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CHAPTER 1 PROMOTING HEALTHY BEHAVIOR CHANGE OVERVIEW Health and wellness are active states which are deeply affected by style of living. In order to be healthy, one must make decisions when to change behavior and when to maintain current behaviors. Chapter 1 provides a basic understanding of the concept of health, describing the six dimensions of health and helping the reader to understand how they relate to form a dynamic process of achieving one’s potential. A major focus of Chapter 1 is the decision making section. Please note that several theories are discussed, including Prochaska and DiClemente’s “Stages of Change” model and the Health Belief Model. In addition, goal setting is explored to help the students learn how to take decision-making to the next step – action! Altogether, Chapter 1 sets the tone for the remainder of the book. LEARNING OBJECTIVES 1. Discuss health in terms of historical perspectives and its multidimensional elements. 2. Explain the importance of a healthy lifestyle in preventing premature disease and disability. 3. Discuss the health status of Americans and the importance of Healthy People 2000, Healthy People 2010 Steps to a Healthier US, and the Agency for Health Care, Research, and Quality guidelines and initiatives in establishing national goals for promoting health. 4. Evaluate the role of gender in health status, health research, and health training. 5. Provide a rationale for focusing on current risk behaviors as a means of influencing current and future health status. 6. Examine how predisposing factors, beliefs, attitudes, and significant others affect a person’s behavior changes. 7. Access behavior change techniques, and apply them to your own situation. I. Defining Health. A. The definition of health has evolved throughout history. 1. Early definition of health was the opposite of sickness. 2. The discovery of microorganisms was the motive for defining health as good hygiene, which included sanitation and other behaviors. 3. Statistics used to measure health include mortality and morbidity rates. a. Mortality rates describe death rates. b. Morbidity rates describe illness rates. OUTLINE
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4. Rene' Dubois defined health as “a quality of life, involving social, emotional, mental, spiritual, and biological fitness on the part of the individual, which results from adaptations to the environment”. 5. Modern definitions of health explain it as a dynamic, ever-changing process of trying to achieve one's potential in six interrelated dimensions. (See Figure 1.1) a. Physical health refers to such aspects as body functioning, resistance to disease and ability to recuperate, physical fitness. This includes our ability to perform normal Activities of Daily Living (ADL). b.
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