week 19 - health promotion Flashcards
Intimate Partner Violence Incidence and prevalence
1) Annual 6-8%
2) Among pregnant and adolescent women greater
3) ALL women are at risk (regardless of anything)
Intimate Partner Violence - what is the Impact
1) Significant cause of morbidity and mortality
2) Increased risk for
a) substance abuse
b) mental disorders
c) chronic physical disorders
d) sexual health complaints
Intimate Partner Violence - and Stages of change model
consistency exists between change model and women surviving abusive situations
Abusive behaviour lies outside of victim’s control, choice and decisions
What are the six stages of change?
1) Precontemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance
6) Relapse
Describe Precontemplation
No intention to change within the next 6 months
Describe Contemplation
Intends to change in next 6 months
Describe Preparation
Intends to take action within the next 30 days
Describe action
Has changed behaviour for less than 6 months
Describe Maintenance
Has changed behaviour for more than 6 months
What is the role of the physician in the pre contemplation stage?
Encourage the patient to consider change - are you interested in trying to quit?
What is the role of the physician in the Contemplation stage?
Ask the patients to consider benefits/barrier: Are you thinking about quitting soon?
What is the role of the physician in the Preparation Stage?
Encourage the patient to develop a plan: are you ready to plan how you want to quit?
What is the role of the physician in the Action stage?
Encourage the patient to put a plan in action: Are you in the process of quitting?
What is the role of the physician in the Maintenance stage?
Encourage new behaviour to be the new normal - are you trying to stay smoke free?
What can you do to make behaviour change easier in the office?
1) preventative care flow sheets
2) Patient reminders
3) Patient portals
4) chart reminders
5) health behaviour prescriptions
Why is it important to improve office systems?
1) better for patients
2) better for the system
3) Incentives
What is health Promotion?
The process of enabling people to increase control over
and IMPROVE their health
5 features of health promotion
1) Offers a holistic view of health
2) Focus on Participatory approaches
3) Focus on DOH, the social, behavioural, economic and environmental conditions that are the root causes of health and illness
4) Building on existing strengths and assets, not just addressing health problems and deficits
5) Using multiple, complementary strategies to promote health at individual and commuity level
What is an individual-level of Health promotion?
- Delivered by Physicians, nurses, health practitioners
2. Explore behaviour, knowledge, attitudes, motivation and developmental history
What is an community-wide Health promotion?
1) Integrated with behavioural and socio-envinromental approaches
2) Community groups identify common problems and mobilize resources, implement strategies
Ottawa charter of health promotion
Know it
How can we develop personal skills? give an example
Support personal and social development by providing information, education for health and enhancing life skills
An example of how you can create supportive environments?
- Build on inter-relatedness of health social physical environment
- encourage reciprocal maintenance
- Systematic assessment of health impact on changing environment
Reorient health services
Health services must be coordinated and responsibility shared amongst ….
Increasing emphasis on health promotion and sensitivity to special needs of particular groups
strengthening community action
Community action in setting priorities, making decisions, planning strategies…
Draws on existing human and material resources to enhance self-help
Building healthy public policies
- Put health promotion on the agenda of policy makers
2 Creating policies to make make healthier choices easier
legislation, taxation, organizational change
What is empowerment?
Process through which people gain greater control over their decisions and actions
The precede- proceed model - Phase 1
Social diagnosis
The precede- proceed model - Phase 2
Epidemiological diagnosis
The precede- proceed model - Phase 3
Behavioral and environmental diagnosis
The precede- proceed model - Phase 4
Educational and organizational diagnosis
The precede- proceed model - Phase 5
administrative and policy diagnosis
The precede- proceed model - Phase 6
Program development and implementation
The precede- proceed model - Phase 7
Structure evaluation
The precede- proceed model - Phase 8
Process evaluation
The precede- proceed model - Phase 9
outcome evaluation
what is the role of the physician?
1) educate, support, behaviour change, linkages
2) Group facilitation, organization
3) supportive action, communication, leadership
4) being a resource person, providing professional support
