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Self Management & Behavioural Change - Coggle Diagram
Self Management & Behavioural Change
BEHAVIOURAL CHANGE
Self-Efficacy
connect with support groups
identify role models
Experiencing sucess
verbal encouragement
Behavioural Change Models
Health Action Process Approach
Pros
adaptation and improvement to the health belief model??
Cons
Model of Goal Directed Behaviour
Pros
Cons
Health Belief Model
Pros
Emphasises the role of individual beliefs ( which may differ from
a health professionals
Cons
if decision making is rational then why do people drink,smoke overeat etc
No role for Emotion
Focused in individuals beliefs
Operant Conditioning
Cons
Does not work with everyone
someone can pretend to do behaviours to receive rewards and lie
operant conditioning does not take into account cognitive function
makes bold statement that behaviours are either good or bad and that there is no inbetween
too much emphasis on environmental determinants
Rubicon Model
Pros
Cons
Transtheoretical Model
Pros
Cons
Ignores Social Context
lines between stages are arbitrary
no sense of how much time to each stage
model assumes people will always make coherent and logical plans to progress which may not always be true
Theory of Planned Behaviour
Pros
Recognises Social Influences over health behaviour
Perceived level of control recognised as important
Cons
Model predicts intentions though intentions tend to be poor predictors of behavioural change
still focused heavily on rationality so no role for patients emotions
Social Cognitive Theory
Pros
this systematic review said social learning can be perticularly useful for those with cancer
Cons
proposes changes in environment will change person which may not always be true
too focused on the social and ignores the biological and psychological aspects including motivation
Protection Motivation Theory
Pros
Self Efficacy Theory
Pros
describes how to enhance self efficacy
emphasisbetween individual interactions with environment
recognises behavioural change is a process and not and action
Cons
does'nt really consider anything other than self-efficacy
Motivation
intrinsic
extrinsic
Health/Illness beliefs
SELF-MANAGEMENT
Exercise Programme
Balance Exercises
Behavioural Change
Motivational Interviewing
Empowerment/ Self Efficacy
Importance
Advice and Education
Pacing
pursed lip breathing and ACBT/ diaphragmatic breathing for Breathlessness
Avoidance of physical inactivity
recognised as a behaviour in and of itself
Health Literacy / understanding of the Condition
Health promotion and promoting healthy behaviours
Involve the family
Trying to overcome passificity and the submissive patient role
signposting to resources/ access to information
PASSIVE Rx
Pain managment
Massage
TENS
Hot/Cold therapy
Acupuncture
Positioning
optimise breathing
limit pain to vertebrae
Advanced directives
Having advanced directive in place to decide if there are treatments you want to refuse again improving someones controll overtheir lives
Digital Health Technologies
Goal Setting/ Planning
Patient Beliefs
Smart Goals
Anticipatory Care Planning
getting an anticipatory care plan put in place or modifiying a pre-existing one
Goal setting Improves Self Efficacy
Interagency stuff
Healthcare
Psychology/Psychiatry services for Promotion of mental health
Pharmacy
Allowing people to understand their medications to feel in control of their condition
Social Care
Third Sector
access to healthcare when needed