fundamentals health behaviour change Flashcards
learn key objectives
name 3 health behaviour change theories
- Health belief model
- Cognitive theory
- Transtheoretical model
What are the 6 stages of the transtheoretical model?
Precontemplation Contemplation Preparation Action Maintanance Relapse (Memory aid:) People Cant Party And Maintain Robust (health)
name 3 things all key behavioural models have in common
a. belief about risk vs benefit
b. motivation
c. self efficacy
d. social norms/environment influence
What are the time frames in the transtheoretical model stages of change?
precontemplation 》6/12 + contemplation within 6/12 preparation 1/12 action 《6/12 maintenance 》6/12 relapse...
what are the roles of the provider/Dr as expert +coache?
Expert-medically assess , make recommendations + rx
Coach-address behavioural changes
At which stage of the transtheoretical model is motivational interviewing most helpful?
answer
precontemplative and contemplative
What are the 4 stages of motivational Iv?
1.Empathy
2.Support self efficacy
3.Roll with resistance
4.Discrepancy between where patient is +where they want to be.
Eternal Sun Rises Daily
At what stages of changes are CBT most effective?
Preparation
Action
Maintenance
What are the basic principles of CBT that ALL providers recognise+apply?
1.Recognise non productive thoughts
2.Reframe
3.Identify beliefs that affect change
4.Positive psychology
5.Social/environment
(Red Rubies Invested Pays Superbly!
What is the ABCD method of behaviour al change?
- what ACTION/event occurred
- BELIEFS held
- CONSEQUENCES of beliefs
- DISPUTE unhealthy beliefs
What are the 5 A’s of the office/clinic visit?
- Assess
- Advise
- Agree
- Assist
- Arrange review
TRUE OR FALSE:
Evidence based studies show in terms of interventions that affect health outcomes
a.Enhanced /motivational provider approach was more effective than activating approach
b.a combination of both were more successfull
c.motivational was most effective
results show that enhanced provider approach (patient centred)led to greater collaboration in Dr -patient relationship and more positive outcomes.
page 51
Drs with high empathy scores had better HbA1c control values of
- 68%
- 25%
- 56%
- 15%
answer
56%
when people stopsmoking they gain weight of
- 》10kg
- 》5kg
- 《4.5kg
Ns
《4.5kg