Healthy Living - Methods of Health Promotion Flashcards

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1
Q

What was the aim of Keating et al’s Study?

A

To assess the extent to which a mass media campaign (VISION) focussing on reproductive health and HIV/AIDS resulted in an increased awareness and prevention of HIV/AIDS.

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2
Q

What was the method of Keating’s study?

A

Self Report - structured interview/questionnaire.

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3
Q

What was the sample in Keating’s study?

A
  • 3278 Nigerians aged 15-49 .
  • 60% were married.
  • Stratified random sampling used.
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4
Q

What was the procedure in Keating’s study?

A

Interviewed using a questionnaire containing 3 main questions:

  1. Have you ever talked with a partner about ways to prevent getting the AIDS virus?
  2. Can people reduce their chances of getting the AIDS virus by using a condom every time they have sexual intercourse?
  3. Did you use a condom during your last sexual encounter?

PPS were also asked whether they had seen certain campaigns through radio, TV, newspapers or health clinics.

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5
Q

What were the results of Keating’s study?

A
  • Exposure to media campaigns was high.
  • Those who were exposed were 1.5 times more likely to have discussed HIV/AIDS with a partner.
  • Those exposed were twice as likely to know that condom use reduces the risk of HIV/AIDS infection.
  • Exposure to the VISION programme had no effect on condom use during an individual’s last sexual encounter.
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6
Q

What conclusions were made from Keating’s study?

A
  • VISION increased awareness and communication of HIV/AIDS.
  • Increased knowledge had no effect on condom use.
  • Different types of media (TV, radio, etc) reached different people - radio campaign reached more men, whereas women picked up more information from clinic leaflets.
  • Practical advice on how to obtain condoms should be included in future campaigns.
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7
Q

What are the strengths of Keating’s study?

A

+ Large sample size - improves reliability (for Nigeria).

+ Useful - raised lots of information about safe sex and should have increased sexual health of many people.

+ Reliable method. Same questionnaire/3 questions used on all participants - therefore method is consistent and study can be easily repeated in other countries.

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8
Q

What are the weaknesses of Keating’s study?

A
  • All PPS from Nigeria (Ethnocentric sample) and therefore findings cannot be generalised to people from other countries.
  • Self reports (interviews/questionnaires) used, which have low validity as responses are subject to social desirability bias.
  • Ethical concerns, as information gathered is quite personal and may invade PPS’ confidentiality/privacy.
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9
Q

What was the aim of Wakefield’s study?

A

To determine the relation between the restrictions on smoking at home, school and in public places and smoking uptake and prevalence in school students.

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10
Q

What was the method of Wakefield’s study?

A

Self Report

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11
Q

What was the sample of Wakefield’s study?

A
  • 17,287 high school students at 202 schools.
  • Aged 14-17
  • One school in each county selected.
  • 80% of students in sampled classes completed the questionnaires.
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12
Q

What was the procedure in Wakefield’s study?

A

Questionnaires asked whether adults in the home were smokers or not. PPS sorted into 6 categories.

  1. Non-susceptible non smokers - never smoked and no intention to in future.
  2. Susceptible non-smokers - never smoked a whole cigarette.
  3. Early experimenters - puffed a cigarette 30+ days before survey.
  4. Advanced experimenters - smoked a whole cigarette 30+ days before taking the survey.
  5. Established smokers - smoked more than 100 cigarettes.
  6. Current smokers - smoked during the last 30 days.

Closed question found out how smoking was restricted in the home. 2 measures of school smoking - whether there was a ban and how well it was enforced.

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13
Q

What were the results of Wakefield’s study?

A
  • Not developing a smoking habit was significantly linked to parent-enforced restrictions at home, legal restrictions in public places and school enforced bans.
  • Home smoking bans were more effective than legal bans in public places on uptake of smoking.
  • School smoking bans were associated with an 11% reduction in uptake of smoking across all stages.
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14
Q

What conclusions were made from Wakefield’s study?

A
  • Parental opposition to smoking and bans in the home reduces smoking uptake in teenagers. This conclusion is consistent with other research, but is not proven.
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15
Q

What were the strengths of Wakefield’s study?

A

+ Very large sample - increases validity, generalisability and reliability.

+ Reliable method - uses standardised questionnaires. Easily repeated.

+ Useful - we can now use the conclusions from this study to encourage parents to introduce and enforce home smoking bans to reduce smoking uptake in teenagers.

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16
Q

What were the weaknesses of Wakefield’s study?

A
  • Ethnocentric - only American schools/schoolchildren.
  • Self report - subject to social desirability bias.
  • Method not very scientific - just a questionnaire.
17
Q

What was the aim of Ruiter’s study?

A

To examine the effects of fear arousal on attitude towards participation towards participating in early detection activities - breast self-examination for cancer.

18
Q

What was the sample of Ruiter’s study?

A
  • 88 female first year undergraduates at a Dutch Uni.

- Mean age of 20.

19
Q

What was the method in Ruiter’s study?

A

Lab experiment - Independent measures.

20
Q

What was the procedure in Ruiter’s study?

A
  • Questionnaire completed to assess pre-experimental attitude towards self-examination
  • PPS read a message about the threat of breast cancer and then self report on fear arousal.
  • PPS read a persuasive message about performing monthly breast self-examination checks. These messages were supported by either a weak or strong argument.
  • Questionnaire administered to assess post-experimental attitude towards self-examinations.
21
Q

What were the results in Ruiter’s study?

A
  • The main influence on post-experimental attitude was from argument strength, not manipulated fear.
  • PPS who expressed low fear did not change their attitude.
22
Q

What conclusions can be made from Ruiter’s study?

A
  • Fear has to be paired with a strong argument for it to change people’s attitudes.
  • Evoked fear motivates argument-based processing.
  • Findings may only be valid for breast cancer self-examinations.
23
Q

What are the strengths of Ruiter’s study?

A

+ Lab experiment - high control over extraneous variables allow for a consistent method.

+ Ethical consent - PPS volunteered to take part.

+ Independent measures design - no fatigue/practice effects.

24
Q

What are the weaknesses of Ruiter’s study?

A
  • Self report - subject to social desirability bias- twice, test, re-test. Could expect a different response each time
  • Independent measures - individual differences could skew results.
  • Gynocentric and ethnocentric sample - decreases validity/generalisability.