Health Behaviours and Health Promotion

Question 1

What is the health belief model?

What is the theory of planned behaviour?

Answer 1

Health belief model
 - susceptibility
- severity
- motivation
- benefits
- barriers
- cues for action
Theory of planned behaviour
- attitude towards behaviour
- subjective norm
- perceived behavioural control

Question 2

How do we change behaviour?

Answer 2

Change determinants of behaviour
- promote desriable habits
- infrastructure
- econmomic incentives
- regulatory change to reinforce behaviour
- large numbers of people infulenced
- expensive/difficult to influence
Focus on individuals at risk
- education
- some success, not good at sustained long term change

Question 3

Commpliance refers to the following:

Answer 3

preventative health behaviours
medical appointments
self care actions
taking medications
insistence on discharge against medical advice
parents administering medication to children

Question 4

Why don’t patients comply?

Answer 4

• fear of side effects
• side effects not worth benefits
• fear of dependency
• doesn’t fit with lifestyle
• dissatisfaction with doctor
• failed communication by doctor
• do not understand treatment process
• forgetfulness
• feeling sick
• too busy

Question 5

What three factors contribite to complacence?

Answer 5

understanding
memory
satisfaction

Question 6

What is Stanton’s model of adherence?

Answer 6

doctor communication
increased knowledge and satisfaction
patients beleifs, locus of control, perceived social support

Question 7

How can doctor’s improve adherence?

Answer 7

• stress the importance of what you are going to say
• think about primary effect
• repetition
• don’t tell them too much
• give specific advice
• encourage to take notes
• negotiate regimens which suit patients routine
• use simple words
• adpat to health beliefs
• try to anticipate barriers
• insure patients understands