Pt education and collaboration 1 Flashcards

1
Q

What is motivation?

A

The reason we act a particular way

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2
Q

What must one have for motivation and completion of a goal?

A
  • desire to achieve goal

- commit to an action to accomplish it?

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3
Q

What is adherence and compliance?

A

Degree to which pts follow a tx regimen

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4
Q

What are the 5 dimensions of adherence?

A
  • pt related factors
  • social/economic factors
  • therapy related factors
  • condition related factors
  • health system related factors
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5
Q

% of pts who comply with HEP

A

24-40%

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6
Q

What are the factors affecting motivation and adherence?

A
  • locus of control
  • self-efficacy
  • self-esteem
  • social determinants
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7
Q

Factors affecting motivation and adherence:

Self-efficacy

A

What they think they can do vs. what they can do

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8
Q

Factors affecting motivation and adherence:

Self esteem

A

How they feel about themselves

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9
Q

Factors affecting motivation and adherence:

Social determinants

A
  • literacy
  • education
  • residence
  • income

are changes feasible for them?

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10
Q

Barriers to adherence

A
  • environment
  • health
  • supervision and direction
  • time, family, occupation
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11
Q

Barriers to adherence:

Environment

A
  • money
  • transportation
  • water
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12
Q

Barriers to adherence:

Health

A
  • chronic illness/injury decrease adherence

- old people/poor health

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13
Q

Barriers to adherence:

Supervision and direction

A

Need to know if they’re doing it right

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14
Q

Barriers to adherence:

Time, family, occupation

A
  • time of day

- does this time conflict with family/job?

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15
Q

What are some strategies for overcoming barriers?

A
  • is there time at work to do HEP?
  • increase motivation and compliance through education
  • involve pt in process to cater to their learning style
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16
Q

Factors of pt motivation

A
  • personal factors
  • situational/environmental factors
  • cognitive factors
  • behavioral factors
17
Q

Patient motivation:

Personal factors

A
  • self-motivation
  • biomedical status
  • socioeconomic status
  • gender
  • marital status
  • education
18
Q

Motivation: personal factors

Biomedical status

A

Pt perception of own health

19
Q

Motivation: personal factors

Socioeconomic status

A

Available money for shoes, gym

20
Q

Motivation: personal factors

Gender

A

Males more likely to exercise

21
Q

Motivation: personal factors

Marital status

A

Increased motivation

22
Q

Motivation: situational factors

Positive factors

A
  • support from loved ones
  • convenience of exercise
  • setting/time of day
23
Q

Motivation: cognitive factors

A
  • perception of self
  • internal LOC
  • self-motivation
24
Q

Motivation: behavioral factors

Ideas

A
  • important to hold accountable for actions
  • set goals
  • sign a contract
  • public announcement better than personal one