PBL 5 Flashcards
Describe the individual barriers to healthy eating and home cooking
Cost - healthy eating perceived as expensive
Skills of cooking
Confidence - mental health barriers/impact on self confidence
Resources - knowing what constitutes as healthy meal, where to get recipes from
Storage - especially an issue if in shared/temporary housing
how does nutrition effect individual physical and mental health
- obesity is a risk factor for cardiometabolic diseases and cancer
- impact of nutrition on illness recovery and post surgery recovery
- emerging evidence of impact of diet on mental health
How does poor nutrition impact society
Poor quality diets are the greatest cause mortality and morbidity in both UK and worldwide.
Non-communicable disease grown from 46% of global burden of disease in 2001 to estimated 57% by 2020.
What is the marmot review
The Marmot Review is a timely reminder of the continuing social and economic cost of health inequalities.
what is low socioeconomic class associated with
- obesity
- increased risk of a chronic diseases (low birth weight also considers this)
- ## maybe poorer education - those educated to degree level are less likely to be overweight and more likely to eat healthily
What is the marmot review principles
Give every child the best start in life
Enable all children, young people and adults to maximise their capabilities and have control over their lives
Create fair employment and good work for all
Ensure a healthy standard of living for all
Create and develop healthy and sustainable places and communities
Strengthen the role and impact of ill-health prevention
What are the bias for healthcare workers
- research has shown that both medical students and doctors are susceptible to perpetuating weight bias and obesity stigma
- social barriers - bias, stigma, lack of effective knowledge about weight loss, lack of control over local policies, peer pressure to join in particular eating habits
- political barriers - sugar tax, focused on care is done by the wealthy and well connected, displaces things such as income and minimum wage
- environmental barriers - widespread availability of fast food that has a high content of salt, fat and processed carbohydrates
what are the behaviour change theories
Theory of reasoned action
Theory of planned behaviour
Transtheoretical or stages of change model
Health action process approach
what are the bags of tastes list behaviour change interventions
Knowledge - Providing general information
Awareness - Risk communication, Self-monitoring of behaviour, Delayed feedback of behaviour
Social influence – influence of family, friends, peers, stigma, bias
Attitude - Revaluation of outcomes (self-evaluation), Persuasive communication (belief selection),
Reinforcement on behavioural progress (rewards)
Self-efficacy – Plan/coping responses
Intention – Specific goal setting, Use of social support
Action control – an intention has been formed and is supposed to maintain the level of intention over time and to translate into action
Maintenance – Relapse prevention
Facilitation of behaviour – Provide material to facilitate behaviour, Continuous professional support
What is the 4 step programme of bags of taste
- Recruitment
- Cooking class
- Cooking at home
- Long term commitment
Describe the 4 step programme of bags of taste
- Recruitment
- Cooking class
- Action: learning to cook
- Strategy: knowledge and awareness - Cooking at home
- Action: cooking for friends and family
- Strategy: social influence, attitude, self-efficacy - Long term commitment
- Action: facebook groups, volunteering at future bags of taste classes
- Strategy: intention, action control, maintenance, facilitation
what are ACEs
adverse childhood experiences (ACEs)
what do ACEs lead to
- can lead to negative health outcomes
= Child maltreatment and other ACE are nonspecific risk factors for multiple psychiatric disorders and several health risk behaviors, including smoking, overeating, and excessive alcohol and drug use
what conditions do ACEs cause in the future
, including ischemic heart disease, stroke, respiratory problems, diabetes, and even cancer
What is epigenetics
Epigenetics refers to functionally relevant chemical modifications to the genome that do not involve a change in DNA nucleotide sequence. These chemical modifications can alter gene activity and influence regulation of genes in response to changes in the environment, with epigenetic modifications induced by ACE reported frequently to persist into adulthood.
