FELLOWSHIP for INTERNATIONAL SERVICE and HEALTH
Colaborando con nuestras comunidades locales y globales para proveer servicios de salud y educacionales sustentables
In Progress Literature Reviews
Health Education Efficacy
Overview
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Questions Faced:
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What makes people act on the health education they receive?
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What are common reasons why people do not act on health information they receive?
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What is the best way to disseminate information so that the message sticks?
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Art
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Main Idea: Health education is more effective if visual and artistic elements are implemented into the dissemination of the curriculum.
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Applications:
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Use animated videos to explain a certain topic or scenario
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Use a music and pictures to engage the audience
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Explain a concept visually through pictographs and flowcharts
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Culture
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Main Idea: People motivated to change behavior if that change fits within their perceived identity
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Applications:
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Use correct language
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Include characters & representation that matches target population
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Include appropriate cultural symbols
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Science
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Main Idea: Health education based on science will be more memorable if messaging is simple, concrete, credible, and relatable.
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Applications:
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Create messages that have influences such as community culture/norms, art, family & friends, etc
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Keep complex scientific ideas simple and easy to understand
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Focus on “how” individuals can improve in addition to “why” person engages in behavior and “what” needs to be targeted to intervene
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Conclusion/Discussion
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Possible Questions:
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What are some specific ways that FISH can implement art, culture, and science to increase the effectiveness of its health education?
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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?
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What are some challenges that could arise when trying to implement science and use statistics and evidence-based tactics to explain concepts?
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Citation:
Transtheoretical Model of Behavioral Change
By Daniel Zoleikhaeian
Background: SCT + SEM
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Social Cognitive Theory (SCT): self-efficacy
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Achievable goals, track progress, self-reward
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Social Ecological Model (SEM):
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Good environment = good behavior
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5 Stages of Behavioral Change
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1. Pre-contemplation
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Individual thinks change is not important or necessary
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2. Contemplation
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Individual realizes the problem but does not implement change
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3. Preparation
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Individual makes formal plan for implementing the change
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4. Action
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Individual executes their plan for change
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5. Maintenance
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Individual has successfully executed plan. Goal is to now maintain the healthy behavior
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The Progression towards Maintenance
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Pre-contemplation
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Consciousness Raising
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Environmental Re-evaluation
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Preparation
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Self-liberation
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Counterconditioning
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Stimulus control
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Contemplation
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Self-evaluation
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Action
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Contingency Management
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What FISH Can Do: Motivational Interviews
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Discussion Questions
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What additional training may be needed to implement motivational interviews during consultations?
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How would we implement motivational interviewing in our health fairs?
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Bibliography
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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
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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
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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
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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