HB 636 1
The reason we use theories in health promotion
What is evidence suggests that programs developed with an explicit theoretical basis perform better than programs that don't
Health promotion has been defined as the combination of these two levels of action
What is health education and environmental actions to support the conditions for healthy living
Term that explains differences among populations in health status, behavior, and outcomes due to gender, income, education, disability, geographic location, sexual orientation, and race and ethnicity
What is health disparities
What is
-gender
-income
-education
-disability status
-ethnicity
-geographic location
-sexual orientation
-race
Weakness of primary data collection
What is primary data collection is more expensive and time consuming to collect than secondary data collection
The definition of a theory
What is a "set of interrelated concepts, definitions and propositions that present a systematic view of events or situations by specifying relationships among variables in order to explain and predict events"
Definition of secondary prevention
What are programs designed to interrupt problematic behaviors among those who are engaged in unhealthy decision making and perhaps showing early signs of disease or disability
Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
What is health literacy
Definition of tertiary prevention
What are programs to improve the life of individuals with chronic illness
Definition of primary prevention
What are programs that take action prior to the onset of a health problem to intercept its causation or to modify its course
One major intrapersonal health theory
What is
-the health belief model
-the theory of reasoned action/planned behavior
-the integrated behavioral model
-the transtheoretical model and stages of change
A potential change strategy for precontemplation
What is increased awareness of need for change; personalize information about risks and benefits
The steps that are involved in all planning models
What is
-Plan with people
-Plan with data
-Plan and develop objectives
-Plan for evaluation
SMART stands for
What is
Specific
Measurable
Attainable
Relevant
Time-framed
Levels of the social ecological perspective
What is
1. Intrapersonal or individual
2. Interpersonal
3. Organizational
4. Community
5. Public Policy
The constructs of the health belief model
What is
-perceived susceptibility
-perceived severity
-perceived benefits
-perceived barriers
-cues to action
-self-efficacy
What is
-Precontemplation
-Contemplation
-Preparation
-Action
-Maintenance
When defining the problem, problem areas can be identified from four primary sources and/or their combination
What is
-personal experience
-clinical work
-published research evidence including both quantitative and qualitative sources
-existing or projected societal trends
Four basic steps of needs assessment
What is
1. Determining the scope of the assessment
2. Gathering the data
3. Analyzing the data
4. Reporting the findings
Outcomes are categorized in these ways
What are
-Proximal
-Primary
-Secondary
-Distal
-Mediators
The constructs of the theory of planned behavior
What is
-behavioral intention
-attitude
-subjective norm
-perceived behavioral control
Important considerations in designing a behavioral intervention
What are
-Define the problem
-Quantify the problem
-Specify the populations most at risk for identified problem
-Determine the pathway (s)
-Determine if pathway (s) are amenable to change
-Specify potential outcomes
-Quantify potential for improvement
-Determine how problem is currently addressed
Effective institution-wide, patient-centered health promotion programs
What are
-Involving staff, patients, and families
-Engaging leadership at both the clinical and administrative levels
-Adopting program planning principles
-Incorporating peer-reviewed literature and best practices
-Using an interdisciplinary, collaborative approach -Committing to quality performance, improvement, and continual evaluation
Patient- and family-centered care is built on four core concepts
-dignity and respect
-information sharing
-participation
-collaboration
Ways to commit to quality performance, improvement, and continual evaluation
What are
-Monitor and evaluate behavioral and clinical outcomes
-Integrate metrics into clinical dashboards and work plans
-Identify key fidelity factors of the intervention and refine to enhance effectiveness
-Demonstrate effectiveness, impact, outcomes and patient satisfaction to leadership
-Continuously utilize evaluation questions to assess and improve program