We all know that preventive behaviors are part of the lifestyle of each person. This action includes primary and secondary prevention. In primary prevention the patients engage behavior when there are no symptoms. While in secondary prevention, they seek care when they have symptoms, to diagnose a disease or to detect illness in early stage and to treat it to prevent complications. At this stage, it is where Lauver (1992, p.284) found that the feeling of fear, anxiety, and denial of what they can find is directly related to prompt care-seeking among breast cancer patients.
Dr. Diane Lauver is a professor and director of the NP program at the University of Wisconsin. She has been studying why people do or do not engage in selected health-related behavior. So, she decided to review models of health behavior. The models considered as a proposal of this theory are Health Belief Model by Becker & Maiman (1975), Theory of Reasoned Action by Ajzen
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Lauver explained the pre-existing clinical variables and sociodemographic factors might affect the psychosocial variables, but does not influence the care-seeking behavior directly. The psychosocial variables such as affective (anxiety, fear, depression, and denial), expectations (belief about outcomes), and values (importance of the results), normative influences (social, personal and interpersonal), and habits (experience) may impact directly the care seeking behavior. All these psychosocial variables can be important to early detection behavior, but may be not sufficient (Subs, Davidson, & Kaplan, 2011, pp. 260–275). Also, the facilitating conditions such as the easy access to health care and having health insurance may affect the psychosocial variables. Subs, et al. agree that women also need affordable, accessible and acceptable services to engage in early detection
Spiegel, D., Bloom, J. R., Kraemer, H. C., & Gottheil, E. (1989). Effect of psychosocial tr@ent on survival of patients with metastatic breast cancer. Lan@t, 88:8-891.
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.
Lets make it quite clear that change doesn’t happen overnight nor is it ever a process easy. To make a proper and healthy life-style behavior change, you must be dedicated to put in the time and effort that’s necessary for accomplish any goal. When I first began to become engage in exercising and becoming more physically fit I found that the Health Belief Model and the Social Cognitive Theory demonstrated the progression that I have made throughout my change. To begin you do not need to try and follow through the steps provided in any given model or a theory, the reasoning behind that statement is that everyone is different so our stages of change will all differ from one another. For me, once I decided that I wanted to begin attending group-fitness classes I found that through the Health Belief Model I had to understand the perceived benefits of my change, I had to
A of his current state of health and lifestyle behaviours (Harris, Nutbeam, Wise, 2004). For example, the model explores 6 behavioural stages; pre-contemplation, contemplation, determination, action, maintenance and termination. These stages focus on the individual’s experience, behavioural changes and processes as opposed to an event which has determined a behaviour change. Evidently, the transtheoretical model determines that Mr. A is at the pre-contemplation stage (Prochaska & Velicer, 1997). Due to Mr. A experiencing this stage, he is not planning change to his current lifestyle choices. Although Mr. A is not planning changes in the foreseeable future, the transtheoretical model in conjunction with an education campaign can inform Mr. A about different behavioural stages that he may experience. However, understanding this behaviour change model of health cannot determine why Mr. A’s his current lifestyle and behaviour (Prochaska & Velicer, 1997). Fortunately, inclusion of maslow’s hierarchy of needs psychology theory (Donovan, Egger, Spark, 2005) used in conjunction with the transtheoretical model of health, can identify barriers that are stopping Mr A from actively using information from health education campaigns to change his behaviour (Harris, Nutbeam, Wise,
Firstly, as a GP, it is crucial to explore the biopsychosocial model of health. One must realise that biological, psychological and social factors all contribute to a person’s overall health. The social dimension cannot be ignored in Anne’s case. According to the World Health Organisation, the social determinants of health are ‘the conditions in which people are born, grow, live, work and age.’ (World Health Organisation. 2013) From the information provided, one could suggest that various social factors have contributed to Anne’s obesity. Anne grew up in a deprived area of the inner city. Growing up in a deprived area does not directly cause obesity, however, social determinants are known as causes of the causes of ill health. (WMA. 2011) Obesity can be caused by consuming too many calories, leading a sedentary lifestyle and not sleeping enough. (Christian Nordqvist. 2011) These, in turn, could be referred to as consequences of living in the inner city. Studies have shown that ‘inner city parents have high levels of anxiety about neighbourhood safety. While these concerns may not entirely explain the discrepancy in activity levels between inner city and suburban children, a safe environment is crucial to increasing opportunities for physical activity.’ (Weir, L.A., Etelson, D. & Brand, D.A. 2006) Similarly, it is possible that Anne’s socio-economic status has influenced her smoking since a person below the poverty threshold is more likely than somebody at or above the threshold to be both a current smoker and not to have quit. (Flint, A.J. & Novotny, T.E. 1997)
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
Mishel’s Uncertainty of Illness Theory is a middle-range theory indicating the theory is not overly broad or narrow (Black, 2014). The theory was developed from studying men with prostate cancer who were watchfully waiting for the advancing signs of their disease (Black, 2014). The theory has three main components, which incorporate: the antecedents of uncertainty, impaired cognitive appraisal, and coping with uncertainty in illness (Neville, 2003). The antecedents of Mishel’s theory are the stimulus frame, cognitive capacities and event congruence (Neville, 2003). The stimulus frame concerns three parts including: symptom pattern, event familiarity and event congruency (Neville, 2003). Symptom pattern may be when symptoms of illness present with consistency to form a pattern (Elphee, 2008). Event familiarity refers to the repetitive nature of the healthcare environment and not necessarily the physical characteristics of the disease (Elphee, 2008). Elphee also defines event congruence as the cor...
DiClemente, R. J., Salazar, L. F., & Crosby, R. A. (2013). Health Behavior Theory for Public Health: Principles, Foundations, and Applications. Burlington, MA: Jones & Bartlett Learning
Wardle, J., and Pope, R. (1992) The Psychological Costs of Screening for Cancer, Journal of Psychosomatic Research, Vol. 36, No. 7, pp. 609-624.
Aim of this paper is to examine and present the application of social cognition models in the prediction and alternation of health behavior. Social cognition models are used in health practices in order to prevent illness or even improve the health state of the individuals in interest, and protect their possibly current healthy state. This essay is an evaluation of the social cognition models when used to health behaviors. Unfortunately it is impossible to discuss extensively all the models and for this reason we will analyze three of the most representative cognitive models to present an integrated idea of their application.
Accomplishing my task appeared straightforward when applying my attitudes, perceived control, and subjective norms to the Theory of Planned Behavior; initially I had all necessary aspects to initiate a lifestyle change. Before starting my regiment I had the belief that regular running leads to decreased weight and improves overall health. Health and appropriate body size are both characteristics I evaluate as desirable. Subjective cultural norms highlighting the value of appropriate weight, active lifestyle, and overall health influenced my motivation to comply to these standards. In this way beliefs as well as evaluations of the beliefs influenced my motivation to start running. Additionally my perception of behavioral control and sense of self-efficacy are generally high. Since I accomplished similar goals in the past I felt it could be done again. My attitudes, subjective norms, and my perceived control indicate I had the behavioral intention to make the change to run more frequently.
Dr. Merle Mishel is an American, nursing theorist who is accredited with the creation of the uncertainty in illness theory and measurement scale. She holds both a master 's degree in psychiatric nursing and a PhD in social psychology. She has accrued many distinguished awards and honors for her works showcasing her expertise in dealing with psychosocial responses to cancer and chronic illness and also the best interventions to manage the hardship and stress that can accompany uncertainty when it comes to illness. Dr. Mishel, currently she holds a position at University of North Carolina at Chapel Hill School of Nursing as a Kenan Professor of Nursing, where she continues her teachings, research and advocating of cancer patients and those with
care for patients. In addition, the study will determine the factor of income and the burden of
It appears that in the initial motivation phase of the health action process an individual develops the intention to act, whereas, risk perception in itself, and is insufficient for an individual to form an intention (De Vries et al., 2005; Schwartz, 2001). Risk perception is considered a distant factor in the motivation phase, as the perceived severity in health threats also includes ones personal vulnerability and thoughts associated with consequences and competencies. Therefore, suggesting that outcome expectancies and perceived self-efficacy working together contribute significantly to the development of intention to change (Schwartz, 2001). The health process approach suggests that health-related behavior is reduced to the motivation
Glanz, K., Rimer, B., Vixwanath, K., (2015). Health behavior: Theory, research, and practice. (5th ed.). San Francisco, Ca: Jossey-Bass.