Introduction to Psychology Flashcards

1
Q

what are health-related behaviours?

A
smoking
physical activity
diet
weight control
drug and alcohol use
contraceptive use
sunscreen use
tooth-brushing 
safety measures
uptake of vaccination
uptake of screening
presenting at services
healthcare attendance
medication adherence 
self-monitoring
trigger avoidance
general self-care - sleep and hygiene
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2
Q

why are behaviours important?

A

those not smoking, being physically active, drinking only moderate amounts of alcohol and eating 5+portions of fruit and veg a day were 4 times less likely to have died . The impact is equivalent to being 14 years younger

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3
Q

when is behaviour change important?

A

in all aspects of health and healthcare:
primary prevention - health behaviour
secondary prevention - illness behaviour
treatment & recovery - sick-role behaviour
ongoing management - self-care behaviour
throughout course of life - will have a positive impact whatever age change is made

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4
Q

key asthma related behaviours

A
smoking
using inhalers correctly 
taking and adjusting medications
self-monitoring - peak flow/ symptoms
avoiding/ managing triggers
seeking and presenting at health services when needed
attending appointments - asthma clinic
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5
Q

when are asthma behaviours important?

A

primary prevention - early diet, breastfeeding, trigger exposure, smoking etc.
secondary prevention - asthma attacks
Recovery - following attacks
Ongoing management

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6
Q

why is behaviour important in asthma?

A

more than 3 people die a day from asthma
death rates have risen again since 2005
2/3 deaths and 3/4 hospitalisations due to asthma could be prevented by better medical and patient management

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7
Q

what factors influence behaviours?

A

biological - genetics, pre-existing illness
environmental - access, cost, weather
social - culture, class, education, employment, support
psychological - past and concurrent behviours, personality, emotions, cognitions

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8
Q

what are the 2 psychological systems?

A

impulsive and reflective

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9
Q

impulsive system

A

controlling automatic, habitual behaviour with little conscious awareness
may be difficult to change, environment can prompt
e.g. driving or eating

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10
Q

Reflective system

A

conscious awareness, planning of the deliberative action
easier to change, over time can help replace old habits with new
e.g. physical activity

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11
Q

what are social and cognitive factors?

A
social = relationships with others, support, pressure, self identity 
Cognitive = internal thought processes - knowledge, beliefs, attitudes, goals and plans
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12
Q

social and cognitive factors are…

A

acquired through socialisation, learning
assumed to mediate effects of other factors
may be more open to change
psychological models describe how factors combine, interact and can be targeted .

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13
Q

researching psychological factors

A

observation - identification of influencing factors using quantitative and qualitative
model - describe how factors combine and interact
theory - organise known facts as basis for further research
predictions - specific questions/ hypotheses to test
testing - development of measures, approaches for testing
revision - on basis of new findings, applications
intervention - change on basis of model, theory

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14
Q

models of motivation

A

health locus of control
health belief model
protection-motivation theory
theory of planned behaviour

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15
Q

health belief model

A

loose association of beliefs:
- perceived threat - perceived susceptibility, severity
- evaluation of behaviour - pros, cons/ barriers
- health motivation
- cues to action - internal/ external
- behaviour
Beliefs are significant but small predictors of a wide range of behaviours
Most salient beliefs depend on behaviour, population

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16
Q

health locus of control

A

internal vs external locus of control

17
Q

protection- motivation theory

A

threat appraisal

coping appraisal

18
Q

theory of planned behaviour

A

intention, attitudes, subjective norm, control

19
Q

Beliefs and adherence in asthma

A

doubts over necessity of inhaled steroids and concerns regarding side-effects - steroid dependency related to poor adherence
illness beliefs consistent with medical viewpoint of asthma being a chronic but controllable condition with potentially serious consequences, related to greater adherence to inhaled steroids

20
Q

Theory of planned behaviour

A
from social psychology
based on theory of reasoned action 
clear, causal ordering of factors 
- distant
- intermediate
- immediate 
Includes social, predicts intention well
21
Q

Self efficacy

A

from social cognitive theory
motivation and action based on:
- outcome expectancy beliefs = beliefs about consequences
perceived self efficacy = confidence, belief in ability to perform action/ behaviour in situation to achieve outcome
self-efficacy strongly predicts intention and behaviour across a wide range of behaviours
important in motivation, action, maintenance

22
Q

models of action/ volition

A

social cognitive theory - outcome expectancies, self-efficacy
implementation intentions
control theory/ goal theory
self-regulation = learning from experience

23
Q

stage models

A

add temporal component - 5 stages plus processes of change
health action process approach - 3 stages - motivation, action, maintenance
precaution adoption process - 6 stages

24
Q

stage of change model

A
precontemplation 
contemplation
preparation
action
maintenance - doing for more than 6 months
termination/ relapse
25
Q

Health action process approach

A

motivation
action
maintenance

26
Q

key psychological influences

A
beliefs
outcome expectancies
personal relevance
attitude
self-efficacy
social norms
forming goals and plans
relapse prevention
support
27
Q

Asthma self-management interventions

A
approaches revolve around use of written Asthma Action Plans to guide behaviour:
- goal setting 
action/ coping/ planning
self-monitoring of symptoms, peak flow
using this feedback to adjust behaviour
28
Q

wider behaviour change

A

models, techniques also applied to health professional behaviour and practice
- prescribing
- hand washing
- treatment of specific conditions
- referral to/ use of other services
can apply to understanding and changing own personal/ professional behaviour