Hbhe600 2008 12 Conceptual Framewks

8/14/2019 Hbhe600 2008 12 Conceptual Framewks

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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH

Conceptual

frameworks


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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTHUNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH

Perceived performance levelCausal attributions

General

str

ategy

Performance goal

Behavioral

strategy

same

differentap

proa

ch

avoidEffort

Performance

Affect

Performance

history

Self-efficacy

Goalorientation

Goalcommitm

ent

Goal-

relatedatti

tudes

Subjecti

venorms

Self-regulation


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Characteristics of theory

General - broad application

Abstract - not specified in detail

Testable - you can measure constructs

Replicable - can be tested again and again


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Purpose of a conceptual model

To summarize and integrate what we know

Define constructs

Provide explanations for causal linkages

Generate hypotheses

Identify targets for intervention


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Developing a conceptual model

Specify an outcome of interest.

Use an existing model(s) as a starting point.

Select potential constructs related to the outcome. Determine the initial relationships among selected

constructs using theory and empirical evidence, as well

as personal knowledge.

Draw linkages among constructs.


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HBHE 600: Psychosocial Factors in Health-Related Behavior

Conceptual Framework

Proficiency in

psychosocial

factors

Attitudes

Info I want?Fun?Boring?Get a job?Keep a job?

Intention to become

proficient in

psychosocial factors

Subjective

norms

Students Friends

Parents Teachers

Barriers

Its new Dont know

how to do it

Previous class

performances

Performance of

other students

Stress/ anxiety

Social support

Psychosocial

factor self-

efficacy



Definition of types of variables

Predictor variable

Factor or condition which influences or effects an outcome of

interest

Dependent or outcome variableFactor or condition which is the focus of the research or

intervention

Antecedent variable

Background factor or condition



Definition of relationships among variables

Mediating

Variables that come between predictor and outcome variables

Moderating

Relationship between the predictor and outcome is influenced

by different levels of another variable.



PredictorVariable

DependentVariable

AntecedentVariable

Dependent

Variable

Predictor

Variable

Mediating

Variable

Types of relationships between variables


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Physician-PatientCommunication

MedicationAdherence

Patient age

Conceptual model with moderating variable




MedicationAdherence




Medication

Adherence

Physician-Patient

Communication

Patient

Understanding of

Regimen

Patient

Satisfaction

Age



Physician-Patient

Communication

Patient

Understanding of

Regimen

Patient

Satisfaction

Gender Medication

Adherence



Adherence

w/ diabetes

medication

Physician-Patient

Communication

Patient

Understanding of

RegimenGender

Patient

Satisfaction



Physician-Patient

Communication

Patient

Understanding

of Regimen

Gender

Patient

Satisfaction

Adherence

w/ diabetes

medication



Physician-Patient

Communication

Patient

Understanding

of Regimen

Gender

Patient

Satisfaction

Adherence

w/ diabetes

medication

Intention to

comply

Compliance-

related self-

efficacy

Compliance

barriers

Coping

strategies



Intention to

comply

Physician-Patient

Communication

Patient

Understanding

of Regimen

Gender

Patient

Satisfaction

Compliance-

related self-

efficacy

Adherence

w/ diabetes

medication

Compliance

barriers

Coping

strategies


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Intention to

comply

Physician-Patient

CommunicationGender

Patient

Satisfaction

Compliance-

related self-

efficacy

Coping

strategies

Adherence

w/ diabetes

medication

Barriers

-understanding

-forgets

-multiple meds

-Doc anxiety

-side effects



Intention to

comply

Physician-Patient

CommunicationGender

Patient

Satisfaction

Compliance-

related self-

efficacy

Adherence

w/ diabetes

medication

Barriers

-understanding

-forgets

-multiple meds

-Doc anxiety

-side effectsCopingstrategies

-memory devices

-pill organizers

-Doc questions

-side effect tx


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Intention to

comply

Physician-Patient

CommunicationGender

Patient

Satisfaction

Compliance-

related self-

efficacy

Adherence

w/ diabetes

medication

Barriers

-understanding

-forgets

-multiple meds

-Doc anxiety


-memory devices

-pill organizers

-Doc questions

-side effect tx


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Intention to

comply

Physician-Patient

CommunicationGender

Compliance-

related self-

efficacy

Barriers

-understanding

-forgets

-multiple meds

-Doc anxiety


-memory devices

-pill organizers

-Doc questions

-side effect tx

Patient

Satisfaction

Perceived

threat of

diabetes

Susceptibilityto diabetessequelae

X

Severity of

diabetessequelae

Perceived

benefits ofcompliance

Adherence

w/ diabetes

medication


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Purpose of a conceptual model

To summarize and integrate what we know

Define concepts

Provide explanations for causal linkages

Generate hypotheses

Identify targets for intervention

Hbhe600 2008 12 Conceptual Framewks

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