what is the definition of compliance
obedience, passive acceptance, submissive yielding, PT is the authority, patient/client is submissive, state outcome/achievement of goal
what is the definition of motivation
precursor to action and measured by behavioral consequences of results
what is the definition of adherence
support or commitment to plan of care
what is non-compliance
decision not to comply with recommendations put patient at health risk
example of non-compliance
type II diabetes doesn’t workout or diet
what is non-adherence
decision not to commit to recommended program, may be intentional or nonintentional
example of non-adherence
type II diabetes financial status
what are the compliance theories (5)
1 biomedical theory 2 behavioral/social learning theory 3 communication model 4 rational belief theory 5 self-regulatory system
what is the biomedical theory
demographic info and severity of disease and treatment complexity
what is the behavioral/social learning theory
is there a contract or reward, social support is needed to get them through it
what is the communication model
communication between patient and healthcare provider
what is the rational belief theory
cost benefit analysis, do pros out way the cons
what is the self regulatory system
very internal, patient is looking to problem solve through the illness.
what make you motivated (8)
1 personal attributes 2 environmental influences 3 support system 4 state of anxiety 5 learner readiness 6 realistic goals 7 learner satisfaction 8 uncertainty reduction
what are personal attributes
attitude, intrinsic motivation, and physical attributes
what are environmental influences
set up of facility, physical therapist/receptionist attitude
what are support systems
family, friends, transportation
what are state of anxiety
moderate state of anxiety is best
what is learner readiness
have some desire to reach the goal
what is goal characteristics
the patient and therapist need to be involved and do not under shoot/over shoot
what is learner satisfaction
are we happy with where we are headed or end result
what is uncertainty reduction
some cost benefit is happening, what is the outcome going to be, and how long will it take to get better
how do we assess motivation (5)
cognitive variable, affective variables, physiologic variables, experiential variables, and environmental variables
what are cognitive variables
capacity to learn, readiness to learn
what are affective variables
constructive emotional state and level of anxiety
what are physiologic variables
ability to perform required behavior
what are experiential variables
previous successes
what are environmental variables
social support, community resources, physical environment
what are the health behavior change theories (2)
health benefit model and transtheoretical model
what are the stages of the health belief model (3)
1 perception
2 modifying factors
3 likelihood of action
what is the perception stage
perceived susceptibility or seriousness of disease
what is the modifying stage
perceived threat of disease based on variables (demographics, media, family)
what is the likelihood of action stage
benefits vs minuses and likelihood action is taken
what are the stages of the transtheoretical model (5)
1 pre-contemplation 2 contemplation 3 preparation 4 action 5 maintenance
what is the pre-contemplation stage
patient doesn’t want to make changes
what is the contemplation stage
patient is considering making changes but no changes occur
what is the preparation stage
still no change but a deadline for change is close
what is the action stage
patient decides to do something
what is the maintenance stage
keep the behavior going at least 6 months
what is our role in health education as a facilitator
promote and educate people about what and why they need to do, meet level of motivation
what is our role in health education as a contractor
have an end game or goal, goals help keep you on track
what is our role in health education as a organizer
help them organize the exercises into their day, make sure the information makes sense
what is our role in health education as an evaluator
evaluate yourself, encourage patient to evaluate themself, and evaluate each other.