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
trans theoretical model of behaviour change
- pre contemplation - contemplation - preparation - action - maintenance - relapse OR stable improved lifestyle
26
pre contemplation
- not intending to make any changes | - awareness, concern, confidence
27
contemplation
- considering a change | - risk-reward analysis, decision making
28
preparation
- making small changes | - commitment, creating an effective plan
29
action
- actively engaging in a new behaviour | - adequate implementation of plan, revising as needed
30
maintenance
- sustaining the change over time | - integration into lifestyle
31
health action process approach
- pre intention motivation phase and post intention violation phase - risk perception - outcome expectancies - self-efficacy (belief of ability to succeed
32
self-efficacy
- 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
action planning
- translating intentions into action - what will I do? - when will I act? - where will I act? - how will I act? with whom?
34
coping planning
- protecting action plans against obstacles - anticipation of barriers and obstacles - preparation of coping strategies - mental simulation of successful scenarios
35
two separate processes
- motivation: an intention to change is developed | - volition: the change must be planned, initiated, and maintained, and relapses use be managed
36
RIM
- behaviour controlled by 2 distinct systems of info processing - reflective and impulsive
37
reflective system
- requires high cognitive capacity - distraction, high/low levels of arousal interfere with its operation - more easily disturbed
38
impulsive system
- requires little cognitive capacity | - may control behaviour under suboptimal conditions
39
BCT taxonomy examples
- 93 items in 16 groupings - goal setting - review behaviour - action planning - reward/punishment - self-monitoring
40
MAP to behaviour change
- motivation development - action on motivation - prompted behaviour
41
motivation
- pros and cons - comparative imaging of future outcomes - goal setting (outcome and behaviour)
42
action
- action planning - implementation intentions - self-monitoring
43
prompts
- avoidance/reducing exposure to cues for the behaviour | - prompts/cues
44
theories related to motivation
- TPB, HAPA, TTM, RIM - motivational techniques - provide information - financial incentives - pros and cons
45
theories related to action
- HAPA, TTM, RIM - action techniques - action planning - feedback on performance - prompt practice
46
theories related to prompts
- RIM - trigger techniques - stimulus control - use prompts and cues - restructure physical environment
47
pros and cons definition
- identify and compare reasons for wanting (pros) and not wanting to (cons) change the behaviour
48
comparative imagining of future outcomes definition
- prompt the imagining and comparing of future outcomes of changed versus unchanged behaviour
49
goal setting (outcome and behaviour) definition
- 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
action planning definition
- prompt detailed planning of performance of the behaviour | - context may be environmental or internal
51
problem solving definition
- 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
self-monitoring definition
- establish a method for the person to monitor and record their behaviour as part of a behaviour change strategy
53
what is a habit
- 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
3 bases for habit formation
- context - repetition - reward
55
triggers (prompts/cues) to habits
- location - object - social practices - psychological states - emotions - time
56
self-control
- using willpower to resist the temptation
57
habits and self-control
- people with high trait self-control seem to avoid dangerous temptations in the first place
58
avoidance/reducing exposure to cues for behaviour definition
- avoid exposure to specific social and contextual/physical cues for the behaviour - including changing daily or weekly routines
59
prompts/cues definition
- introduce or define environmental or social stimulus with the purpose of promoting or cueing the behaviour