HEP4210 Understanding Health Behaviour
All cases and lectures
Maastricht University
,Inhoudsopgave
Case 1 Where to start ....................................................................................................................................... 3
Case 2 Confiding about confidence to quit ..................................................................................................... 19
Case 3 I determine whether I’m motivated .................................................................................................... 38
Case 4 Automaticity or control? ..................................................................................................................... 55
Case 5 The ball and the fence ......................................................................................................................... 71
Introduction ................................................................................................................................................... 91
Lecture principles, planning models, determinant theories ............................................................................ 93
Lecture Attitude, Social influence and self-efficacy ...................................................................................... 101
Lecture Self-determination .......................................................................................................................... 122
Lecture automatic behaviour – habits .......................................................................................................... 135
Lecture mediators, moderators and monsters ............................................................................................. 149
Response lecture .......................................................................................................................................... 161
Debate ......................................................................................................................................................... 169
,Case 1 Where to start
Learning goals
1. What is health education and promotion?
2. What is the Ottawa Charter and why is it important?
3. What is a planning model and why is it important?
a. What are they about? (briefly)
4. What is the health belief model?
a. try to implement the case (obesity)
5. What is the precede-proceed model in general?
a. various steps briefly described
b. Apply the article about obesity to the precede-proceed model
1.What is health education and promotion?
Source: Ottawa charter
Health promotion is the process of enabling people to increase control over, and to improve, their
health. To reach a state of complete physical, mental and social well-being, an individual or group
must be able to identify and to realise aspirations, to satisfy needs, and to change or cope with the
environment.
Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a
positive concept emphasising (benadrukken) social and personal resources, as well as physical
capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes
beyond healthy life-styles to well-being.
Source: Syllabus
Health promotion refers to the process of enabling people to increase control over their health and
its determinants.
Health education is one of the methods used in health promotion and this refers to educating people
about health and on how they could change their health.
A special focus is on health behaviour, which refers to the actions people can take themselves to
reach or maintain good health and/or to prevent illness. These health behaviours can take place on
the individual level, but also at a group level.
, Promoting health behaviour can take place at :
- micro level (the personal level)
- meso level (the organisational level, including families, schools and worksites)
- macro level (the (inter)national level, including governments).
In addition to health education, health promotion → also focuses on changing the physical,
sociocultural, economic and political environment, in such a way that health behaviour is facilitated.
Health promotion could therefore be regarded as the combination of educational and
environmental support to promote health behaviour.
2. What is the Ottawa Charter and why is it important?
Source: … (niet gelezen in boek)
The Ottawa Charter for Health Promotion isn’t really a health model, but more a framework that
helps you to achieve effective health promotion. It was the beginning of ‘health promotion’. Health
promotion entails both providing and integrating (e.g. though skills training or enabling people)
knowledge.
The fundamental conditions and resources for health are: peace, shelter, education, food, income, a
stable eco-system, sustainable resources, social justice and equity. Improvement in health requires a
secure foundation in these basic prerequisites.
Source: Ottawa Charter
The International Conference on Health Promotion in Ottawa was primarily a response to growing
expectations for a new worldwide public health movement. → They wanted to achieve a
healthy/healthier world by the year of 2000.
ADVOCATE (pleiten voor)
Political, economic, social, cultural, environmental, behavioural and biological factors can all favour
health or be harmful to it. Health promotion action aims at making these conditions favourable
through advocacy for health.