LU 3 : Learning Barriers to Behavioural Modification

What is health behaviour?

it is an action taken by a person to maintain, attain or regain good health and to prevent illness

What is motivation ?

It is the psychological force that moves a person toward some kind of action

What are the factors that shape motivation ?

• Personal attributes : depends on the individual learner physical, emotional and cognitive status

• Environmental influences : eg : i) physical characteristics of the learning environment ii) accessibility & availability of human and material resources iii) different types of behavioral rewards

• Learner relationship system : eg: family, cultural, social roles

Explain about environmental influences for physical characteristics of the learning environment

• Pleasant and comfortable surroundings : promote readiness to learn

• Noise, confusion, interruptions : interfere the capacity to concentrate & learn

Explain about environmental influences for accessibility & availability of human and material resources

• refers to the psychological availability in healthcare system

• include factors such as emotional support and communication skills

Explain about environmental influences for different types of behaviour rewards

• Support learner motivation

• Extrinsic (eg : praise, acknowledgement)

• Intrinsic (eg : feelings of personal sense of fulfillment, gratification or self-satisfaction)

What is compliance and adherence ?

• Compliance : submission or yielding to predetermined goal

• Adherence : commitment or attachment to a regimen

What are the four health behavior model?

• Health belief model

• Self-efficacy theory

• Health promotion model

• Therapeutic alliance model

What is health belief model used for?

It is used to explain behavior change, maintain behavior change, and guide health promotion intervention

What are health belief model built upon with / two major premises?

• eventual success of disease prevention and curing regimens

• the belief that health is highly valued

What are the major component of health belief model ?

• Individual perceptions

• Modifying factors

• Likelihood of action

Health belief model are built on what perception ? / What does health belief model construct ?

• Perceived susceptibility : individual beliefs regarding the chance of getting a condition

• Perceived severity : individual beliefs on how serious a condition and its consequences

• Perceived benefits : individual belief in the efficacy of the advised action to reduce risk

• Perceived barriers : individual belief about the psychological costs of the advised action

• Cues to action

What is self-efficacy theory based on?

It is based on person’s expectations relative to a specific course of action

What is self-efficacy ?

• the belief that one is capable of performing in a certain manner to attain certain goals

• an important concept in positive psychology

Based on Bandura on self efficacy theory, what are the 4 principal sources of information ?

• Performance accomplishment – evidenced in self mastery of similarly expected behaviors

• Vicarious experiences – such as observing successful expected behavior through the modelling of others

• Verbal persuasion - by others who present realistic beliefs that the individual is capable of the expected behavior

• Emotional arousal – through self-judgment of physiological states of distress

What is the most influential source of efficacy information ?

Previous performance accomplishment

What are the modes of induction in self efficacy theory ?

• Desensitization,

• self-instruction,

• exposure,

• suggestion

• relaxation

What are the benefits of self efficacy theory / Why it is relevant for nurses as educator ?

• Understanding the likelihood of individuals to participate

• Able to plan educational strategies

What is health promotion model ?

It emphasize on actualizing health potential and increasing the level of well-being using approach behavior

What are the major components of Health Promotion Model ?

• Individual characteristics and experiences

• Behavior - specific cognitions and affect

• Behavioral outcome

What are the fundamental of therapeutic alliance model ?

The shift toward self-determination and control over one’s own life

What are the major components of therapeutic alliance model ?

• Compliance

• Adherence

• Alliance

What are the benefits of therapeutic alliance model ?

• Promote nurse-patient relationship

• Help nurse and patients achieve their goals

• Serves as guide to refocus education efforts on collaboration than on compliance