health behavior models
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HEALTH BEHAVIOR MODELS. Dr.Warisa Panichkriangkrai DDS, MPH. HEALTH BEHAVIOR - PowerPoint PPT PresentationTRANSCRIPT
Inte
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HEALTH BEHAVIOR MODELS
Dr.Warisa Panichkriangkrai DDS, MPH
Inte
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l Hea
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Thai
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HEALTH BEHAVIOR
the actions of individuals, group, and organizations as well as their determinants, correlates, and consequences, including social change, policy development and implementation, improved
coping coping skills, and enhanced quality of life
Parkerson and others, 1993
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HEALTH BEHAVIOR MODELS
Models draw on a number of theories to help
understand a specific problem in a particular
setting or context
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TB screening program
Program = no charge in mobile x-ray units located in various neighborhoods
FAILURE
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HEALTH BELIEF MODEL
Those who had chest x-ray because
• Their beliefs that they were susceptible to TB• Their beliefs in the personal benefits of early detection
BELIEF
ACTION
NO ACTION
+
-
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Concept Definition ApplicationPerceived susceptibility
Belief regarding the chance of getting a condition
Population at risk
Perceived severity Belief of how serious a condition and its sequel
Specify consequences of the risk and the conditions
Perceived benefits Belief in the efficacy of the advised action to reduce risk
Define action to take: how, where, when: clarify expected positive effects
Perceived barriers Belief about the tangible and psychological costs of the advised action
Identify and reduce perceived barriers through reassurance, correction of misinformation, incentive
Cues to action Strategies to activate one’s “readiness”
Provide how-to information, promote awareness
Self-efficacy Confidence in his/her ability to take action
Provide training, guidanceGive verbal reinforcementReduce anxiety
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Example case: ALCOHOL
Perceived susceptibility
Perceived severity
Perceived benefits
Perceived barriers
Still consume?
Are they ready to change?
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Stages of change
Stage DefinitionPrecontemplation Unaware of the problem or not thought
seriously about change Contemplation Seriously thinking about a change
Preparation Planning to take action and making final adjustment before changing behavior
Action Implements specific action plan to modify behavior and surroundings
Maintenance Continue with desirable action
Relapse Reverts back to old behavior
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Health Behavior Model
Individual
Friends
Family
Boss
Regulations
NormAdvertisements
NEWS
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ECOLOGICAL MODEL
Model of health behavior that identifiedmultiple levels of influence
1. Intrapersonal
2. Interpersonal
3. Institutional factors
4. Community factors
5. Public policy
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Level DefinitionIntrapersonal Characteristics of individual
(knowledge, attitudes, skill, intention)Interpersonal Relationships with family, friends,
neighbors, coworkersInstitutional factors Organizational characteristics
( school, work, professional group)Community factors Face-to-face primary groups, mediating
structures
Public policy Regulatory policies, procedures and laws
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Policy change
Environment
Policy analysis research,
Media, Food industry
Help group
Concern about obesity problem
Ecological model and obesity solutions
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Health Policy
Direct attention Evidence
Process attention Social and organizational capacity
Political attention Stakeholders awareness
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