Week 6: Client Motivation and Cross Cultural Prevention

health promotion

measures designed to change individual lifestyles and associated with behaviours to achieve a state of optimum health

health education

instructional activities delivered in a variety of settings and using a variety of measures to influence health behaviours

health belief model

views health in a social context; high value of the learners attitudes, importance of readiness to produce a behaviour change; individual with better info will make better health decisions

transtheoretical model

individuals readiness to adopt a new health behaviour; we help our clients progress through the stages; ig. smoking cessation

precontemplation, contemplation, preparation stage, action stage, maintenance

what are the states of change for transtheoretical model?

internal loc

personal actions determine health status

external loc

other people or factors influence health status

locus of control

emphasis on perception and personal control

skill discrepancy

occurs when the client does not have the knowledge and psychomotor ability to perform osc

management discrepancy

knowledge and psychomotor ability is present but the skill is not being performed

willingness

client who decides what to do what that information and education is presented

learning ladder continuum

readiness to learn; unawareness, awareness, self-interest, involvement, action, habit

initiation of education

determines client’s CC and assess; client should be actively involved in this process

presentation of disease theory

teaching disease theory; providing info before the proposed tx plan facilitates understanding of the recommended therapy and enhances client compliance; continual questioning

teaching of skill enhancement

self-care aids; both clinician and client demonstration are essential; have client verbalize and perform skill; positive reinforcement

closure of educational session

open-ended questions; motivation

motivational interviewing

collaboration between DH and client, involves mutual understanding; DH is not authoritarian; draw or evoke clients ideas about change; focuses on clients feelings about changing his/her oral self practices

express empathy, develop discrepancy, roll with resistance, support clients self efficacy

what are the 4 stages of MI?

ethnocentrism

the belief that one’s culture is superior to all others