Understanding Behavior Change
(Ch 4)
(Ch 4)
Define SMART objective
Specific
Measurable
Achievable
Realistic
Time-specific
Define food insecurity.
Limited or uncertain ability to acquire or consume an adequate quality or sufficient quantity of food in socially acceptable ways.
Which is the biggest goal of public policy?
A. disease prevention
B. disease screening
C. disease treatment
D. disease management
A. disease prevention
_______ is the access by all people at all times to sufficient food for an active and healthy life; includes at a minimum the ready availability of nutritionally adequate and safe foods and the ability to acquire them in socially acceptable ways (without resorting to emergency food sources, scavenging, sealing, to other coping strategies to meet basic food needs).
Food security
What is the goal of the Summer Food Service Program (SFSP)
to ensure that children in low-income areas can continue to receive nutritious meals during long school vacations, when they do not have access to school lunch or breakfast.
Define self-efficacy?
The belief that one has the ability to make a behavior change
Which is Which? Health Status and Nutrition Status:
____ is the condition of a population's or individual's health, including estimates of quality of life and physical and psychosocial functioning.
____ is the condition of a population's or individual's health as influenced by the intake and utilization of nutrients and non-nutrients.
HEALTH STATUS is the condition of a population's or individual's health, including estimates of quality of life and physical and psychosocial functioning.
NUTRITION STATUS is the condition of a population's or individual's health as influenced by the intake and utilization of nutrients and non-nutrients.
Which government insurance serves people over the age of 65 years of age or people of any age with end-stage renal disease?
Medicare
Which federal program enables recipients to buy approved food items at authorized food stores, with the goal of improving the diets of low-income households by increasing access to food and food-purchasing ability?
Supplemental Nutrition Assistance Program (SNAP)
True or False? The Child and Adult Care Food Program (CACFP) is designed to help public and private nonresidential child care programs, homeless shelters, and after-school programs provide nutritious meals and snacks for children up to age 12 and to older or functionally impaired adults at adult day care centers.
True!
Which Behavioral Change Model believes that the perception of the health problem and appraisal of benefits and barriers of adopting health behavioral change are central to a decision to change?
HEALTH BELIEF MODEL or TRANSTHEORETICAL MODEL
HEALTH BELIEF MODEL
Perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self-efficacy all impact person making health change.
____ are broad statements of what an activity or program is expected to accomplish.
____ are statements of outcomes and activities needed to reach the aim of the intervention.
GOALS are broad statements of what an activity or program is expected to accomplish.
OBJECTIVES are statements of outcomes and activities needed to reach the aim of the intervention. (should be written as SMART objectives)
Which government insurance serves individuals who fall at or below 138% of the federal poverty level?
Medicaid
Which federal program provides supplemental foods to infants, children up to age 5, and pregnant, breastfeeding and non-breastfeeding postpartum women who qualify financially and are at nutritional risk.
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Define health disparity
Different groups have different health status with disparities based on gender, age, race/ethnicity, disability, sexual orientation, education, income, religion, geographic location.
Using open-ended questions, reflective listening, and resisting the urge to confront the client about the need to change are all characteristic of which counseling approach used in nutrition education and counseling?
motivational interviewing
Name 3 reasons that could trigger program planning?
Results of community needs assessment
Mandate from an organization's national office or federal agency
Research findings
Community leader or coalition
Availability of funding for new programs
Government policy
True or False: Medicare is free will cover all of a person's health bills.
False. Recipients pay monthly for Medicare and typically also hold supplemental private insurance to cover the gaps that Medicare doesn't cover.
The Congregate Nutrition Services Program and the Home-Delivered Nutrition Services Program, administered through the Department of Health & Human Service's Administration on Aging, provides low-cost nutrition meals to what population?
All persons aged 60 years and older (and spouse of any age) are eligible to receive meals from these programs, regardless of their income level. Priority is given to those who are economically and socially needy. (For home-delivered meals, the recipient must be home-bound, either permanently or temporarily)
(Title III- The Older Americans Act Nutrition Program OAANP)
The following 6 stages are comprised of which theoretical model?
Cultural destructiveness
Cultural incapacity
Cultural blindness
Cultural precompetence
Cultural competence
Cultural proficiency
Cultural Competence Continuum
Describe what the following components of the Transtheoretical Model (aka Stages of Change Model) mean?
Precontemplation
Contemplation
Preparation
Action
Maintenance
Precontemplation- unaware/not interested
Contemplation- thinking about it
Preparation- has decided to make change in very near future
Action- trying to make change
Maintenance- sustained change
Name the 7 steps of conducting a Community Needs Assessment.
Step 1: set the parameters of the assessment
Step 2: Develop a data collection plan
Step 3: Collect data
Step 4: Analyze and interpret the data
Step 5: Share the findings of the assessment
Step 6: Set priorities
Step 7: Choose a plan of action
_____ expands health coverage to uninsured children whose families earn too much income to qualify for Medicaid but too little to afford private insurance.
CHIP: Children's Health Insurance Program
What are the 5 components of food security?
Quality
Suitability
Psychological
Social
Which model of cultural competence believes that cultural competence is a process rather than an end result. It consists of 5 interdependent constructs: awareness (healthcare providers appreciate the influence of culture on their patients), skill (healthcare providers learn to perform culturally sensitively), knowledge (healthcare providers develop a sound educational foundation of cultural practices), encounters (healthcare providers seek to engage in cross-cultural encounters), desire (healthcare providers appear genuine and effective cross-culturally)
Campinha-Bacote Model of Cultural Competency