Transcript 1 - IHPP
Program Health Policy International -Thailand Program Policy Health International -Thailand HEALTH BEHAVIOR MODELS Dr.Warisa Panichkriangkrai DDS, MPH -Thailand Program Health Policy International -Thailand Program Policy Health International 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 2 -Thailand Program Health Policy International -Thailand Program Policy Health International HEALTH BEHAVIOR MODELS Models draw on a number of theories to help understand a specific problem in a particular setting or context 3 -Thailand Program Health Policy International -Thailand Program Policy Health International TB screening program Program = no charge in mobile x-ray units located in various neighborhoods FAILURE 4 Program Health Policy International -Thailand Program Policy Health International -Thailand 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 HEALTH BELIEF MODEL 5 Concept Definition Application Belief regarding the chance of Population at risk getting a condition 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, guidance Give verbal reinforcement Reduce anxiety Program Health Policy International -Thailand Program Policy Health International -Thailand Perceived susceptibility 6 -Thailand Program Health Policy International -Thailand Program Policy Health International Example case: ALCOHOL Perceived susceptibility Perceived severity Perceived benefits Still consume? Perceived barriers Are they ready to change? 7 Program Health Policy International -Thailand Program Policy Health International -Thailand Stages of change Stage Definition Precontemplation 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 8 9 Program Health Policy International -Thailand Program Policy Health International -Thailand Regulations Program Health Policy International -Thailand Program Policy Health International -Thailand Family Individual Boss Norm Friends Advertisements NEWS Health Behavior Model 10 Program Health Policy International -Thailand Program Policy Health International -Thailand ECOLOGICAL MODEL Model of health behavior that identified multiple levels of influence 1. Intrapersonal 2. Interpersonal 3. Institutional factors 4. Community factors 5. Public policy 11 -Thailand Program Health Policy International -Thailand Program Policy Health International Level Definition Intrapersonal Characteristics of individual (knowledge, attitudes, skill, intention) Interpersonal Relationships with family, friends, neighbors, coworkers Institutional factors Organizational characteristics ( school, work, professional group) Community factors Face-to-face primary groups, mediating structures Public policy Regulatory policies, procedures and laws 12 Program Health Policy International -Thailand Program Policy Health International -Thailand Ecological model and obesity solutions Public policy Policy change Community Environment Organizational Policy analysis research, Media, Food industry Interpersonal Help group Individual Concern about obesity problem 13 -Thailand Program Health Policy International -Thailand Program Policy Health International Health Policy Direct attention Evidence Process attention Social and organizational capacity Political attention Stakeholders awareness 14 15 Program Health Policy International -Thailand Program Policy Health International -Thailand