week 19 - health promotion

Question 1

Intimate Partner Violence Incidence and prevalence

Answer 1

1) Annual 6-8%
2) Among pregnant and adolescent women greater
3) ALL women are at risk (regardless of anything)

Question 2

Intimate Partner Violence - what is the Impact

Answer 2

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

Question 3

Intimate Partner Violence - and Stages of change model

Answer 3

consistency exists between change model and women surviving abusive situations
Abusive behaviour lies outside of victim’s control, choice and decisions

Question 4

What are the six stages of change?

Answer 4

1) Precontemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance
6) Relapse

Question 5

Describe Precontemplation

Answer 5

No intention to change within the next 6 months

Question 6

Describe Contemplation

Answer 6

Intends to change in next 6 months

Question 7

Describe Preparation

Answer 7

Intends to take action within the next 30 days

Question 8

Describe action

Answer 8

Has changed behaviour for less than 6 months

Question 9

Describe Maintenance

Answer 9

Has changed behaviour for more than 6 months

Question 10

What is the role of the physician in the pre contemplation stage?

Answer 10

Encourage the patient to consider change - are you interested in trying to quit?

Question 11

What is the role of the physician in the Contemplation stage?

Answer 11

Ask the patients to consider benefits/barrier: Are you thinking about quitting soon?

Question 12

What is the role of the physician in the Preparation Stage?

Answer 12

Encourage the patient to develop a plan: are you ready to plan how you want to quit?

Question 13

What is the role of the physician in the Action stage?

Answer 13

Encourage the patient to put a plan in action: Are you in the process of quitting?

Question 14

What is the role of the physician in the Maintenance stage?

Answer 14

Encourage new behaviour to be the new normal - are you trying to stay smoke free?

Question 15

What can you do to make behaviour change easier in the office?

Answer 15

1) preventative care flow sheets
2) Patient reminders
3) Patient portals
4) chart reminders
5) health behaviour prescriptions

Question 16

Why is it important to improve office systems?

Answer 16

1) better for patients
2) better for the system
3) Incentives

Question 17

What is health Promotion?

Answer 17

The process of enabling people to increase control over

and IMPROVE their health

Question 18

5 features of health promotion

Answer 18

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

Question 19

What is an individual-level of Health promotion?

Answer 19

1. Delivered by Physicians, nurses, health practitioners

2. Explore behaviour, knowledge, attitudes, motivation and developmental history

Question 20

What is an community-wide Health promotion?

Answer 20

1) Integrated with behavioural and socio-envinromental approaches
2) Community groups identify common problems and mobilize resources, implement strategies

Question 21

Ottawa charter of health promotion

Answer 21

Know it

Question 22

How can we develop personal skills? give an example

Answer 22

Support personal and social development by providing information, education for health and enhancing life skills

Question 23

An example of how you can create supportive environments?

Answer 23

1. Build on inter-relatedness of health social physical environment
2. encourage reciprocal maintenance
3. Systematic assessment of health impact on changing environment

Question 24

Reorient health services

Answer 24

Health services must be coordinated and responsibility shared amongst ….
Increasing emphasis on health promotion and sensitivity to special needs of particular groups

Question 25

strengthening community action

Answer 25

Community action in setting priorities, making decisions, planning strategies…
Draws on existing human and material resources to enhance self-help

Question 26

Building healthy public policies

Answer 26

1. Put health promotion on the agenda of policy makers
   2 Creating policies to make make healthier choices easier
   legislation, taxation, organizational change

Question 27

What is empowerment?

Answer 27

Process through which people gain greater control over their decisions and actions

Question 28

The precede- proceed model - Phase 1

Answer 28

Social diagnosis

Question 29

The precede- proceed model - Phase 2

Answer 29

Epidemiological diagnosis

Question 30

The precede- proceed model - Phase 3

Answer 30

Behavioral and environmental diagnosis

Question 31

The precede- proceed model - Phase 4

Answer 31

Educational and organizational diagnosis

Question 32

The precede- proceed model - Phase 5

Answer 32

administrative and policy diagnosis

Question 33

The precede- proceed model - Phase 6

Answer 33

Program development and implementation

Question 34

The precede- proceed model - Phase 7

Answer 34

Structure evaluation

Question 35

The precede- proceed model - Phase 8

Answer 35

Process evaluation

Question 36

The precede- proceed model - Phase 9

Answer 36

outcome evaluation

Question 37

what is the role of the physician?

Answer 37

1) educate, support, behaviour change, linkages
2) Group facilitation, organization
3) supportive action, communication, leadership
4) being a resource person, providing professional support