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NURS 1225 Midterm > Health Behaviour Change (1, 2, 3, 4) > Flashcards

Health Behaviour Change (1, 2, 3, 4) Flashcards

1
Q

health behaviour change intervention

A
  • effort times at changing what people do, which impacts their health
  • negative or positive
  • not necessarily to improve health
  • not necessarily use health argument to influence behaviour
  • individual and environmental level
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2
Q

individual and environmental health behaviour change interventions

A
  • programs
  • services and clinics
  • brief interventions
  • environmental prompts
  • advertisements
  • technology
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3
Q

5 elements of HBC interventions

A
  • target population
  • target behaviour
  • theory
  • behaviour change techniques
  • format of delivery
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4
Q

target population

A
  • target group for behaviour change
  • can be specific or broad
  • there can be a priority group
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5
Q

target population: the population will have…

A
  • suboptimal levels of performance of the target behaviour

- benefit from behaviour change

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6
Q

behaviour

A
  • anything a person does in response to internal or external evens
  • physical events that occur in the body and are controlled by the brain
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7
Q

health behaviours

A
  • any behaviours that impact on peoples physical and mental health and quality of life
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8
Q

specifying behaviour

A
  • can be formulated at different levels of specificity
  • high, medium, or low level
  • more specific behaviours are easier to measure
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9
Q

measuring behaviours

A
  • achieved or not, magnitude, frequency
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10
Q

behaviour change includes

A
  • staring something new
  • stopping something
  • swapping one behaviour for another
  • do more/less of something
    piggybacking (brushing teeth & flossing)
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11
Q

what influences behaviour

A
  • individual (demographics, personality, beliefs, and perceptions)
  • environmental (physical and social environments, access to services)
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12
Q

what is a theory

A
  • set of concepts and/or statement with specification of how phenomena relate to each other, that accounts for what is known, and explains and predicts phenomena
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13
Q

why use theory

A
  • cumulative science argument
  • prediction argument
  • change argument
  • “everyone uses them anyways” argument
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14
Q

cumulative science argument

A
  • shared language/understanding

- summarises evidence

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15
Q

prediction argument

A
  • allows to predict and generalize
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16
Q

change argument

A
  • guides design o better interventions

- guides evaluation/understanding

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17
Q

“everyone uses them anyways” argument

A
  • we all construct mental models

- need to be made explicit

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18
Q

types of theories

A
  • motivations
  • stage
  • dual process
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19
Q

motivational theories

A
  • focus on explaining motivation

- theory of planned behaviour

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20
Q

stage theories

A
  • explain change as a progression through a series of stages
  • transtheoretical model of behaviour change
  • health action process approach
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21
Q

dual process theories

A
  • focus on 2 different process of information processing
  • reflective/impulsive, system 1/system 2
  • RIM
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22
Q

theory of planned behaviour

A
  • behaviour is determined by a persons intention

- intention in turn is determined by 3 factors: attitudes, subjective norms, and perceived behavioural control

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23
Q

intention behaviour gap

A
  • the gap between intended to perform the behaviour and actually performing the behaviour
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24
Q

post-intentional tasks

A
  • initiation of behaviour
  • maintenance of behaviour
  • recovery of behaviour
  • termination of behaviour
25
Q

trans theoretical model of behaviour change

A
  • pre contemplation
  • contemplation
  • preparation
  • action
  • maintenance
  • relapse OR stable improved lifestyle
26
Q

pre contemplation

A
  • not intending to make any changes

- awareness, concern, confidence

27
Q

contemplation

A
  • considering a change

- risk-reward analysis, decision making

28
Q

preparation

A
  • making small changes

- commitment, creating an effective plan

29
Q

action

A
  • actively engaging in a new behaviour

- adequate implementation of plan, revising as needed

30
Q

maintenance

A
  • sustaining the change over time

- integration into lifestyle

31
Q

health action process approach

A
  • pre intention motivation phase and post intention violation phase
  • risk perception
  • outcome expectancies
  • self-efficacy (belief of ability to succeed
32
Q

self-efficacy

A
  • action self-efficacy (initiate action)
  • maintenance self-efficacy (ability to deal with barriers)
  • recovery self-efficacy (ability to get back on track after being derailed)
33
Q

action planning

A
  • translating intentions into action
  • what will I do?
  • when will I act?
  • where will I act?
  • how will I act?
    with whom?
34
Q

coping planning

A
  • protecting action plans against obstacles
  • anticipation of barriers and obstacles
  • preparation of coping strategies
  • mental simulation of successful scenarios
35
Q

two separate processes

A
  • motivation: an intention to change is developed

- volition: the change must be planned, initiated, and maintained, and relapses use be managed

36
Q

RIM

A
  • behaviour controlled by 2 distinct systems of info processing
  • reflective and impulsive
37
Q

reflective system

A
  • requires high cognitive capacity
  • distraction, high/low levels of arousal interfere with its operation
  • more easily disturbed
38
Q

impulsive system

A
  • requires little cognitive capacity

- may control behaviour under suboptimal conditions

39
Q

BCT taxonomy examples

A
  • 93 items in 16 groupings
  • goal setting
  • review behaviour
  • action planning
  • reward/punishment
  • self-monitoring
40
Q

MAP to behaviour change

A
  • motivation development
  • action on motivation
  • prompted behaviour
41
Q

motivation

A
  • pros and cons
  • comparative imaging of future outcomes
  • goal setting (outcome and behaviour)
42
Q

action

A
  • action planning
  • implementation intentions
  • self-monitoring
43
Q

prompts

A
  • avoidance/reducing exposure to cues for the behaviour

- prompts/cues

44
Q

theories related to motivation

A
  • TPB, HAPA, TTM, RIM
  • motivational techniques
  • provide information
  • financial incentives
  • pros and cons
45
Q

theories related to action

A
  • HAPA, TTM, RIM
  • action techniques
  • action planning
  • feedback on performance
  • prompt practice
46
Q

theories related to prompts

A
  • RIM
  • trigger techniques
  • stimulus control
  • use prompts and cues
  • restructure physical environment
47
Q

pros and cons definition

A
  • identify and compare reasons for wanting (pros) and not wanting to (cons) change the behaviour
48
Q

comparative imagining of future outcomes definition

A
  • prompt the imagining and comparing of future outcomes of changed versus unchanged behaviour
49
Q

goal setting (outcome and behaviour) definition

A
  • set a goal defined in terms of the behaviour to be achieved and set a goal defined in terms of a positive outcome of wanted behaviour
50
Q

action planning definition

A
  • prompt detailed planning of performance of the behaviour

- context may be environmental or internal

51
Q

problem solving definition

A
  • analyze, or prompt the person to analyze, factors influencing the behaviour and generate or select strategies that include overcoming barriers and/or increasing facilitators
52
Q

self-monitoring definition

A
  • establish a method for the person to monitor and record their behaviour as part of a behaviour change strategy
53
Q

what is a habit

A
  • a process by which a stimulus generates an impulse to act as a result of a learned stimulus-response association
  • 43% of our daily behaviour is habit
  • 18-254 days (66 avg) to break habit
54
Q

3 bases for habit formation

A
  • context
  • repetition
  • reward
55
Q

triggers (prompts/cues) to habits

A
  • location
  • object
  • social practices
  • psychological states
  • emotions
  • time
56
Q

self-control

A
  • using willpower to resist the temptation
57
Q

habits and self-control

A
  • people with high trait self-control seem to avoid dangerous temptations in the first place
58
Q

avoidance/reducing exposure to cues for behaviour definition

A
  • avoid exposure to specific social and contextual/physical cues for the behaviour
  • including changing daily or weekly routines
59
Q

prompts/cues definition

A
  • introduce or define environmental or social stimulus with the purpose of promoting or cueing the behaviour

NURS 1225 Midterm (8 decks)

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