exam Flashcards
what are the 3 main models of health
mind-body relationship
biomedical model
biopsychosocial model
describe the logic model of change (behaviour interventions)
method of behavioural change - belief - determinant - sub- behaviour - behaviour
what is a health behaviour
any activity undertaken by a person believing themselves to be healthy for the purpose of preventing disease or detecting it at an asymptomatic stage
behaviour performed by an individual, regardless of their perceived health status, with the purpose of protecting, promoting or maintaining his/ her health”
positive psychology - what is involved in relationships
enjoyable/ supportive interactions with others
according to elaboration likelihood model why do people change their beliefs and behaviour
motivated to receive argument
can centrally process argument
what 2 qualities must behaviour change methods have
specificity
replicability
patient adherence predictor - adherence information
what to do and when - written/ refer back
side effects & drug interactions - prepare
heuristics and implicit theories regarding medications
HAPA - what 3 factors influence intention in the motivational stage
self efficacy
outcome expectations
risk awareness
what is ‘psychosocial wellbeing ‘ as a category of social representations of health
mental state, harmony, pride, enjoying others
what is contained in the behaviour change methods paper kok et al 2015
methods linked to theory and determinants
paramaters for effectiveness
taxonomy for designing interventions at individual and environmental level
how does stress effect meals
less main meals, veg consumption
higher fat/ sugar intake
what are the 2 phases in the HAPA model
motivational (pre- intention) - individual decide whether or not to carry out behaviour
action (post - intention) - individuals make plans to initiate and maintain the behaviour
what is the 16th century belief of disease
the body is composed of cells and organs which can malfunction or die
germ theory - micro-organisms cause disease
what are the principles of the broaden and build theory of positive emotions
resillience - cope with stressor increased creativity increased motivation & energy success better physical health - self care, positive relationships
who believes in ‘physical fitness and vitality ‘ as a category of social representations of health
younger males
what is the difference between clinical psychology , psychiatry, behavioural medicine and health psychology
PSYCHOLOGY clinical psychology - focus on patients with MH problems MENTAL DISORDERS biomedical approach to MH - medication MEDICINE behavioural medicine - integrates behavioural, psychological, biomedical knowledge and focuses on treatment and rehab PHYSICAL DISORDERS health psychology PSYCHOLOGY
behaviour method - what is method
general process for influencing changes in determinants of behaviour and environmental conditions
what is the recommendation for exercise
30 mins of moderate exercise 5 days a week and 60 minutes every day for kids
which aspect of the immune system does acute stress activate
innate (unspecific) immunity by trafficking immune cells to site of challenge
list some characteristics of a stressor
intensity frequency (per day/ hour) duration proximity (distance) cognitive appraisal - importance to perceiver, positivity, controllability, predictability
physical benefits of exercise - what is increased with exercise
functioning, QoL, strength, coordination and balance and reduced fatigue
what are the 3 stages of stress
input - stimulus (stressor)
processing - appraisal/ perception
output - response - emotional, physiological, behavioural
what are the 3 types of response to stress
emotional, physiological, behavioural
behaviour method - conditions for effectiveness
know what you’re targeting
select an appropriate method
provide adequate application of method
basic behaviour change methods - what is motivational interviewing
providing a collaborative, goal orientated style of communication with particular attention to the language of change - designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the persons’s own reasons for change within an atmosphere of acceptance and compassion
what are the psychological mechanisms - micro of social relationships, health and wellbeing
social support social influence social engagement person- person contact access to resources and material goods
what are the stages in reasoned decision making
past behaviour beliefs and evaluations attitude behavioural intention behaviour
what is ‘behaviour ‘ as a category of social representations of health
look after yourself, exercise, nutrition
what are the stages in habitual behaviour
past behaviour
behaviour
(autonomic cue response link)
little cognitive effort
what are some behavioural responses to stress
coping efforts - seeking help, solving problems, lashing out at others, blaming self
what are the BMI classes
<20 - underweight 20- 24.9 - normal 25 - 29.9 - overweight 30 - 39.9 - clinically obese 40 - severely obese
basic behaviour change methods - what is nudging
simple changes in the presentation of choice alternatives that make the desired choice easy, automatic or default
what are subjective norm beliefs
perceived behaviour of person
perceived approval of a person
what is psychosocial stress
the environment that arise wen person-environment transactions lead the individual to perceive a discrepancy - real or not- between the demands of a situation and the resources of the persons biological, psychological or social systems
positive psychology - what is involved in engagement / flow
consciously involved in activities
build positive relationships - how can you be known rather than validated
intimate - tell everything
open up
express yourself
basic behaviour change methods - what is tailoring
matching the intervention or components to previously measured characteristics of the participant
what is the centre of social cognitive theory of behaviour
self efficacy
list methods to increase knowledge
chunking- stimulus patterns of parts advance organisers- overview of material using imagery - similar appearance discussion - informal debate elaboration - add meaning to information providing cues
basic behaviour change methods - what is participation
assuring high levels of engagement of the participants group in problem solving, decision making and change activities
list examples of dysfunctional beliefs
selective abstraction - only way to do something
dichotomous reasoning - do X to get Y
overgeneralisation - failed last night will fail again
magnification - will be too much
superstitious thinking - abstract thing will happen
personalisation -
learning & cognitive theory - what is exposure
past behaviours predict future behaviour, habit formation
how many times higher is effectiveness of treatment in those with good adherence
3x
learning & cognitive theory - what is modelling
peer led videos, parents behaviours
what are the 5 cores of the socio- ecological model
individual - knowledge, attitude, skills interpersonal - social network organisational - ethos, environment community - cultural values, norm public policy
HAPA - what 3 factors influence behaviour in the action stage
regulatory self efficacy - keep doing behaviour
action control - aware of standards - doing behaviour correct
action/ coping planning - plan solutions
what are some physiological responses to stress
autonomic fight or flight
hormonal fluctuations
what are some negative consequences of obesity
hypertension, T2DM, osteoarthrits, heart disease, respiratory problems, lower back pain, cancer, MH, increased mortality
in a TBP intervention what should be targeted to deliver an change in intention and behaviour
subjective norms
perceived behaviour control
learning & cognitive theory - what is reinforcement
praise, pleasure, rewards
according to elaboration likelihood model what has to happen to make people change their beliefs and behaviour
message be congruent with existing beliefs
message personally relevant
individual must understand argument
what is behavioural immunogen
a behavioural practice thought to be health protective behaviours eg exercise
what learning theory is companionship
positive reinforcement
- exciting things and celebrating positive events improves relationship satisfaction
what is self affirmation intervention an example of
emotion based intervention
what are the most psychoactive substances used
1- caffeine
2- alcohol
3 - nicotine
what are the 4 ways of measuring well-being
cantorial self anchoring scale - ladder of QoL now and 10 years global satisfaction (1-7) basic emotions (1-5) circumflex model - daily affect 2D model
what 3 things influence behavioural intention (TPB)
attitude towards behaviour
subjective norms
perceived behaviour control
list some emotion regulation strategies
attentional deployment response modulation cognitive change distraction suppression reapprasing
what are the differences between social cognition, dual process and stage models of behaviour
social - describe reasoned approaches to behaviour
dual process - incorporate reasoned and autonomic processes
stage - find where person is with their behaviour and which determinants should be targeted
what is the mind body relationship model of health
disease attributed to evil spirits and punishment from the gods. mechanistic view - underpins the biomedical model
list some patient adherence predictor interactional mediators
depression, anxiety, worry symptoms/ side effects
what does PERMA stand for (positive psychology)
P - positive emotion E - engagement / flow R - relationships M - meaning A- accomplishment
how does stress make you ill
not stress itself but physiological effects of psychological stress
is knowledge significant enough for behaviour change
no but it is necessary
what is the system of a no coping response that leads to relapse
decreased self efficacy
lapse - initial use
abstinence violation effect, cognitive dissonance, internal attributions
build positive relationships - how can you work on them
mutual meaningful goals
active love
relationship rituals
define allostasis
active process by which organisms achieve stability through change
what is associated with less healthy eating amongst 12-22
parental permissiveness
build positive relationships - how can you appreciate the positives
find benefits and appreciate them
respond to positive events
active constructive responding
what is ‘not ill ‘ as a category of social representations of health
no symptoms/ doctors visits
what is a habit
actions that have come to be autonomically triggered by situational cues
what are the 4 elements of social relationships, health and wellbeing
social structural conditions (macro) social networks (mezzo) psychological mechanisms (micro) pathways
TPB - what determines subjective norms
- beliefs about how others would like you to behave
- positive/ negative judgements
relapse - what can be done to prevent initial lapse
reminder card - what to do when slip
what is self efficacy
confidence is ability to perform a behaviour - regulates process that enhances or impedes behaviour
what 4 things form self efficacy
1- previous mastery experience
2 - vicarious experience
3- social persuasion
4 - emotional arousal
positive psychology - what is involved in accomplishment
completing goals and following core values
basic behaviour change methods - what is reinforcement
linking a behaviour to any consequence that increases the behaviours rate, frequency or probability
what is ‘reserve ‘ as a category of social representations of health
strong family, recover quickly from operation
how does social support protect a person against negative effects of stress
- influence cognitive appraisals of a situation - perceive resources as greater
- modify persons coping response to stressor after it has been appraised as stressful
basic behaviour change methods - what is punishment
providing punishment - linking a behaviour to any consequences that decrease the behaviour’s rate, frequency or probability
what are some barrriers to exercise
lack of time costs lack of access to appropriate facilities and equipment embarrassment lack of company
list some reasons for non- adherence
lack of refills
forgetting
sleeping through doses
side effects - too sick
list some emotional responses to stress
annoyance, anger, anxiety, fear, grief
what is a high NaCL intake linked with
high blood pressure