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01:830:377 (22)
Mc Carthy (3)

Health Psych 4

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Department
Psychology
Course
01:830:377
Professor
Mc Carthy
Semester
Fall

Description
Health Psych Final Review The types of behaviors that are best promoted by lost framed messages • Lost framed message: if you don’t get an HIV test you may feel anxious about your status. If you don’t engage in the health behavior that I encourage, you will feel worse and uncertain • Risky behaviors—there is the risk that you may have a disease that you don’t know about o HIV testing • Those that carry some kind of risk. Run the risk of discovering something negative o Detection behaviors—mammogram o Risky behavior • Why is it better to promote risky behavior with lost framed messages should be more persuasive with negative outcomes? Rights of research participants in the informed consent process • Confidentiality—the investigators will not share the information they have about you without getting your consent • Knowing the purpose of the research and how your data will be used o Your informed consent is bound by your understanding of the research is • Knowing that you have alternatives, that it is not your only way of getting information • You have the right to withdraw from the research whenever you want, it is voluntary o Undo incentive: threatening someone if they didn’t participate Problems with current health behavior models. Critiques of our current models • They don’t capture the complete complexity of the determinence of our health • They don’t explain all behaviors well • They don’t explain disparities • They don’t really capture what is driving specific behaviors in a generalizable way • And it is hard to measure attitudes, social norms Challenges in the efficacy of CAM • It is difficult to have viable placebos and double blinding for things like acupuncture and yoga (the instructor cant be blinded, the patient knows what they are doing. They know that they are getting active treatment) • Standardization • Selective The bensing study—hypertensive patients interact with providers in the US • In the dutch physicians, they focus more on life with their patients than the US physicians, however they spent more time with the patient but see them less • The US provide more technical diagnostic and treatment information while dutch talked more about what was going on in the patients lives System and provider approaches to What can we encourage providers to do for patient adherence • Cultural competence—teach providers to be aware of cultural competence • Ensure patient understands technical terminology for treatment. Asses patients understanding of what you told them. Have them repeat what was told to them. Active check on patient understanding • Make sure patient has enough time to express their concerns and don’t let them be interrupted too abruptly The ethical standard for—if you are going to do a study to evaluate a new treatment, what do ethcists require for you to use as a comparison • The best available to your subjects to advance understanding how your treatment stacks up the current best Methods to improve provider guidance to patients—evidence based treatment • Pay for performance—incentive for adherence to guidelines • Electronic health record prompts—i
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