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In Progress Literature Reviews

Health Education Efficacy

Overview

  • Questions Faced:

    • What makes people act on the health education they receive?

    • What are common reasons why people do not act on health information they receive? 

    • What is the best way to disseminate information so that the message sticks?

Art

  • Main Idea: Health education is more effective if visual and artistic elements are implemented into the dissemination of the curriculum. 

  • Applications:

    • Use animated videos to explain a certain topic or scenario

    • Use a music and pictures to engage the audience

    • Explain a concept visually through pictographs and flowcharts

Culture

  • Main Idea: People motivated to change behavior if that change fits within their perceived identity

  • Applications:

    • Use correct language

    • Include characters & representation that matches target population

    • Include appropriate cultural symbols

Science

  • Main Idea: Health education based on science will be more memorable if messaging is simple, concrete, credible, and relatable. 

  • Applications:

    • Create messages that have influences such as community culture/norms, art, family & friends, etc

    • Keep complex scientific ideas simple and easy to understand

    • Focus on “how” individuals can improve in addition to  “why” person engages in behavior and “what” needs to be targeted to intervene

Conclusion/Discussion

  • Possible Questions:

  • What are some specific ways that FISH can implement art, culture, and science to increase the effectiveness of its health education?

    • For the cultural component of the SEM, how does one from outside the community use this tactic without appropriating the community’s culture or sounding insensitive?

    • What are some challenges that could arise when trying to implement science and use statistics and evidence-based tactics to explain concepts? 

Citation:

https://www.mdpi.com/1660-4601/16/5/872/htm

Transtheoretical Model of Behavioral Change

By Daniel Zoleikhaeian

 

Background: SCT + SEM

  • Social Cognitive Theory (SCT): self-efficacy

    • Achievable goals, track progress, self-reward

  • Social Ecological Model (SEM): 

    • Good environment = good behavior

 

5 Stages of Behavioral Change

  • 1. Pre-contemplation

    • Individual thinks change is not important or necessary

  • 2. Contemplation​

    • ​Individual realizes the problem but does not implement change

  • 3. Preparation

    • ​Individual makes formal plan for implementing the change

  • 4. Action

    • ​Individual executes their plan for change

  • 5. Maintenance

    • ​Individual has successfully executed plan. Goal is to now maintain the healthy behavior

 

The Progression towards Maintenance

  • Pre-contemplation

    • Consciousness Raising

    • Environmental Re-evaluation

  • Preparation

    • Self-liberation

    • Counterconditioning

    • Stimulus control

  • Contemplation

    • ​Self-evaluation

  • Action

    • ​Contingency Management

What FISH Can Do: Motivational Interviews

  • Discussion Questions

    • What additional training may be needed to implement motivational interviews during consultations?

    • How would we implement motivational interviewing in our health fairs?

Bibliography

  • Cassidy, C. A. (1999). Using the Transtheoretical Model to Facilitate Behavior Change in Patients with Chronic Illness. Journal of the American Academy of Nurse Practitioners, 11(7), 281–287. doi: 10.1111/j.1745-7599.1999.tb00578.x

  • Franklin, B. A. (1978). Motivating and Educating Adults to Exercise. Journal of Physical Education and Recreation, 49(6), 13-17. doi:10.1080/00971170.1978.10617817

  • Kennedy, A. B., & Blair, S. N. (2014). Motivating People to Exercise. American Journal of Lifestyle Medicine, 8(5), 324–329. https://doi.org/10.1177/1559827614524135

  • Resnick, B., Vogel, A., & Luisi, D. (2006). Motivating minority older adults to exercise. Cultural Diversity and Ethnic Minority Psychology, 12(1), 17-29. doi:10.1037/1099-9809.12.1.17

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