Wk 9 lecture 1 pp
- 1. PTHA 1301: The Profession of Physical Therapy FALL 2011: WEEK 9, LECTURE 1
- 3. Today’s Theme Song Something Beautiful
- 4. 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 motivation Explore the phenomenon of adherence to treatment Discuss the role of health care professionals in promoting motivation and adherence
- 5. 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 person Printed Draft w/your edits & at least 1 peer edit show Elaine 11/03/11 by 2:30pm Printed Final Paper (7-10 pages) due Tuesday 11/08/11 by 2:30pm FINAL 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
- 6. 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
- 7. 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!
- 8. 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?
- 9. Behavior Change Small 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.”
- 10. 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
- 11. Motivation Defined A psychological construct that arouses an individual to take the actions needed to achieve a goal
- 12. Adherence Degree to which clients follow treatment Measured by factors such as Clinic attendance Degree of adherence Client self-reports Clinician’s assessment
- 13. Factors Affecting Motivation & Adherance Locus of Control Self-Efficacy Self-Esteem Social Determinants of Health
- 14. 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 External Internal
- 15. 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!
- 16. 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
- 17. Social Determinants of Health Race/ethnicity Literacy Education Income Place of residence Community resources Social support (see next slide)
- 18. Social Support Patients who are supported have Greater optimism Less depression Less anxiety Improved quality of life Higher self-esteem Greater adherence to treatment
- 19. Factors That Affect Clients’ Motivation and Adherence Locus of Control Self-Efficacy Self-Esteem Social Determinants of Health
- 20. Other Factors That Affect Clients’ Motivation and Adherence Psychological state Depression Anxiety Feelings of inferiority Shame Guilt Denial Fear
- 21. Other Factors That Affect Clients’ Motivation and Adherence Culture Health and health care history Practical concerns
- 22. Other Factors That Affect Clients’ Motivation and Adherence Health care professional Congruency of clinician and client goals Compatibility with clients’ attitudes, beliefs, values, style of self-regulation Level of knowledge and skill Ability to Empathize with clients’ needs Individualize treatment plan
- 23. Barriers to Effective Motivation and Adherence Knowledge Readiness to change Congruence/shared goals Pragmatic problems Illness parameters Depression/hopelessness Self-efficacy Locus of control
- 24. 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
- 25. Strategies to Enhance Motivation and Adherence Modifying health behaviors Health Belief Model Transtheoretical Model for Health Behavior Change (Stages of Change) Motivational Interviewing
- 26. Strategies to Enhance Motivation and Adherence Education and empowerment Client-centered care Goal setting Feedback and follow-up Peer support groups Functional programs Primary and secondary control-enhancing strategies Collaboration
- 27. Client-Related Barriers to Collaboration Non-adherence Impairments and disabilities Lack of interest in collaboration Perception that clinician has lack of time Uncertainty regarding success of treatment
- 28. Clinician-Related Barriers to Collaboration Inadequate knowledge about how to collaborate Unwillingness to relinquish/share power Paternalistic perspective Failure to consider pre-morbid lifestyle and history
- 29. 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
- 30. Upcoming Assignments See handout for revised due dates of Research Project Assignments Thank You letter to Christi Anderson due THIS Thursday at 2:30pm
- 31. Go RANGERS!!!