Unit 3 - LAC3 - Methods to Improve Adherence Flashcards
What is health education/promotion relevant to?
Target group and improved access to information
What are the three factors in the Hovland-Yale theory of persuasion?
- Communicator
- Communication
- Recipient
What role does the communicator play in persuasion?
Needs to be a legitimate authority figure
How should the communication message be structured for maximum effect?
It needs to be repeated and show a balanced argument with pros and cons
What is the focus of the recipient factor in persuasion?
Characteristics such as intelligence, self-esteem, and demographics
True or False: Strong fear appeals are always effective in persuasion.
False
What are the two levels of fear appeal?
- A lot of graphic detail
- Minimal detail with diagrams
What does the elaboration-likelihood model of persuasion explain?
How people process information differently, either at central or peripheral levels
Define central elaboration in the context of persuasion.
Focuses on the details of the message
Define peripheral elaboration in the context of persuasion.
Focuses on the surrounding aspects of the message, like source credibility
What correlation is typically found in health education/promotion evaluations?
Between information provided and health behavior changes
What is a limitation of correlation in health promotion studies?
Cannot establish cause and effect
What is the impact of stress on adherence to medical advice?
It can limit the ability to cope and adhere
What is the HPA axis’s role in stress response?
Releases cortisol in response to chronic stress
What is the General Adaptation Syndrome (GAS) related to?
The exhaustion stage where bodily resources are depleted
What is one lifestyle change that can facilitate improved adherence?
Replacing unhealthy behaviors with healthy behaviors
What is the transtheoretical model used for?
Understanding stages of behavior change for appropriate interventions
What is self-esteem defined as?
Confidence in one’s own worth or abilities
What did Littlefield et al. (1992) find regarding self-esteem and adherence?
Lower adherence was associated with lower self-esteem and self-efficacy
True or False: High self-esteem is related to better post-operative survival.
True
What is emotional resilience?
Ability to respond to stressful or unexpected situations
How can emotional resilience be strengthened?
- Mindfulness
- CBT
- Skills training
- Social support
What is the principle behind providing incentives for adherence?
Operant conditioning, rewarding behavior to encourage repetition
What was the Funhaler designed for?
To increase adherence in children taking asthma medication
What did Vlopp et al. (2009) study regarding smoking cessation?
Found that financial incentives increased smoking cessation rates
What is self-tracking?
Systematically recording information about one’s diet, health, or activities
What is progress monitoring?
Systematic planning and examination of data to inform decisions
What is social prescribing?
Connecting people to community groups and services for support
What is the role of social prescribing link workers?
To provide holistic support and connect individuals to resources
What is active signposting?
Providing information to help individuals find services
What is a key element of successful social prescribing?
Referral from a range of local agencies
What commitment did NHS England make regarding social prescribing in primary care?
Building the infrastructure for social prescribing, with 1,000 new social prescribing link workers by 2020/21
This initiative aims to ensure that at least 900,000 people will be referred to social prescribing by 2023/24.
How many people are expected to benefit from personalised care by 2023/24?
At least 2.5 million people
This is part of the Universal Personalised Care initiative.
What role do social prescribing link workers play in primary care networks?
They are integral members of multi-disciplinary teams
Social prescribing link workers are included in the additional roles of the five year framework for GP contract reform.
What contract includes social prescribing link workers for 2020/21?
Network Direct Enhanced Service Contract
This contract is part of the initiative to reform GP contracts.
What is the significance of the investment in social prescribing by NHS England?
It is the biggest investment by any national health system in social prescribing
This investment legitimises community-based activities and support as part of personalised care.
What is one positive aspect of social prescribing?
It is holistic
This means it considers the whole person rather than just specific health issues.
What is a challenge associated with social prescribing?
It requires a lot of co-operation/integration from a wide range of people and services
Effective social prescribing relies on collaboration among various stakeholders.
