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national campaigns for the health belief model
how the health belief model can be used to explain health behavior
how the health belief model can be used to explain health behavior
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Adherence to Medical Advice
a) Adherence to medical advice depends on various factors.
Psychologists have carried out research and experiments to find the
factors into compliance. Kent and Dalgleish (1996) had claimed that
perceived seriousness of illness of the mother was more important than
that of the doctors, this meant that mothers who felt their children
were more susceptible to illness were more likely to adhere to a
medical regime set out by the doctor, and attend the appointments made
than those mothers who had a different conviction. The study of Turk
and Meinchenbaum (1991) supports the idea that patients are less
likely to adhere due to the potential side effects of their treatment.
Adherence is therefore likely to decrease if the patient feels that
the treatment is worse than the illness itself. Turk and Meinchenbaum
also suggest that patients are also less likely to adhere if they do
not fully understand the instructions given to them by the doctor or a
particular medication that has been prescribed doesn’t work. The
Health Belief Model designed by Hochbaum (1958) was used to help
researchers investigate the psychology behind adherence to medical
advice in today’s society. This model was used to explain the failure
of people to participate in preventive health campaigns. The four
components that make up this model includes the perceive threat of
illness, the benefits and barriers, the action that should be taken
and the sociodemograhic variables. Research into adherence highlights
the point that different groups of patients require different
approaches. Watt et al (2003) showed that children were more li...
... middle of paper ...
...Third World countries, have different
level of food consumption i.e the daily calorie intake is much below
that of America or any other western country.
BPS ethical guidelines should be cohered with when conducting research
into adherence. Yung ensured that all participants with non-insulin
dependant diabetes mellitus gave informed consent; therefore this
study did meet the BPS guidelines in informing participants of the
objectives of the research. Watt et al didn’t gain consent from the
children themselves, those that would be using the ‘Funhaler ’ due to
the reason that they were under 16 years of age, and thus consent was
gained from their parents.
Sethi et al has face validaty as the researchers asked the patients
how many doeses of medication they had missed over the previous three
days and their response
Social cognitive theory relates the performance of a behaviour change to an individual’s expectations of his or her particular performance and their probability in accomplishing that particular change (Plake). In regards to this specific model there are two types of expectations, outcomes and efficacy. Outcome expectations referring specifically to an individual’s belief that performance of a specific task or behaviour will lead to a specific outcome. Efficacy expectations refer to a person’s belief that they will be able to perform that behaviour change. All of the above mentioned facts can link specifically to various health behaviours that require changing in regards to Hypertension. When looking at specific health behaviours that are most often focused on there are five main areas which become prominent and seem to be the most problematic when dealing spe...
Healthcare providers must make their treatment decisions based on many determining factors, one of which is insurance reimbursement. Providers always consider whether or not the organization will be paid by the patients and/or insurance companies when providing care. Another important factor which affects the healthcare provider’s ability to provide the appropriate care is whether or not the patient has been truthful, if they have had access to health, and are willing to take the necessary steps to maintain their health.
Ethics in the medical field are very important and should be taken seriously. As a medical professional you will tested daily on making the best choices, using good judgment and being morally responsible for your actions. There are nine principles in the Code of Medical Ethics that in general make up the primary code. As a medical professional you must always consider what is in the best interest of the patient. Code of medical ethics of the American Medical Association, (2012). When determining the proper “Patient-Physician Relationship, the relationship between the patient and physician is based on trust and gives rise to the physicians’ ethical obligations to place a patients’ welfare above their own self-interest” Code of medical ethics of the American Medical Association, (2012).
“Action X is an informed consent by person P to intervention I if and only if:
Mr. A is burdened with both of these diseases and he may suffer from further complications in the future do to his condition. Public health education campaigns can inform Mr. A that he is experiencing a pre-contemplation behavioural stage in which he is not aware of a need to change his current lifestyle. As previously stated, the case shows that study Mr. A is not currently living a lifestyle that supports the management of his current health conditions. In conjunction with the transtheoretical theory, health campaigns can inform Mr A about his diagnosed conditions and encourage him to change his habits by understanding the 6 behavioural stages. Although the transtheoretical model of can be beneficial in educating Mr. A’s behaviour. Addition of maslow’s hierarchy of needs theory would yield a better outcome for Mr. A by explaining why he has not currently changed his behaviour. Communities can additionally help to support Mr. A by taking on the role of facilitating, participating, fundraising and volunteering in health promotions. With the amalgamation of the knowledge of behavioural theories, exposure to multimodal education campaigns and communities participating in health education interventions, Mr. A can be informed if his current health
Our personal beliefs influence our health behavior either positively or negatively. Health beliefs have been linked to uptake and have been measured using a number of models. For example, Bish et al. (2000) used the health belief model (HBM) and the theory of planned behavior (TPB) to predict uptake of a routine cervical smear test.
6). Workplace health promotion designed to improve lifestyle, and ultimately enhance health, the ability to function, and productivity (Rongen, Robroek, van Lenthe, & Burdorf, 2013, p. 406). Over the years, various theoretical models have evolved to “articulate variables involved in health behavior to predict participation and engage would be non-participants” (Galloway, 2003). Health Belief Model was one of the first theories of health behavior developed in 1950s by a group of social psychologists, who sought to explain what motivates public to participate in programs designed for wellness promotion and disease prevention (Nursing Theories, 2013). According to this model, preventative behaviors depend on the individuals’ beliefs, including their vulnerabilities to the disease, the effect of the disease on their lives, and the effect of health activities on reducing the disease severity and susceptibility (Sharafkhani, Khorsandi, Shamsi, & Ranjbaran, 2014, p.
Roger Higgs, in “On Telling Patients the Truth” supplies commonly used arguments for paternalistic deception. For the purposes of this paper, paternalism will be defined as, “interference with one’s autonomy or self determination for their own good.” The first argument for paternalistic deception is founded on the idea that medicine is a technical subject where there are very few guarantees (613). Thus, Higgs supplies the argument that not only is it impossible for a patient to understand the true breadth of their diagnosis and prognosis, but additionally that medical predictions are not medical truths. The second argument for paternalistic deception comes from the belief that patients do not actually want to know the truth about their condition, and could suffer from worse health outcomes if they are told the truth (614, 615).
The patient should have confident and trust in their doctor, but the doctor must also recognize that the patient is entitled to have an attitude to illness and his preferred way of tackling this (Turner-Warwick, 1994). Buchanan infers that paternalism eliminates an individual’s power of making their own choices and thus pressed into making decisions. To achieve public health goals, greater considerations must be directed toward promoting a mutual understanding of a just society (Buchanan, 2008). So, if people are given the choice to make certain decision over another, then they are still granted freedom of choice. Buchanan identifies 3 arguments in justifying paternalistic actions: informed consent, weak paternalism, and utilitarianism. To support his argument of informed consent, Buchanan admits there is no significant ethical concern because an individual may reach out to the professional for help, but it is problematic when an intervention is targeting the entire population (Buchanan, 2008). This point of view from Buchanan is flawed and completely limits what public health is all about. The Institute of Medicine (IOM) defines public health as “what we, as a society, do collectively to assure the conditions for people to be healthy.” With its use of the phrase “we, as a society,” the IOM emphasizes cooperative and mutually shared obligation and it also reinforces the notion that collective
Medical ethics refers to the relationship between health professionals and patients. The trust of patients in physicians has been vanishing. Today a lot of health care providers primary concerns seem to be in profit rather than in providing the proper healthcare to the public. Medical ethics consist of several different principles. Nonmaleficence, beneficence, justice, and autonomy are just a few of the many principals. Nonmaleficence enacts that a health care providers, can never use treatment to injure or wrong their patients. Beneficence claims that health care providers are obligated to help others further their interest. Justice requires health providers treat every patient as equal and provide equal treatment for everyone with the same
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
The Health Belief Model (HBM) comes from the psychological and behavioral theorists. The premise is that there are two parts involved in health related behavior. “People are more inclined to engage in a health behavior when they think doing so can reduce a threat that is likely and would have severe consequences if it occurred.” (Brewer & Rimer, 2008, p. 152). The patient believes that a specific health action will prevent or cure the illness. How the individual responds depends on the perceived benefits and barriers of that health behavior.
Maternal-fetal issues spark complex and controversial debates in the field of biomedical ethics (Farber-Post, 1996). The conflicts arise when medical professionals try to determine to whom their ethical obligations are owed. Many ethicists argue that autonomy is precedential and, therefore, the duty of the medical staff is to the pregnant woman because it is her body, and she has a right to make decisions regarding her healthcare. Others argue that equally important ethical principles such as beneficence, nonmaleficence, and avoiding killing override the principle of autonomy, and therefore, these principles that govern actions towards the fetus, in particular the fetus’ right to life, demand that medical professionals override the mothers’ desires at times.
Clinical reasoning is an integral component of the occupational therapy profession. It is “the thought process that guides practice” (Rogers, 1983). The ability to effectively problem solve in a clinical work environment is a skill that must be practiced in order to master. In an ever-changing, diverse profession such as occupational therapy, it is imperative to remain knowledgeable and current of any changes or medical advances that may improve clinical competence. Clinical reasoning skills cannot be mastered solely with a textbook filled with examples of diagnoses and treatment interventions. Clinical competence is built on experience and opportunities to apply knowledge and learn from mistakes in a hands-on environment. Despite being exposed
Health psychology is a relatively new concept rapidly growing and could be defined as the biological and psychological influences affect ones behaviour also bringing in social influences of health and illness (MacDonald, 2013). Biological determinants consider genetic and biological factors of an illness whereas psychological determinants focus on the psychological factors such as why people behave the way they do when dealing with issues such as anxiety and stress. Models such as the Health Belief Model and Locus of Control were developed in attempt to try and explain psychological issues around a chronic illness such as breast cancer (Ogden, 2012). Sociological factors can cause an enormous amount of pressure for one to behave in a certain way for example gender roles in society and religious considerations when dealing with health beliefs. Health Beliefs can be defined as one’s own perception to their own personal health and illness and health behaviours (Ogden, 2012). There are also theories and models used to explain pain and coping with diagnosis such as Moos and Schaefer (1984) Crisis theory and Shontz (1975) cycle of grief people go through when being diagnosed with a serious illness.