Health Promo Unit 3 Flashcards
What are the components that go into a rationale?
Title ID the health problem Narrow the health problem by showing its relationship to the priority population State a proposed solution State what can be gained State why the program will be successful Provide resources
What are stakeholders’ goals often associated with?
Protecting human rights
What are the values and benefits associated with HP programs for the community, individual, and employer?
Community: establish good health as norm, increase QOL
Individual: increase health stats and self esteem, decrease health risks
Employer: increased worker productivity, decreased absenteeism, employee loyalty and retention
Define service needs and service demands.
Needs: what the health professionals believe should be in place to resolve health problem.
Demands: what the population itself says they need.
What is secondary data?
Already available, usually inexpensive, time saving, but does not ID true needs of population.
What is primary data?
Must be collected, provides data specific to target pop, expensive and time consuming, but methods appropriate.
What are methods for collecting primary data?
Single step/multistep survey Community forum Focus group Observation Self assessments
High Risk Strategies (micro)
Individuals deemed at high risk are targeted to receive an intervention.
Advantages of high risk strategies
Appropriateness of intervention to individual
Motivation of both practitioners and clients
Financially sensible: using limited resources on those who need it
Compared to risk, benefits are favourable
Disadvantages of high risk strategies
Medicalization of prevention: people who thought they were healthy are being told they are not
Challenges and costs of interventions, start early in life but appear later
Results palliative and temporary, focus becomes to provide further preventative methods rather than determining the root cause
Limited potential for individuals and populations, large numbers of people at minimal risk may yield more incidence rates than small number of people at high risk
Behavioural insufficiencies, often require behavioural patterns that may deviate from social norms
Population-Based (macro) Strategies
Targets entire population with the purpose of decreasing disease and reducing risk factors
Advantages to Population-Based
Radical, attempts to find root cause
Powerful potentials for health gains by changing the exposure risk for a population
Behaviourally appropriate
Disadvantages to Population-Based
On a population scale, benefits are outstanding, but individual benefits are minimal
If any risks, the minimal benefit may not outweigh them
Circumstances for adopting population-based strategies
When the health risk has permeated the entire population
When the only way to deliver intervention is through entire population
When the need is to impact the health of as many people as possible
Motivational Interviewing was originally designed for what?
Addiction
7 Components that make up the spirit of M.I.
Motivation to change is from the client
It is the client’s task to resolve ambivalence
Direct persuasion is not effective
Counselling style is quiet and eliciting
Counsellor is directive
Readiness to change is not client trait but product of interpersonal interaction
Therapeutic relationship is more like a partnership
4 M.I. Guiding Principles
R - Resist the righting reflex
U - Understand the client’s motivations
L - Listen with empathy
E - Empower client
3 Characteristics of Co-active Coaching
Coach and client are active collaborators
Alliance between two equals
A team
4 Cornerstones of C-A-L-C
The client is naturally creative, resourceful, and whole
C-A-L-C addresses the client’s whole life
The agenda is to come from the client
Aim is to evoke transformation
How does C-A-L-C work?
What is the behaviour you want to change?
Powerful questions
Reflect back
