Transcript
FALL 2011: WEEK 9 , LECTURE 1
PTHA 1301: The Profession of Physical
Therapy
DARIUS GOES WEST
QUIZ
Goals for Today: Personality Part 2 & Motivation
Discuss upcoming research paper/presentation
Identify 16 personality types listed on the MBTI Self-Scorable Form M
Describe the effect of personality type on physical therapy care
Describe factors affecting motivationExplore the phenomenon of adherence to
treatmentDiscuss the role of health care professionals
in promoting motivation and adherence
Research Paper Due Dates
Rough Draft w/citations (at least 5 pages) due Sunday 10/30/11 at 11pm via Blackboard
Rough Draft of Visual Presentation due Tuesday 11/01/11 at 2:30pm via Blackboard or in
personPrinted Draft w/your edits & at least 1 peer edit
show Elaine 11/03/11 by 2:30pmPrinted Final Paper (7-10 pages)
due Tuesday 11/08/11 by 2:30pmFINAL Visual Presentation & Handout
due Tuesday 11/08/11 by 2:30pm via Blackboard or hard copy
due Tuesday 11/08/11 by 2:30pm via hard copy
Research Paper Requirements
APA Format – writing style guidelines published by The American Psychological Association
7-10 pages (Introduction, Body, Conclusion) PLUS: Title Page & Works Cited (Reference Page)
Double Spaced 1” margins on all sides 12 point, Times New Roman font (per APA
recommendations)
At least 5 sources cited in your paper One of the 5 sources must be a personal interview
Research Presentation Requirements
8-10 minutes in length
Utilize a visual aide during your presentation Power Point Flip Chart Prezi
Prepare & issue a written handout for the class AT LEAST 1 page Be creative!
Personality – Part 2
MBTI: Myers-Briggs Type Indicator Based on theory of psychological types (Carl Jung, 1920’s) MBTI Developed in the 1940s (Isabel Briggs Myers) Original Research for MBTI 1940s-1950s MBTI was first published in 1962 Millions have taken the MBTI & research is ongoing
MBTI: 16 personality types/personality preferences What is your type?
What is the effect of personality type on PT care?
Behavior ChangeSmall Group Activity: Background Information
Ted is a 45 year old construction worker who has come to you for treatment of low back pain. This is not his first time receiving treatment. You find that he has been to PT, a nutritionist, and a back school in the past. He admits that he had trouble following through with the home programs. Ted continues to be 50 pounds overweight and smokes a pack of cigarettes per day. He is divorced and at the end of the day, he likes to sit in front of the TV and “have a few beers.”
Small Group Activity: Instructions
Divide into 3 groups of 5
Use the assigned method to attempt to change the patient’s behavior
Consider the pros and cons of your assigned method
Problem solve in your group and prepare to present in class
Motivation Defined
A psychological construct that arouses an individual to take the actions needed to achieve a goal
Adherence
Degree to which clients follow treatmentMeasured by factors such as
Clinic attendanceDegree of adherenceClient self-reportsClinician’s assessment
Factors Affecting Motivation & Adherance
Locus of ControlSelf-EfficacySelf-EsteemSocial Determinants of Health
Locus of Control
Julian Rotter (1960s)Dynamic theory based on life experiences
Influenced by culture and family Internal Locus of Control: believe that they can influence what will
happen to them (increased self motivation) External Locus of Control: believe that what happens to them is a
result of outside influences/events
Internal
External
Self-Efficacy
A phenomenon of a client’s perception of reality Sense of competence and ability Related to how successful people believe they can be in accomplishing a
task
Self-Judging: Positive and negative perceptions influence therapeutic outcomes
Bandura introduced concept in 1977
A strong sense of self-efficacy relates to increased adherence
Self-Efficacy is a dynamic concept, it can be improved!
Self-Esteem
How people feel about themselves Do they accurately assess self-worth in comparison to others? Do they take pride in their abilities?
Clients with strong self-esteem Tend to have higher motivation to be actively involved in their
care Believe they are in control of their own lives
Social Determinants of Health
Race/ethnicityLiteracyEducationIncomePlace of residenceCommunity resourcesSocial support (see next slide)
Social Support
Patients who are supported have Greater optimism Less depression Less anxiety Improved quality of life Higher self-esteem Greater adherence to treatment
Factors That Affect Clients’ Motivation and Adherence
Locus of ControlSelf-EfficacySelf-EsteemSocial Determinants of Health
Other Factors That Affect Clients’ Motivation and Adherence
Psychological state Depression Anxiety Feelings of inferiority Shame Guilt Denial Fear
Other Factors That Affect Clients’ Motivation and Adherence
CultureHealth and health care historyPractical concerns
Other Factors That Affect Clients’ Motivation and Adherence
Health care professionalCongruency of clinician and client goalsCompatibility with clients’ attitudes, beliefs, values,
style of self-regulationLevel of knowledge and skillAbility to
Empathize with clients’ needs Individualize treatment plan
Barriers to Effective Motivation and Adherence
KnowledgeReadiness to changeCongruence/shared goalsPragmatic problemsIllness parametersDepression/hopelessnessSelf-efficacyLocus of control
Promoting Motivation and Adherence
Clients tend to be motivated to strive towards goals That are important and relevant to them That they believe/hope are possible
Clients tend to adhere to programs that are Not too difficult Not too costly Not too time consuming Are consistent with their health belief system
Strategies to Enhance Motivation and Adherence
Modifying health behaviors Health Belief Model Transtheoretical Model for Health Behavior Change (Stages of
Change) Motivational Interviewing
Strategies to Enhance Motivation and Adherence
Education and empowermentClient-centered careGoal settingFeedback and follow-upPeer support groupsFunctional programsPrimary and secondary control-enhancing strategiesCollaboration
Client-Related Barriers to Collaboration
Non-adherenceImpairments and disabilitiesLack of interest in collaborationPerception that clinician has lack of timeUncertainty regarding success of treatment
Clinician-Related Barriers to Collaboration
Inadequate knowledge about how to collaborateUnwillingness to relinquish/share powerPaternalistic perspectiveFailure to consider pre-morbid lifestyle and history
Strategies for Improving Collaboration
Client-centered care Ask clients to identify questions and problems in their own
words Facilitate open dialogue Educate clients about how to be active participants
Upcoming Assignments
See handout for revised due dates of Research Project Assignments
Thank You letter to Christi Anderson due THIS Thursday at 2:30pm
Go RANGERS!!!
top related