IP and behavioral interventions Flashcards
Challenges that can be solved by the knowledge of the experts
Technical challenges
Challenges that require new learning
Adaptive challenges
How much change can be attributed to working through technical challenges?
Only 20%
What question does adaptive work address?
“How do we get these processes to change?”
What are examples of what adaptive work seeks to address
where the community that needs to change must:
- engage in the process
- overcoming resistance
- put new wisdom into practice
Is giving information sufficient?
No, it is not enough to focus on education
Model that shows that an educational diagnosis, which proposes that a target behavior, stated as a behavioral objective, may be changed by factors sorted into 3 categories: predisposing, enabling, and reinforcing
Precede/ Proceed
Factors that will motivate people to make a change
Predisposing
Examples of predisposing factor
Factual information, supportive attitudes and beliefs, and personal values
Factors that capture people’s capacity to change (after people motivated to begin the change process)
enabling factors
What impacts enabling factors (capacity to change)
1) do they have the necessary skills and capability?
2) Do they have the necessary resources
Factors that occur after the target behavior has been initiated and thereby determines whether it will continue
Reinforcing factors
health belief models: Factors that play a role in understanding the target group’s learning needs and might have an impact on design interventions. Include age group, gender, race and ethnic group, socioeconomic status, rural or urban residence, religious affiliation
Modifying factors
Health belief model: communication messages or events that create heightened awareness regarding the needs to respond in some way
Cues to action
Examples of cues to action
- checkup reminder cards from the dentist
- caution or danger sign
- serious/ sudden life-threatening medical problem in family member
Health belief model: Person’s confidence in their ability to change and sustain the change long term
Self-effiicacy
Example of self-efficacy in nursing
- with all the stresses, time demands, and organizational chaos found in busy clinical units, nurses may not feel confident that they are able to follow best practice hand hygiene 100% of the time
How to promote self-efficacy
- training and coaching techniques
- provide supportive environment
- periodic reinforcement
Theory built around interaction of a person (their knowledge, temperament, internal motives, skills), their behavior, and the environment (physical, social, organizational)
Social cognitive theory
What is the term for the interaction of person, behavior, and environment in social cognitive theory
Reciprocal determinism
Social cognitive theory: factors including knowledge, expectations and attitudes
Cognitive factors (AKA personal factors)
Social cognitive theory: factors including social norms, access in community, influence on others
Environmental factors
Social cognitive theory: factors including skills, practice, and self-efficiency
Behavioral factors
What is the principle concept behind the transtheoretical model
readiness
Behavioral change approach that is based on the observation that in any community there exists individuals that have found uncommon practices and behaviors that enable them to achieve better results than their peers, despite the similarities of problems and available resources
Positive deviance
What are the 4 steps of positive deviance?
1) define
2) determine
3) discover
4) design
Who must own the positive deviance process?
the community
method that focuses on judgement from experts
Delphi technique
