healthy living revision

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    Healthy Living Revision March 2014

    Health Belief Model - HBM Costs & benefits Perceived seriousness Perceived susceptibility

    Demographic variables Beckers study Asthma +ve correlation between perceived

    susceptibility & compliance -ve correlation between accessibility

    of chemists 7 compliance Importance of marital status &

    education

    Why do

    people makehealthychoices?

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    Part a questions onHealth Belief Model

    Outline the health belief model (10 marks)

    Describe research that supports the healthbelief model of healthy behaviour (10 marks)

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    Healthy choices might be linked toLocus of Control

    Rotters Theory Internal / external locus of

    control Your health is your

    responsibility or blame it onothers

    Review article 6 studies Internal locus of control

    more likely to look aftertheir own health

    Male smokers more likely togive up than females

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    Part a questions onLocus of Control

    Describe how the locus of control theoryexplains health behaviour (10 marks)

    Describe research that has investigated how apersons locus of control affects their healthbehaviour (10 marks)

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    Healthy choices might be linked to SelfEfficacy

    Banduras Theory Hoe effective you think you will be Learning from consequences Leads to efficacy expectation

    depending on:- Learning from vicarious experience Learning from verbal persuasion Emotional arousal Increasing self efficacy benefits

    ion systematic desensitisation inphobias

    Snake phobias correlationbetween level of self efficacy &

    ability to interact with snakes

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    Part a questions onSelf efficacy

    Describe how self-efficacy affects healthybehaviour (10 marks)

    Describe one study that suggests self-efficacyimpacts on health behaviour (10 marks)

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    Part b questions onTheories of Health belief?

    Evaluate theories of health belief (15 marks)

    Assess the usefulness of theories of health

    belief in explaining health behaviour (15 marks)

    Compare two theories of health behaviour (15marks)

    Evaluate research that has been conductedinto health belief models (15 marks)

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    Methods of Health Promotion

    Media campaigns

    how good? Drink driving Changes in attitude but not

    necessarily changes in behaviour Cowpe chip pan fires Quasi experiment Reduced rates on fire when the

    campaign was on Increased awareness Tails off when campaign stops

    Why do weneed topromote

    goodhealth?

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    Part a questions on media campaigns

    Describe how media campaigns have been usedto promote healthy behaviour (10 marks)

    Describe research that has investigated theinfluence of media campaigns on healthybehaviour (10 marks)

    Describe one piece of research which looks atmedia campaigns in health promotion (10marks)

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    Legislation to promote health Passing laws eg drink driving

    levels How do we enforce the law?

    Mobile phones? Dannenberg bicycle helmets USA Self reports? Worked best with young children

    why? Increased awareness of the need

    for helmets Does legislation work better than

    health promotion?

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    Part a questions on legislation

    Describe the effect that legislation has onhealthy living (10 marks)

    Describe how legislation can be used topromote healthy behaviour (10 marks)

    Describe research that investigates the effectof legislation on healthy behaviour (10 marks)

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    Fear rousal to promote health Warnings on cigarette packets

    do they work? Janis & Feshbeck study of

    dental hygiene Lab experiment 3 groups Strong fear, moderate fear,

    minimal fear Self reports Students enjoyed strong fear

    but learned more from minimalfear changed behaviour more What does this tell us?

    Pain!Disease!Horror!

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    Part b questions onmethods of health promotion

    Assess the effectiveness of health promotioncampaigns (15 marks)

    Discuss the usefulness of research that hasinvestigated health promotion (15 marks)

    Evaluate research that has been conducted intohealth promotion (15 marks)

    Compare methods of health promotion (15 marks)

    Discuss attributes of a successful health promotioncampaign (15 marks)

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    Features of Adherence?

    Why do people not take theirmedication?

    Decision is not always rational Possible side effects eg impotence Cost benefit analysis? Using self reports? Bulpitt suggests that when problem

    is asymptomatic then adherence isan issue

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    Measuring Non Adherence Self report? By therapeutic outcome does

    he get better? Pill counting? Physiological measures blood

    samples etc Lustman double blind

    experiment Fluoxetine / placebo treatments

    for depression Self reports & GHb levels Greater adherence led to lower

    depression

    How would mydoctor know ifI am taking my

    medication?

    http://images.google.co.uk/imgres?imgurl=http://www.aperfectworld.org/clipart/emotions/sad03.png&imgrefurl=http://www.aperfectworld.org/emotions.htm&usg=__Tmsu1pRjMfHXgZk07G4QqDj27sc=&h=404&w=250&sz=13&hl=en&start=106&um=1&tbnid=CzP8NJl53myxEM:&tbnh=124&tbnw=77&prev=/images?q=sad+clipart&ndsp=18&hl=en&rlz=1T4HPNN_enGB311GB311&sa=N&start=90&um=1
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    Part a questions on measuringadherence

    Describe one technique used to measureadherence to medical regimens (10 marks)

    Outline research that has been conducted intomeasuring non-adherence (10 marks)

    http://images.google.co.uk/imgres?imgurl=http://www.aperfectworld.org/clipart/emotions/sad03.png&imgrefurl=http://www.aperfectworld.org/emotions.htm&usg=__Tmsu1pRjMfHXgZk07G4QqDj27sc=&h=404&w=250&sz=13&hl=en&start=106&um=1&tbnid=CzP8NJl53myxEM:&tbnh=124&tbnw=77&prev=/images?q=sad+clipart&ndsp=18&hl=en&rlz=1T4HPNN_enGB311GB311&sa=N&start=90&um=1
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    Improving dherence Reduce the costs of medication Improve instructions given by

    doctors and on leaflets

    Use HBM Increase self efficacy Use behaviourist techniques to

    make it fun Watt Australian repeated

    measures design Increased use of inhaler by 38%

    Make it fun!!!!

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    Part a questions on improvingadherence

    Outline one technique used to improveadherence to medical advice (10 marks)

    Describe research that has been conducted intotechniques to improve adherence (10 marks)

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    Part b questions on improvingadherence

    Assess the usefulness of research conducted intoadherence to medical advice (15 marks)

    Discuss problems psychologists might have whentrying to improve adherence to medical regimes.(15 marks)

    Evaluate the reliability of research that has beenconducted into adherence (15 marks)