Week 3 Flashcards
Biopsychosocial perspectives incorporates
Biology and environment
Physical social and psychological
Behaviorism includes
+/- reinforcement and +/- punishment
According to behaviorism, punishment will have what outcome?
Decrease undesirable behavior
Describe positive vs negative punishments
Positive: giving aversive stimuli (ex. Time out)
Negative: removing desired stimuli
Describe positive or negative reinforcement
Positive: giving affirmative stim
Neg: removing aversive stim
According to behaviorism, reinforcement will have what result
Increase desirable behavior
What two things determine if your pt is ready to learn
Willingness and motivation (intrinsic and extrinsic)
How to help our patients develop intrinsic motivation
Connectedness
Self-efficacy
Autonomy
The health belief model states that behavioral change requires the belief that one has the …
Ability to change
What are 5 key concepts to the health belief model
Perceived threat Perceived severity Perceived benefit Perceived barriers Perceived self-efficacy
List the transtheoretical model of change in order
Precontemplation (no) > contemplation (maybe) > preparation > action (do) > maintenance > keep doing
Relapse and start over
Precontemplation provides info about
Potential risk of continuing and benefits of change
Contemplation clarifies…
Possible risk involved in resisting change and highlight the benefits of making it
Preparation assists in……..
And provides realistic …..
But the patient must be ______
Developing and supporting a plan of action
Strategies and attainable goals
Involved
Action promotes
Self confidence and outlines steps to reach goals
Maintenance is behavior change that persisted for more than _____________. This stage prevents ________
6 months
Relapse
5 As behavioral intervention protocol includes
Addressing the issue Assessing the issue Advise the pt Assist the pt Arrange for follow up
What is motivational interviewing
Directive, client-centered counseling style for eliciting behavior change by helping clients explore and resolve ambivalence”
◦ Encourages the desire to change from the patient
5 Rs of motivational interviewing
Relevance Risk Reward Roadblock Repetition
Steps of negotiation of shared meaning
Develop shared meaning through dialogue Develop a plan of care Assess readiness Provide intervention and education Check for understanding Check for adherence and optimize motivation Reinforce adherence
What are the effects of low literacy on health
Low literacy > low health knowledge > less healthy behavior
Every audience will likely have individual who prefer:
To watch and reflect
To experiment and be active
Concrete examples and practical application Theoretical and abstract concepts
Dreyfus model of skill acquisition steps
Novice > advanced beginner > competent> proficient > expert
The audience wants to know
◦ WHAT they will be expected to learn
◦ HOW learning will occur and HOW it will be evaluated
◦ WHY it is important for them to learn what you are teaching
◦ WHO the teacher is and what qualifies them to teach the content
◦ When have your expectations been exceeded? When have you been disappointed?
Blooms 3 domains of learning
Cognitive
Psychomotor
Affective
Cognitive domain allows for
Development of knowledge
Language based information
Concepts to be learned
Psychomotor domain allows the
Development of motor skills to be mastered
Psychomotor domain
Initiation > manipulation >precision >articulation > naturalization
Affective domain allows for
Development of attitudes, feelings, beliefs and values
◦ Can range from the simpler level of recognizing importance of something to Actually integrating and adopting behaviors that reflect the value
Levels of affective domain
Receiving > responding > valuing > organization (organizing/conceptualization) > internalization (characterizing by value or value concept)
Perceptual domains involve
Use of the senses in how patients receive and use information
Spiritual domain includes
Various beliefs related to spirituality
ABCDs of objective writing
Audience
Behavior
Condition
Degree of mastery
What is the rule of 7s
Working memory has limited capacity and can only process 7 +/- 2 items or “chunks”o f info at a time
Presentations can include these to increase learning
Containers
Motivational hooks
Content boosters/reinforcers
