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BSNC 4000 > Module 3 - Health Promotion > Flashcards

Module 3 - Health Promotion Flashcards

1
Q

Individual-Focused Perspectives

A

Theory of planned behavior
Transtheoretical model (stages of change)

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2
Q

Theory of planned behavior

A

states that individual behavior is influenced by beliefs, attitudes, behavior, and intent

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3
Q

Transtheoretical model (stages of change)

A

Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination

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4
Q

Lalonde Report (1974)

A

shift from biomedical to health promotion approach
included 4 determinants of health
behavioral model –> victim blaming
address individual risk factors

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5
Q

Alma Ata (1978)

A

address health inequities b/w high and low-income countries
health for all by 2000
expanded DOH to include socioenvironmental factors

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6
Q

WHO Principles of Health Promotion (1984)

A

build healthy public policy
develop personal skills
create supportive environments
support community action

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7
Q

Ottawa Charter (1986)

A

expanded the determinants of health
included 5 action strategies to promote health

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8
Q

Epp Report (1986) challenges

A

1) reduce health inequities between low/high income groups
2) increase prevention efforts
3) enhance coping skills

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9
Q

Ottawa Charter 5 Actions

A

“blue crabs sing dank raps”

1) building healthy public policy
2) creating supportive environments
3) strengthen community action
4) develop personal skills
5) reorient health services

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10
Q

Epp 3 mechanisms

A

1) self care
2) mutual aid
3) create healthy environments

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11
Q

Population Health Model Components

A

What = determinants of health
Who = client (individual, family, etc)
How = Ottawa Charter 5 strategies

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12
Q

Stage: Precontemplation

A

not thinking about it at all

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13
Q

Stage: Contemplation

A

considering action in next 6 months

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14
Q

Stage: Preparation

A

preparing for action in next 30 days

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15
Q

Stage: Action

A

have taken action in the last 6 month

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16
Q

Stage: Maintenance

A

have maintained change for over 6 months

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17
Q

Stage: Maintenance

A

have maintained change for over 6 months

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18
Q

Stage: Termination

A

no longer have temptation. permanent behavior

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19
Q

Community-focused perspectives

A

1) Diffusion of innovation
2) Community mobilization framework

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20
Q

Diffusion of innovation (5) categories

A

innovators
early adopters
early majority
late majority
laggards

21
Q

Diffusion of innovation (6) conditions

A

“cruel fiends really singe asses cruelly”

1) compatibility
2) flexibility
3) reversibility
4) simplicity
5) advantageousness
6) cost-efficiency

22
Q

Community Mobilization (3) approaches

A

1) social planning
2) locality development
3) social action

23
Q

Public Policy frameworks

A

1) Milio’s framework
2) Weiss framework
3) Health impact assessment

24
Q

Milio’s four elements

A

See icy igloos chill

1) social climate**
2) influence
3) interests
4) capacity

25
Q

Milio’s main players

A

policy holders
policy influencers
public
media

26
Q

3 Health Promotion Approaches

A

1) biomedical (pathophysiology)
2) behavioral (lifestyle choices)
3) socioenvironment (determinants of health)

27
Q

Biomedical appraoch

A

curative/rehabilitative treatment
disease prevention –> reduce risk factors (primary, secondary, tertiary)

28
Q

Behavioral approach

A

lifestyle changes to promote health
address behavioral risk factors aka “lifestyle choices”
ex: social marketing, health campaigns, education

29
Q

Socioenvironmental approach

A

health is a resource
identifies/address psychosocial/environmental risk factors

30
Q

Health Promotion

A

focuses on social determinants of health
increase client control over health
reduce health inequities between populations

31
Q

Empowerment

A

actively engage client to take more control over their life
political efficacy, improved quality of life, social justice

32
Q

Change Theory

A

change and improvement are not mutually inclusive but change is a necessary pre-req for improvement
provide a model to predict individual behavior to guide nursing action

33
Q

Challenges

A

consciousness raising –> raise awareness on the benefits of change

34
Q

Constructs

A

situational self-efficacy

35
Q

Temptations

A

how to positively cope without moving backwards

36
Q

Decisional balance

A

consider pros/cons of changing behavior

37
Q

Health Impact Assessment

A

inform decision making around public policy
evaluate the health impact (+/-) of different policies on populations

38
Q

Who coined the term healthy public policy?

A

Milio

39
Q

Milio’s development process

A

initiation
action
implementation
evaluation
reformulation

40
Q

Health Impact Assessment 6 Steps

A

screening
scoping
assessment
recommendation
reporting
monitoring/evaluation

41
Q

CHN & Public Policy

A

advocate for policy
support community action
advocate for change

42
Q

Lalonde 4 DOH

A

human biology
physical environment
lifestyle behaviors
healthcare system

43
Q

Significance of Alma Ata

A

introduced social determinants of health
intersectoral collaboration (interventions required o/s the health sector)
primary health care systems

44
Q

Build Healthy Public Policy means

A

legislation
fiscal measures
taxation
organizational change

45
Q

Create supportive environments means

A

emphasis on sustainability
work, leisure, life patterns

46
Q

Strengthen community action means

A

community empowerment
setting priorities, making decisions, planning, implementation

47
Q

Community development

A

draws on human/material resources to enhance self-help/support.
strengthen public participation

48
Q

Develop personal skills means

A

information
education
enhancing life skills

49
Q

Reorient health services means

A

primary healthcare > primary care
health research
changes in education/training

BSNC 4000 (9 decks)

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