UNIT 3: Week 6 Content
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What are some non-modifiable risk factors associated with chronic health conditions
-age -contextual -genetics
What are some modifiable risk factors associated with chronic health conditions
-lifestyle behaviours -intermediate conditions
What lifestyle behaviour is the most prevalent risk factor for chronic health conditions
-physical inactivity
What is unintentional non adherence
-occurs when patients fail to follow prescribed treatments despite the willingness to do so
What can unintentional non-adherence arise from
-external distractions -patient factors -logistical barriers
What are categories included in unintentional non-adherence
-forgetfulness and impaired cognition -practical barriers and pathophysiological limitations -socioeconomic barriers and healthcare resource limitations
What is intentional non-adherence
-where a patient deliberately alters or omits their treatment against health care professional recommendations
What are categories of intentional non-adherence
-underestimating consequences of a chronic condition -inadequate disease awareness and education -patient-physician communication barriers -patient perceptions and medication-related barriers -societal attitudes towards health information-seeking behaviours
What are some important categories in behaviour change
-building trusting relationships -expanding treatment options -practical and technology-based interventions -disease education and support -health policy and socioeconomic drivers
What is a helpful health intervention you can use with patients
-digital health interventions
What have digital health interventions been shown to help with
-behaviour change -goal setting -self-monitoring
What is the average duration of a physician visit in canada
-16 min
What is self management
-an individuals ability to manage the symptoms, treatment, physical and psychological consequences, and lifestyle changes inherent in living with a chronic condition
What is self management support
-systematic provision of education and supportive interventions by health care providers to increase clients skills and confidence in managing their own health condition
What are some self management support interventions
-educational -behavioural
What can be included in educational self management support interventions
-typical course of chronic health condition -symptom self-management -community resources
What can be included in behavioural self management support interventions
-assess barriers/facilitators to behaviour -collaborate on action planning/goal setting -self-monitoring -problem solving/relapse planning -follow up
What is a tool that can be used for self management support
-online chronic disease self-management program
What are two different types of techniques can you use when talking to clients
-directive -motivational
What is the medical model
-patients role is passive -patient is recipient of treatment -physician dominates the conversation -care is disease centered -physician does most of the talking -patient may not adhere to treatment plan
What is the patient-centered model
-patient roles is active -patient is a partner in the treatment plan -physician collaborates with patient -care is quality-of-life centered -physician listens more and talks less -patient is more likely to adhere to treatment plan
What is motivational interviewing
-collaborative conversation style for strengthening a persons own motivation and commitment to change
What explains the observed variance in successful behaviour change with motivational interviewing
-empathy
What is a acronym for motivational interviewing
-OARS