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3018PSY > W3 understanding behavioural nonadherence > Flashcards

W3 understanding behavioural nonadherence Flashcards

1
Q

Behavioural adherence

A

Behavioural adherence is the extent to which a person/collective acts in accordance with an agreed on, expected, desired or pre-determined standard

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2
Q

Behavioural nonadherence can include

A

underperformance
overperformance
incomplete performance
different performance

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3
Q

Underperformance - nonadherence

A

i.e. not doing a behaviour enough or at all e.g., doing no exercise or once/week when recommendations are to exercise three times/week

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4
Q

Overperformance - nonadherence

A

i.e. doing too much of a behaviour e.g., doing exercise at a higher intensity, higher frequency, or with heavier weights than recommended

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5
Q

Incomplete performance - nonadherence

A

i.e. not doing all of the behaviour e.g., doing the recommended exercise but without the recommended warm up and cool down

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6
Q

Different performance - nonadherence

A

i.e., doing the behaviour in a different way e.g., doing aerobic instead of muscle strengthening exercise as recommended

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7
Q

Behavioural nonadherence can be intentional or nonintentional

A

intentional nonadherence is when the person is aware they are not doing the behaviour as recommended

nonintentional nonadherence is when the person is unaware they are not doing the behaviour as recommended

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8
Q

Assessing behavioural nonadherence

A
  1. define required behaviour
  2. collect related information on behaviour performance
  3. determine adherence rate
  4. define adherence criterion
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9
Q

Step 1 in assessing behavioural nonadherence - define behaviour

A

define frequency, duration, context, etc

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10
Q

Step 2 of assessing behavioural nonadherence - collect related info on behaviour performance

A

-> frequency, duration, standard etc

Subjective methods (self/other report): survey, interview, diary, rating scale
Objective methods: physiological measures, monitors, records

Choice of data collection methods

  • person/professional burden
  • bias eg recall, social desirability
  • cost
  • accuracy and reliability
  • intrusiveness and acceptability
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11
Q

Step 3 of assessing behavioural nonadherence - determine rate

A

(Behaviour done in time period / Expected behaviour in time period)

x 100

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12
Q

Step 4 in assessing behavioural nonadherence - define adherence criterion

A
  • > ?%
  • partial adherence?
  • what constitutes adherence v nonadherence
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13
Q

The COM-B model of behaviour

A
  • Psychological model for explaining individual-level volitional human behaviour
  • Intended to capture range of potential change mechanisms
  • Starting point to consider interventions
  • look up image
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14
Q

COM-B Capability and nonadherence

A

Psychological: thought processes

  • Poor comprehension
  • Poor recall
  • Poor focus/attention
  • Planning problems

Physical: necessary physical processes

  • Low physical ability
  • Low skill
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15
Q

COM-B Motivation and nonadherence

A

Reflective: Evaluations & plans

  • Low confidence
  • Negative outcome expectations
  • Beliefs of low need/value
  • Cons > Pros

Automatic: Impulses from Associative Learning/Innate Dispositions

  • No cues for action
  • Negative mood (eg depressed)
  • Not a habit, conflicting habit
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16
Q

COM-B Opportunity and nonadherence

A

Physical opportunities

  • Low resources
  • Low accessibility/availability
  • High cost
  • Environmental stressors

Social: cultural milieu

  • Stigma
  • Clash with cultural values
17
Q

COM-B promoting adherence - capability

A

Psychological: thought processes

  • Accurate comprehension
  • Empower planning, decision making
  • Memory/attention aids

Physical: necessary physical processes

  • Improve functioning
  • Skill demonstration/training
18
Q

COM-B promoting adherence - Motivation

A

Reflective: Evaluations & plans

  • Improve confidence
  • Identify valued consequences
  • Perceived need
  • Pros > Cons

Automatic: Impulses from Associative Learning/Innate Dispositions

  • Cues for action
  • Resolve unhelpful mood
  • Habit formation/reversal
19
Q

COM-B promoting adherence - Opportunity

A

Physical opportunities

  • Resources and materials
  • Accessibility/Availability
  • Provide opportunities
  • Affordability
  • Reduce barriers/context stress

Social: cultural milieu

  • Reduce stigma
  • Create/align with positive norms
20
Q

Motivation

A

a process that drives and directs behaviour

dimensions of amount and quality

21
Q

The self determination continuum

A

*look up image

3018PSY (11 decks)

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