Health and Behavior & U.S. Health Care Delivery and Finance Review

Flashcards covering key behavioral health concepts, behavioral intervention models, and health care delivery and financing mechanisms based on lecture quiz and assessment materials.

The modifiable health behavior identified as causing more preventable deaths in the United States than any other.

Tobacco Use

Stages-of-Change Model developed in the 1980s that shifted the primary focus of behavior change interventions from

populations to individuals.

In the 5 A’s model used by primary care providers to address behavior change, what does the ‘arrange’ step specifically involve?

Setting follow-up appointments and support services.

Which model addresses population health through a framework of downstream, midstream, and upstream interventions?

The Social-Ecological Model

How did social learning theory improve upon the early health belief model in the context of public health?

by explaining why behavior needed changing and showing how to change it via skills and environment

Which behavioral framework examines community resources, health systems, and self-management support to address chronic disease?

Chronic Care Model (CCM)

According the seven phases of precision and personalized population health, what is the focus of phase 3?

translation from dissemination to implementation

What is a primary characteristic of social marketing strategies in health behavior change?

applying concepts and tools of commercial marketing to health behavior challenges

Which component is a key focus of Social Cognitive Theory A as described in the text?

developing skills to overcome behavior and utilizing support system

Using McKinlay's population-based intervention model, how should a worksite health-promotion program targeting a defined employee population be classified?

Midstream, because it targets a defined population through organizational channels to change and/or prevent risk factors

In an organization-wide tobacco initiative, which action best exemplifies the chronic care model “decision support” element?

referral to community and worksite quit smoking clinics and stress-management programs

Social Ecological Model specify multiple levels of influence. Which option correctly matches a factor to its level?

social-cultural norms, values, support, and networks - social level

Which statement best characterizes a just-in-time adaptive intervention (JITAI)?

a behavioral intervention providing personalized support by tailoring to individual behavioral patterns and physiological/emotional states, using a human-agent-like algorithm (often with senrsors) to decide when support is needed

Which statement about the precision and personalized population health (P3H) approach is accurate?

P3H views disease as amalgamation of modifiable and non-modifiable, biological/individual, lifestyle/behavioral, and environmental/contextual factors, drawing on individual, community, and population data in a pantheoretical approach

Population-Level Environmental and Policy Approaches

Upstream interventions (such as seat-belt laws, drinking-and-driving laws, and safer roads) that achieve far-reaching, lasting declines in mortality and morbidity, overcoming the disappointing reach and long-term effectiveness of purely cognitive-behavioral treatments.

The chapter contends population-level approaches are essential. Which rationals is best supported?

even the most successful cognitive-behavioral treatments had disappointing reach and long-term effectiveness, whereas environmental/policy changes (safer road/cars, seatbelt, etc) produced far-reaching, lasting declines in death and injuries

Which approach is most effective for changing provider behavior to increase delivery of evidence-based preventative counseling?

multicomponent interventions addressing multiple intrapersonal and environmental — especially system —barriers, combining clinician training with office support to prompt, facilitate, and reward preventative care