HC 8 Flashcards
Interventions structure (Maes)
- intervention AIMS
- intervention LEVEL
- intervention CHANNEL
Intervention AIMS = content
wat aanpakken? Focus on restoring/improving the physical/psychological and social wellbeing of the patient and his/her immediate environment –> adaptation & acceptance
- Quality of Life
- physical training
- stress-management
- social support interventions
- palliative care - self management
Intervention LEVEL = intervention offered
- individual
- group
- environment (social & physical)
Intervention CHANNEL = way it is offered
- direct (face to face, psychologist-patient)
- indirect (others, self-help)
Cognitive restructuring
the cognitions (thoughts) you have with respect to a specific situation determine how you will behave (act) and feel:
By changing your cognitions, you can influence your behavior and emotions
The hook - stress management
intervention focusing on cognitive restructuring –> help patients (type A) to gain control over their emotional reactivity to daily stressors by promoting a shift in basic beliefs and attitudes
Label the stressor as ‘the hook’ instead of an unfair situation
behavior modification
general idea of cognitive change is introduced:
when confronted with stressful situation, two options
1. changing the situation/people
2. changing the way you think
Mindfulness (meditation)
= about awareness in the present moment (here & now)
It involves observing thoughts, emotions, sensations, and perceptions as they arise and go
palliative care
when cure and recovery is no longer possible
- -> focusses on acceptance of the disease
- psychotherapy (anxiety/depression)
- self help groups
- care for terminally ill
behavioral techniques used to increase self-management
- self-monitoring
- goal setting (personal goals)
- shaping the process of change (defining small steps)
- self enforcement (rewards)
- stimulus control (adapting the environment)
- behavioral contracting (between patient & health professional; short/long-term goals and rewards)
- modeling/ observational learning
Arthritis Self-management program (Lorig)
community based program: increase self-efficacy using cognitive behavioral techniques
= multi-component self-management intervention
- psycho-education
- goal setting & feedback
- modeling & role playing
- cognitive techniques (controlling pain)
Dutch Heart & Health program
improve QOL and health behavior
Each session is devoted to a particular topic & structured the same way:
1st part is informational
2nd part is CBT
social engineering
interventions that aim at modifying the home, work or leisure environment of the patient to facilitate normal functioning
community level interventions
example: diabetes control
intervention: tv, radio, news etc.
Positive effects on blood pressure but not glucose level: type of intervention given to broad scala of people and not a specific group (that needed it the most)
trained lay people -example: weight watchers (Stunkard)
behavioral technique: setting a goal + reporting back
