5 - health behaviour

avoid these terms

compliance, adherence

use participation, follow through, maintenance, committment

locus of control

internal - own motivation

external - other people control outcome

motivation factors

personal

• physical, developmental/cognitive, psychological/emtoinal

  • age, gender, values, beliefs, emotional readiness, education level, cognitive, health, sensory function, disease severity

environmental

• attitude, surrounding of others

• physical characteristics, availtibvity and accessibility, behavioural rewards

learner relationship systems

• family, teacher, community

negative thoughts on motivaiton

all or nothing / success or failure

• abandon goals when mistakes happen → remind small success and ways of prorgress/reframing

overgeneralizing / labeling

• assuming everything true - failed once, fail walawyas

• remind self you can succeed in the future

overlooking the positives

• focuses on negative →focus on positives as well

emtoinal decision making

• let emotions drive decision making - unhealthy choices

• be aware of emotions and impact

blaming self or others

• things can be out of control, focus on positive and problem solving

cognitive triangle

thought create feeling

feeling create behaviour

behaviour reinforce throughts

health habits and high self efficacy

high self efficacy = follow health provider advice usually

locus of control - capable of control over health issues (internal)

external - other people situation / circumstances are responsible for health issues

motivation 5 rules

• optimal anxiety levels

• learner readiness

• realistic goals

• learner satisfaction, success, self effiacy

  • uncertainty reduciton

• 
  

uncertainty reduction vs maintenance uncertainty

uncertainty reduction - reduce anxiety by getting askers quickly

maintenance uncertainty - delay stress/finding out for peace of mind

motivational interviewing

collaborative conversation - strengthen motivation and change

dont direct and argue for change - ambivalence normal indwell do oppsoite reaction

READS motivation to patients

r - roll w restsitence

e - express emtpahy

a - avoid argue

d - develop discrpeneyc

s - support self effigy

OARS - motivate patient

o - open ended q

a - affirm positibves

r - reflective listening

s - summarise interaction

nursing models

primary nursing - nurse for many patients - incr nurse autonomy, job satisfaction, reduce hospital lenght

team nursing - collab and holistic

functional - effect, specialization and expertsie

health belief model

modifying factors

• age, gender, location, education, health knowledge, immigration, income, race, wealth

infiduval beliefs

• perceived:

  • susptbility to dx

  • severe of dx

  • benefits of preventative action

  • barrier to preventative action

  • self efficay

• action

  • individual behaviours / cues to action

    • cues to action - active ones readiness

transtheoretical change model

precontempation - no intention to take action in 6 months

• raise awareness level and preparedness for change

contemplation - plan in 6 months

• explore ambivalence, weigh pro and cons, inspire plans

preparation - action in 30 days w some behaviour steps towards

• help with process and plan, goal assist

action - changing the behaviour

• encourage, support, facilitate problem solving

maintenance - maintained behaviour change

• encouragement, reminders, way to avoid relapse

self efficacy theory components of self efficacy in social cog theory

performance accomplishment,

viracous experience (watch others),

verbal (encouragement,),

emotional (manage stress, resilience) - develops self efficacy