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HEALTH BEHAVIOR, HEALTH EDUCATION & HEALTH PROMOTION. Theories, Practice & Research RST- FK-UWKS, 2014. HEALTH BEHAVIOUR Theories. ATTITUDES : Cognitive aspect Affective aspect Conative aspect (Psychomotor). PRACTICES: Overt behavior. Behavior (B ) =
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HEALTH BEHAVIOR, HEALTH EDUCATION & HEALTH PROMOTION Theories, Practice & Research RST- FK-UWKS, 2014
HEALTH BEHAVIOUR Theories • ATTITUDES: • Cognitive aspect • Affective aspect • Conative aspect (Psychomotor). • PRACTICES: Overt behavior • Behavior (B) = f (K.A.P) K & A: covert behaviour
CHANGES to BLOOM’SA NEW VERSION of the Cognitive Taxonomy 2001 1956 to Verb Form NOUN Taksonomi Bloom, sumber Wilson 2006
THE HEALTH BELIEF MODEL (HBM), COMPONENTS & LINKAGES Likelihood to action Individual PERCEPTION Modifying factors Perceived Susceptibility/ Severity of disease Cues to action: • Education • Symptoms, illness • Media information Age, sex, ethnicity Personality Socioeconomics Knowledge Attitude, Culture (values, Norms) Perceived threat of disease Likelihood of Behavior change Perceived benefits Minus Perceived barriers to behavior change
Perceived susceptibility: one’s opinion of chances of getting a condition Perceived severity: one’s opinion of how serious a condition and its sequelae are Perceived barriers: one’s opinion of tangible & psychological costs of advised action Perceived benefits: one’s opinion of the efficacy of the advised action to reduce risk or seriousness of impact. Cues to action: Strategies to activate one’s “readiness” Self-efficacy: One’s confidence in one’s ability to take action KEY CONCEPTS AND DEFINITIONS OF HBM
PRECEDE- PROCEED Framework of HP-planning ( L.W.Green & Kreuter, 2000) Phase 4 Phase 3 Phase 5 Phase 2 Phase 1 PREDISPOSING factors HEALTH PROMOTION PRECEDE Health EDUCATION BEHAVIOR & Lifestyle REINFORCING factors Quality Of LIFE HEALTH POLICY Regulation group ENABLING factors ENVIRONMENT Phase 9 Phase 8 Phase 7 Phase 6 PROCEED
Health Behavior = f (Pre. En. Re.)( L.W.Green). • PREDISPOSING FACTORS: • NORMS, VALUES, KNOWLEDGE, ATTITUDES, SOCIOECONOMICS, PSYCHOLOGICAL FACTORS • ENABLING FACTORS: • COMPETENCY—HARD SKILL , SOFT SKILL, HEALTH FACILITY ( Availability, Acessability, Acceptability, Affordability). • REINFORCING FACTORS: • Health Providers, Community/ spiritual Leaders, Peers, Husband / Wife/ Child – Children).
Motivation factors: adalahfaktorpekerjaanyang keberadaannyadapatmenimbulkankepuasan Hygiene factors: adalahfaktorlingkungankerjayang ketidak-beradaannyadapatmenimbulkanketidakpuasan. Hygiene-Motivation Factors (F.Herzberg)) (Two-factor theory)
Faktor penentu kepuasan: (Motivation factors) Achievement.(Prestasi) Recognition. (Pengakuan) Work itself. (Sifat Pekerjaan) Responsibility. (Tanggung Jawab) Advancement. (Kemajuan/ Promosi/Pengembangan) Faktorkepuasankerja (F.Herzberg))
Penyebab ketidakpuasan: (Hygiene factors) Policy (Kebijakan) Salary (Gaji) Working conditions (Kondisi pekerjaan) Interpersonal relations(Hubungan antar individu) Supervision (Pengawasan) Faktorkepuasankerja (F.Herzberg)
ADOPTION & DIFFUSION OF INOVATION PROCESS IN THE COMMUNITY FK-UWKS-2014
ADOPTION PROCESS (Rogers et al, 1971) • A WARENESS • I NTEREST • E VALUATION • T RIAL • ADOPTION
STAGES in the INNOVATION-DECISION PROCESS (Rogers et al, 1983). K NOWLEDGE P ERSUASION D ECISION I MPLE MENTATION 5. C ONFIRMATION
STAGES in the INNOVATION-DECISION PROCESS (Rogers et al, 1983). Communication Channels • PRIOR • CONDITION • Previous practice • Felt needs /problems • Innovativeness • Norms of the soc.syastem KNOWLEDGE PERSUASION DECISION Charact. Of the Decision making unit: 1.Soc—econ, 2.Personality 3.Communcation behavior Perceived Charact of the Innovation: 1Relative advantage 2.Compatibility 3.Complexity 4.Trialability 5.Observability 1.Adoption 2.Rejection Cont’d
STAGES in the INNOVATION-DECISION PROCESS COMMUNICATION CHANNELS V. CONFIRMATION IV. IMPLEMENTATION III. DECISION Continued Adoption Later Adoption Adoption Discontinuance Continued Rejection Rejection
ATTRIBUTES OF INNOVATION & THEIR RATE OF ADOPTION 1. RELATIVE ADVANTAGE 2. COMPATIBILITY 3. COMPLEXITY 4. TRIALABILITY 5. OBSERVABILITY RELATIVE ADVANTAGE • Economic. Aspect • Status aspect • Effect of Incentive s COMPATIBILITY: with • Values & beliefs • Needs • Rate of Adoption • Positioning of innovation
ADOPTER CATEGORIES as IDEAL TYPES • INNOVATORS : Venturesome • EARLY ADOPTERS :Respectable • EARLY MAJORITY : Deliberate • LATE MAJORITY : Skeptical • LAGGARDS : Traditional
DAFTAR PUSTAKA • GLANZ, KAREN, FRANCES MARCUS LEWIS, BARBARA K.RIMER editors,1997. HEALTH BEHAVIOR & HEALTH EDUCATION. Theory, Research, and Practice, 2nd ed. Jossey-Bass Publishers, San franscisco • Rogers, Everett M,1983. DIFFUSION OF INNOVATIONS, 3rd ed. The Free Press NY& Collier Macmillan Publishers.London.