(CH.1)Behavior+Modification+2012+Notes (1)

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    Behavior Modification

    Chapter 1

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    Lecture Outline

    Concept of Risk

    Risk Perception

    Absolute Risk

    Relative Risk

    Health Literacy

    Understanding Health Behaviors Stages of Change Model

    Strategies to Modify Behavior

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    Concept of RiskHealth Risks/Risk Factors

    Any factor which increases susceptibility or has an

    association with the occurrence, onset, or progression of a

    disease or injury.

    The concept that relates specific health-compromising

    factors to increased likelihood of developing disease or

    higher death rates.

    Epidemiology: The study of the causes, distribution andcontrol of diseases in populations.

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    Concept of RiskRisk Perception

    Less afraid of

    Risks that are natural

    Chosen risks

    Risks that come from people ororganizations that are trusted

    More afraid of

    Man-made risks

    Imposed risks

    Risks that come from a source wedont trust

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    Concept of RiskAbsolute Risk

    A person's chance of developing a specific disease

    over a specified time period.

    Example

    Observe 100,000 women between the ages of 20 & 29

    for one year, ~ 4 would develop breast cancer during

    this period

    WHAT IS the ONE YEAR ABSOLUTE RISK?

    4 per 100,000 or 1 per 25,000

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    Concept of RiskRelative Risk

    A measure of comparative risk of a health-related

    event between two groups.

    The chance that a person receiving an exposure

    will develop a condition, compared to the chancethat a non-exposed person will develop the same

    condition.

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    Example: Risks of Disease

    Absolute risk of developing a disease is:

    4 in 100 in non-smokers

    Relative risk of the disease in increased by:

    50% in smokers

    What is the absolute risk of smokers

    developing this disease?

    Absolute increase in risk is 2 (50% of 4)

    Absolute risk of smokers developing this

    disease is 6 in 100

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    Understanding Risks

    Multiple ways of

    representing the same

    statistical information

    Reference class (group

    with or without illness)

    Verbal framing

    (positive or negative) Manipulation

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    Health Literacy

    The ability to obtain, process, and understand basic

    health information and services needed to make

    appropriate health decisions

    Health & the Media Advertising

    Public Service Announcements

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    Health Literacy

    The ability to obtain, process, and understand basic

    health information and services needed to make

    appropriate health decisions

    Health & the Media Self-Directed Learning

    The Internet as a source for self-directed learning .org (non-profit organization)

    .gov (federal government)

    .edu (college/university)

    .com (commercial business)

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    Medical Library Associations

    Most Useful Web Sites

    1. webmd.com

    2. Mayoclinic.com

    3. Medlineplus.gov

    4. Healthfinder.gov

    5. cdc.gov

    6. Familydoctor.org

    p. 14-15

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    Understanding Health Behaviors

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    Prochaska & DiClementes

    Stages of Change Model

    Pre-contemplation

    Contemplation

    Preparation Action

    Maintenance

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    Making Changes in Your World

    Overdoing: can lead to burnout & failure

    Identifyonetarget behavior that you want to change work on it systematically

    Use a variety of strategies to make your plan work.

    Dont try to change everything at once!!!

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    Barriers to Change

    Landmark events can get you thinking about a behavioral change.

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    Building Motivation

    Knowledge

    Comes from within

    Is influenced by external factors

    Locus of Control: Internal vs External

    Internal: believe outcomes are contingent on their actions External: believe outcomes are determined by events or

    forces outside their personal control

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    Prochaska & DiClementes

    Stages of Change Model

    Pre-contemplation

    Contemplation

    Preparation Action

    Maintenance

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