people do what they do

• What’s the behaviour?
• What led up to that behaviour?
• What happened afterwards? Short & medium term consequences?

Question 18

Once we know what keeps behaviour going, what can we do?

Answer 18

• Stress- try stress reducing techniques/ mindfulness/ meet with psychologist/ online self-help
• Involve key people in behaviour change- friends; family; HCPs
• Use prompts- apps, alerts on phones
• Importance (0-10) if important motivated to change; if not important highly unlikely to change
• Confidence (0-10) in changing

Question 19

Functional analysis: someone not taking insulin after work- what can you do?

Answer 19

• Highlight behaviour
• Look at emotional distress
• Prompts (text alert)
• Importance (?education)
• Confidence levels… (?self-esteem

Question 20

How can behaviour change be good for your health?

Answer 20

• Prevent disease
• Improve disease management
• Improve quality of life

Question 21

What is key in behavioural change?

Answer 21

Goal setting