Health Psychology Transtheoretical Model Quiz
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Questions and Answers

During which stage of the Transtheoretical Model do individuals acknowledge the need for change, but may not take immediate action?

  • Contemplation (correct)
  • Precontemplation
  • Action
  • Preparation
  • According to the Transtheoretical Model, what is the primary focus of the Preparation stage?

  • Sustaining the new behaviour
  • Weighing the pros and cons of change
  • Gathering information and support
  • Taking small steps toward change (correct)
  • Which of the following is NOT considered a cognitive model of health?

  • Social Cognitive Model
  • Transtheoretical Model (correct)
  • The Health Belief Model
  • Protection Motivation Theory
  • How do cognitive models of health view behavior change?

    <p>As a result of logical evaluation of costs and benefits (B)</p> Signup and view all the answers

    Which stage of the Transtheoretical Model is characterized by the actual implementation of a behavior change plan?

    <p>Action (A)</p> Signup and view all the answers

    What is the primary goal of the Maintenance stage in the Transtheoretical Model?

    <p>To prevent relapse and sustain the new behavior (B)</p> Signup and view all the answers

    According to the Transtheoretical Model, what is the significance of the Relapse stage?

    <p>It is a normal part of the change process and does not signify failure (A)</p> Signup and view all the answers

    Which cognitive model focuses on the role of perceived severity, susceptibility, benefits, and barriers in influencing health behavior?

    <p>Health Belief Model (D)</p> Signup and view all the answers

    What is 'Health Locus of Control'?

    <p>A framework exploring how individuals' beliefs about health are influenced by their personal experiences and their role in shaping their health. (C)</p> Signup and view all the answers

    Which of the following BEST describes 'Internal Locus of Control'?

    <p>Individuals with an internal locus of control believe they have a high level of control over their health through their actions and choices. (C)</p> Signup and view all the answers

    Individuals with an 'External Locus of Control' are more likely to view health as a consequence of:

    <p>Factors beyond their control, such as genetics, luck, or the environment. (C)</p> Signup and view all the answers

    Which of the following describes 'Unrealistic Optimism'?

    <p>The tendency for individuals to overestimate the likelihood of positive events and underestimate the likelihood of negative events happening to them. (C)</p> Signup and view all the answers

    What is 'Perceived Control' as a factor contributing to Unrealistic Optimism?

    <p>The tendency for individuals to overestimate the extent to which they can influence events and outcomes in their lives. (A)</p> Signup and view all the answers

    Which of the following is an example of 'Comparative Optimism'?

    <p>An individual believing they are more likely to get promoted at work than their colleagues. (A)</p> Signup and view all the answers

    How does 'Optimistic Bias' contribute to Unrealistic Optimism?

    <p>By emphasizing positive information and downplaying or ignoring negative information that contradicts existing beliefs. (D)</p> Signup and view all the answers

    What is the connection between 'Health Locus of Control' and 'Unrealistic Optimism'?

    <p>Individuals with a strong external locus of control are more likely to be unrealistically optimistic about their health. (D)</p> Signup and view all the answers

    What is the primary purpose of coping planning in the Health Action Process Approach?

    <p>To identify and overcome potential obstacles that may arise during behavior change. (B)</p> Signup and view all the answers

    According to the Health Action Process Approach, what happens during the Initiation stage of the Action Phase?

    <p>Individuals start to enact the health behavior based on their action plans. (C)</p> Signup and view all the answers

    What primary criticism is leveled at the effectiveness of traditional health models in predicting actual behavior?

    <p>They oversimplify the complexity of human behavior and fail to capture the intention-behavior gap. (D)</p> Signup and view all the answers

    Which of the following factors is NOT explicitly recognized as a limitation of the Health Action Process Approach?

    <p>Lack of guidance for developing effective coping plans to overcome challenges. (A)</p> Signup and view all the answers

    What does the phrase 'intention-behavior gap' refer to in the context of health models?

    <p>The discrepancy between individuals' stated intentions to change their behavior and their actual actions. (C)</p> Signup and view all the answers

    Which of the following represents an example of 'action control' within the cognitive factor of coping planning?

    <p>Identifying potential triggers and developing strategies to resist temptation. (D)</p> Signup and view all the answers

    How does the Health Action Process Approach address the limitations of traditional health models?

    <p>By incorporating specific steps for developing and implementing action plans to address behavior change. (B)</p> Signup and view all the answers

    What is the primary goal of the Maintenance stage within the Action Phase?

    <p>To ensure the individual's continued commitment and motivation for maintaining the behavior change. (D)</p> Signup and view all the answers

    According to Kelley's Covariation Model, which of the following factors relates to whether a person reacts differently to various stimuli or situations?

    <p>Distinctiveness (B)</p> Signup and view all the answers

    In Kelley's Covariation Model, if an individual smokes in a specific social group where most others smoke, what does this suggest about the consensus factor?

    <p>High consensus (A)</p> Signup and view all the answers

    Which component of the Theory of Planned Behavior measures an individual's perception of the ease or difficulty of performing a behavior?

    <p>Perceived Behavioral Control (A)</p> Signup and view all the answers

    According to Herzlich's Attribution Theory, how do individuals typically perceive health and illness?

    <p>Health is an internal quality, while illness is an external factor (C)</p> Signup and view all the answers

    Which of these components is NOT included in the Health Action Process Approach (HAPA)?

    <p>Social Influence (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Herzlich's Attribution Theory in health?

    <p>It emphasizes the role of internal dispositions in shaping health perceptions. (B)</p> Signup and view all the answers

    What is the main purpose of the 'Threat Appraisal' stage in HAPA?

    <p>Evaluating one's personal susceptibility to a health threat and the severity of potential consequences (A)</p> Signup and view all the answers

    Which of the following best describes the key difference between Kelley's Covariation Model and Herzlich's Attribution Theory?

    <p>Kelley's model focuses on attributions of others' behavior, while Herzlich's focuses on self-attributions of health experiences. (A)</p> Signup and view all the answers

    According to Herzlich's theory, what is a potential consequence of attributing illness to external factors?

    <p>Decreased motivation to engage in preventative health behaviors. (D)</p> Signup and view all the answers

    Which of the following is an example of a social outcome expectancy within the 'Outcome Expectancies' stage of HAPA?

    <p>My friends will be impressed if I lose weight. (D)</p> Signup and view all the answers

    Which stage of HAPA focuses on developing a clear intention to perform a health behavior?

    <p>Volitional Phase (C)</p> Signup and view all the answers

    Which of the following exemplifies high consistency in Kelley's Covariation Model?

    <p>A person smokes regularly throughout the day. (B)</p> Signup and view all the answers

    What is the role of self-efficacy in the Health Action Process Approach?

    <p>It influences both behavioral intentions and self-reports of behavior. (D)</p> Signup and view all the answers

    What does the phrase 'subjective nature of health perceptions' refer to in the context of Herzlich's Attribution Theory?

    <p>Individuals' interpretations of health are influenced by their personal beliefs and experiences. (B)</p> Signup and view all the answers

    How does the Health Action Process Approach (HAPA) differ from the Theory of Planned Behavior?

    <p>HAPA explicitly includes the concept of self-efficacy. (C)</p> Signup and view all the answers

    Which of the following is NOT a key component of the Theory of Planned Behavior?

    <p>Self-Efficacy (A)</p> Signup and view all the answers

    Which of the following is NOT a key principle of the Health Belief Model?

    <p>Perceived Cost (B)</p> Signup and view all the answers

    According to the Health Belief Model, what is the relationship between perceived severity and the likelihood of taking action?

    <p>Higher perceived severity increases the likelihood of taking action. (B)</p> Signup and view all the answers

    Which factor in the Health Belief Model refers to external triggers that prompt individuals to take action?

    <p>Cues to Action (B)</p> Signup and view all the answers

    In Protection Motivation Theory, what does 'Threat Appraisal' involve?

    <p>Assessing the severity and susceptibility of the health threat (A)</p> Signup and view all the answers

    Protection Motivation Theory suggests that individuals are motivated to protect themselves from what?

    <p>Perceived threats to their health and well-being (A)</p> Signup and view all the answers

    Which of the following is considered a key component of 'Coping Appraisal' in Protection Motivation Theory?

    <p>Perceived Response Efficacy (C)</p> Signup and view all the answers

    What is the main difference between the Health Belief Model and Protection Motivation Theory in terms of their focus?

    <p>The Health Belief Model emphasizes the role of self-efficacy, while Protection Motivation Theory emphasizes the role of perceived threats. (D)</p> Signup and view all the answers

    Which of the following examples best illustrates a 'cue to action' within the Health Belief Model?

    <p>A doctor's recommendation for a mammogram screening. (B)</p> Signup and view all the answers

    Flashcards

    Attribution Theory

    A theory explaining how people make judgments about causes of behavior.

    Kelley’s Covariation Model

    A model that describes how we attribute behavior based on consensus, distinctiveness, and consistency.

    Consensus

    Determines if others react similarly to the same situation, influencing attribution based on group behavior.

    Distinctiveness

    Assesses if a person behaves differently in various situations, highlighting unique responses to stimuli.

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    Consistency

    Examines if a person's behavior in a situation remains stable over time, indicating internal factors.

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    Herzlich's Attribution Theory

    Focuses on how individuals attribute causes to their health-related behaviors and their effects on coping and perception.

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    Internal Quality of Health

    The perception that health is an inherent quality within an individual rather than external.

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    External Attribution of Illness

    The belief that illness is caused by outside factors entering the body, not internal issues.

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    Health Locus of Control

    Beliefs about internal vs. external control over health.

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    Internal Locus of Control

    Belief that health is influenced by personal actions and choices.

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    External Locus of Control

    Belief that health is influenced by external factors like luck or fate.

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    Unrealistic Optimism

    Expecting personal outcomes to be better than objective standards.

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    Perceived Control

    Overestimating the control one has over life events.

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    Comparative Optimism

    Belief that one's own risks are lower than others'.

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    Optimistic Bias

    Downplaying negative information while focusing on positive.

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    Factors Influencing Health Outcomes

    Includes internal or external locus of control affecting health.

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    Transtheoretical Model

    A model outlining stages of behavior change including precontemplation, contemplation, preparation, action, maintenance, relapse, and termination.

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    Preparation Stage

    Stage where individuals decide to change behavior, set goals, and begin small actions toward their goals.

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    Action Stage

    Stage involving the active implementation of behavior change plans; modification of behaviors takes place.

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    Maintenance Stage

    The phase after successfully adopting a new behavior where individuals strive to sustain it and prevent relapse.

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    Relapse Stage

    Stage where the old behavior returns after a change; normal in behavior change process.

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    Termination Stage

    Final stage where individuals have maintained new behavior for an extended time without temptation to revert to the old behavior.

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    Cognitive Models in Health

    Models focusing on how thoughts and beliefs influence health behaviors and outcomes.

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    Health Belief Model

    A cognitive model explaining behavior through beliefs about the risks and benefits associated with health actions.

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    Coping Planning

    Strategies to anticipate and overcome obstacles during behavior implementation.

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    Action Plans

    Specific strategies individuals create for behavior change, like responding to temptations.

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    Cognitive Factors

    Mental strategies that support behavior change, including thoughts and actions.

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    Initiation Phase

    The phase where individuals start implementing their health behaviors based on plans.

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    Maintenance Phase

    Efforts to sustain new behaviors over time, despite setbacks or challenges.

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    Health Action Process Approach

    A model explaining how individuals plan and act on health behaviors.

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    Intention-Behavior Gap

    The discrepancy between what people intend to do and their actual behavior.

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    Criticisms of Health Models

    Observations that health models fail to predict behavior accurately due to various complex factors.

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    Subjective Norms

    Perceived social pressure to perform a behavior based on expectations from others.

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    Perceived Behavioral Control

    An individual's perception of how easy or difficult it is to perform a behavior.

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    Health Action Process Approach (HAPA)

    A model that links self-efficacy to behavioral intentions and actions.

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    Motivational/Awareness Phase

    The initial phase where individuals assess health threats and benefits of behavior.

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    Threat Appraisal

    The assessment of one's susceptibility to a health threat and its severity.

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    Outcome Expectancies

    The consideration of potential benefits and costs associated with a health behavior.

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    Self-Efficacy

    Confidence in one's ability to perform a desired health behavior.

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    Volitional Phase

    The phase where individuals form intentions and create action plans for behavior change.

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    Perceived Susceptibility

    An individual's assessment of their personal risk for a health issue.

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    Perceived Severity

    How serious an individual believes a health problem or condition is.

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    Perceived Benefits

    The advantages an individual sees in taking a specific health action.

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    Perceived Barriers

    Obstacles that may prevent an individual from taking recommended health actions.

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    Cues to Action

    External triggers that prompt individuals to engage in health-related behaviors.

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    Protection Motivation Theory

    A model predicting health behavior based on perceived threats and coping strategies.

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    Study Notes

    Introduction to Health Behaviours

    • Health behaviours are actions, intentional or accidental, that affect health and mortality.
    • These behaviours can enhance or diminish well-being, both for the individual and those around them.
    • Examples include smoking, substance use, dietary choices, physical activity, sleep patterns, and medication adherence.

    Health Behaviours

    • Kasl and Cobb (1966) classified health-related actions into 3 distinct categories:
    • Health behaviour: Actions taken to prevent illness or disease (e.g., eating a healthy diet).
    • Illness behaviour: Actions taken when experiencing illness or health issues to seek remedies or treatment (e.g., visiting a doctor).
    • Sick-role behaviour: Actions taken to recover and restore well-being (e.g., adhering to medical advice, resting).

    Health Behaviour

    • Matarazzo (1984) further categorized these behaviours into:
    • Health-impairing habits (behavioral pathogens): Actions with the potential to harm health (e.g., smoking, poor diet).
    • Health protective behaviours (behavioral immunogens): Actions taken to safeguard and enhance health (e.g., regular health checks, exercise).

    Predicting Health Behaviours

    • Leventhal et al. (1985) identified several factors influencing health behaviours:
    • Social factors: Aspects of the social environment affecting behaviours, like learning, reinforcement, and social norms.
    • Genetics: The possibility of a genetic basis for certain health behaviours, like alcohol use.
    • Emotional factors: Emotional states (anxiety, stress, fear) can motivate or hinder health-related actions.
    • Perceived symptoms: Physical symptoms can encourage or discourage engagement with health care.
    • Beliefs of the patient: Personal beliefs, attitudes, and perceptions can influence health behaviours and adherence to medical advice.
    • Beliefs of the health professional: Healthcare providers' recommendations and expertise also impact patient behaviours.

    Theories of Health Psychology

    • Attribution Theory: Developed by Fritz Heider, focusing on individual's cause-and-effect perception of events and behaviours. Key concepts include Kelley's Covariation Model, which examines consensus, distinctiveness, and consistency in attributing causes to actions.
    • Locus of Control: Explores individual beliefs about control over health experiences. Internal locus of control suggests self-regulation, while external locus of control attributes outcomes to external factors.
    • Unrealistic Optimism: Individuals often overly optimistic about positive outcomes and underestimate risks of negative outcomes (Shepperd et al., 2015).
    • Self-Affirmation Theory: Individuals have a fundamental need for positive self-image and esteem and are motivated to defend self-worth during a health threat (Schwarz, 1992).
    • Stages-of-Change Model (Transtheoretical Model): A model of behaviour change with identifiable stages: precontemplation, contemplation, preparation, action, maintenance, and termination.

    Cognition Models in Health

    • Cognitive models explain behaviours as rational evaluations of potential costs and benefits.
    • Key models include Health Belief Model, Protection Motivation Theory, Social Cognitive Theory, Theory of Reasoned Action/Planned Behaviour, and the Health Action Process Approach.

    Health Belief Model

    • Individuals' perceptions of health threats, perceived benefits of action, and barriers to action influence health-related behaviours. Key concepts are perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy.

    Protection Motivation Theory

    • Aims to explain how individuals respond to perceived health threats. Focuses on factors such as perceived severity and susceptibility of a threat, perceived self-efficacy regarding response effectiveness, and cost/benefit of response.

    Social Cognitive Theory

    • Highlights the role of social and cognitive factors in shaping health behaviours. Emphasizes observational learning, self-efficacy, and outcome expectations.

    Theory of Reasoned Action/Planned Behaviour

    • Argues that behavioural intentions and perceived control are major predictors of health behaviour. Evaluates attitudes towards the behaviour, subjective norms regarding that behaviour, and perceived behavioral control over the behaviour.

    Health Action Process Approach (HAPA)

    • Emphasises self-efficacy as a key determinant of both behavioural intentions and health-related behaviours. Identifies three phases: Motivational/Awareness Phase (Threat Appraisal, Outcome Expectancies, Self-Efficacy), Volitional Phase (Intention Formation, Planning, Coping Planning), and Action Phase (Initiation, Maintenance).

    Criticisms of Health Models

    • Simplified nature of models.
    • Limited predictive power for actual behavior, especially complex behaviors.
    • Overemphasis on rational decision making.
    • Inconsistent results with various populations.

    Discussion/Group Activity

    • Students are encouraged to reflect on their personal health-related changes.
    • They can discuss how their health beliefs influenced these changes, or not, using the various theories described previously.

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    Description

    Test your knowledge on the Transtheoretical Model of behavior change in health psychology. This quiz covers stages like Preparation, Action, and Maintenance, as well as concepts related to cognitive models of health. Challenge yourself to apply key principles and enhance your understanding of behavior change processes.

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