P150: Week 9 Health Beliefs and Health Promotion

what is the health belief model?

• impact of information depends on generation

• engagement explained by beliefs, perceived susceptibility, benefits to prevent, barriers

• framework to understand and predict health-related beh and compliance w medical advice

what are some criticism of the health belief model?

• links b/w behs and beliefs small in some studies

• conscious processing

• emphasis on the individual

• absence of a role for emotional factors such as fear and denial

• outcome expectancy and self-efficacy

what was found when social cognition research was evaluated?

• correlational and cross-sectional research doesn’t show causality; unclear relations

• models are marginal at predicting intentions behind a beh

• environ factors could interfere b/w intentions and beh

what can improve the link b/w intention and beh?

• action plan

  • specific

how do we help people change their beh?

• learning and cog theories

• social cog theory

• stages of change

• affective theories

• intervention (individual and group lvls)

what is covered in learning cog theories?

how beh is acquired and maintained in an environ

how is reinforcement used to improve health beh?

• beh increased or decreased based on conseqs (operant conditioning)

• reinforcement increase/maintains a beh

• stronger determinant than punishment

• interventions focus on ID and change patterns of reinforcement

how is modeling used to improve health beh?

• observational learning

• parents: role models

• influ higher when admired

• associative learning

  • more appealing when delivered by someone attractive/respected

how is exposure used to improve health beh?

• more familiar w a beh, greater engagement

• modeling, rehearsal, practice, role play (CBT)

how is relapse prevention used to improve health beh?

• change: continuum

• self-compassion

what role do cognitive dissonance and attributoins have in replase prevention?

can influ whether a lapse becomes a relapse

what are the stages of change interventions?

staged approad to target interventions regarding where a client is in the process of change

what is motivational interviewing?

recognizing that not wanting to do something (ambivalence), ie change: natural

how is ambivalence explored and resolved?

• individualized, nonjudgemental feedback about problem beh

• highlight conflict b/w client’s goals and current beh

• cognitive dissonance elicited

• “change talk” made; client guided

what is intervening at the emotional level, and how is it used?

ex: if you were a smoker, would this turn you away from it?

appealing to fear