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BEHAVIOUR CONCEPT AT MEDICAL SCIENCES INTEGRATION OF BEHAVIORAL SCIENCES TO MEDICINE

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'Health is a state of complete physical, mental and social well-being and not ... DEFINITION OF HEALTH WILL PROVIDE LITTLE INFORMATION ABOUT THE HEALTH OF ... – PowerPoint PPT presentation

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Title: BEHAVIOUR CONCEPT AT MEDICAL SCIENCES INTEGRATION OF BEHAVIORAL SCIENCES TO MEDICINE


1
BEHAVIOUR CONCEPT AT MEDICAL SCIENCESINTEGRATIO
N OF BEHAVIORAL SCIENCES TO MEDICINE
  • A. BASAK CINAR

2
HELLO ! MY NAME IS A.
BASAK CINAR IF YOU WOULD LIKE TO KNOW MORE ABOUT
ME, PLEASE CLICK ON MY PICTURE.
I am mainly interested at Behavioural Sciences
at Medicine. I have studied about Communication
Pathways at Medicine, mainly at Oral Health Care
and Oral Health Psychology in common and at
children specifically.
3
This presentation is introduction to
Integration of Behavioral Sciences to Medicine
I
health concept and its relation to behaviour
behaviours as dynamic patterns that can be
transferred from one type to another how to
change negative health behaviours to positive
ones, and communication process holistic
approach integration of behavioural sciences to
medicine
4
(No Transcript)
5
Health is a state of complete physical, mental
and social well-being and not merely the absence
of disease or infirmity. (http//www.who.int/abou
t/definition/en/)
SO CAN NOT BE REFERRED TO NEGATIVELY AS THE
ABSENCE OF DISEASE, ILLNESS, AND SICKNESS.
RELIANCE ON A NEGATIVE DEFINITION OF HEALTH WILL
PROVIDE LITTLE INFORMATION ABOUT THE HEALTH OF
80-90 PERCENT OF THE POPULATIONS. (Ann
Bowling,1997)
6
RESTORE,
MAINTAIN,
IMPROVE () HEALTH
DEPENDS ON MEDICAL AND NON-MEDICAL
FACTORS AMONG THOSE ONE FACTOR INTEGRATING AND
AFFECTING EACH BEHAVIOR
7
NON-MEDICAL DETERMINANTS OF HEALTH
Personal resources
Living-working conditions
Better
Worse
neutral state of health
Health behaviours
Environmental factors
8

Figure 1 example for change at behavioural
patterns on axial platform
brushing
nonbrushing
Y axis
Y axis
(0,0) not brushing
X axis
X axis
9
? BEHAVIOUR ?
SYSTEM OR UNIQUE ALONE
If human beings are thought to be as open
systems, most important factor keeping the
continuity/aliveness of the system is behavioural
models that are formed, as outcome of individual
needs, expectations, wishes. Cognitive and
emotional structure affect the forming,
organisation, activation, continuity and
improvement of those models and also set up the
differentiation among individuals.
10
BEHAVIORAL SYSTEM
Figure 2 Behavioural System located around
self centre
Self Centred Behavioural System
BEHAVIOR B Directed to decrease
inharmonity. Target goal is attractor.
BEHAVIOR A Directed to increase inharmonity.
Target goal is compeller.
self self regulation
11
The concept of a postmodern self, states that the
self is actually made up of many different
selves, not just one stable self. It is multiple,
adaptable and socially constructed. Then for
example a woman might have family self (mother,
wife, daughter,), social relationship-self (
worker, friend, ), patient self. So self refers
to the composite of ideas, feelings, and
attitudes people have about themselves.
(Morreale, Spitzberg,
Barge, 2002)
12
PLATENARY SELF
Childs opinion about teeth brushing habits of
his/her mother
Feelings dislike, like brushing
health
Childs opinion about his/her own brushing,
intend to brush or not
Thoughts about the frequency of brushing
13
Y axis, cognitive factors
?
X axis emotional factors
HOW TO??
14
How to succeed communication with patient in most
effective and efficient way, to achieve the most
valuable outcome at health care service patient
with improved health and satisfaction that will
lead patients compliance to health regimens at
the long term.
SOCIAL RELATION SELF
PATIENT SELF
DOCTOR SELF
FAMILY SELF
COGNITIVE FACTORS (KNOWLEDGE, THOUGHTS,...)
EMOTIONAL FACTORS (FEELINGS, EXPECTATIONS...)
?
ETC.
15
PATIENT PSYCHOLOGY ( DIAGNOSIS )
INVESTIGATING DIFFERENT COMMUNICATION METHOD
ALTERNATIVES
EVALUATION
CHOOSING THE SUITABLE COMMUNICATION MODEL
CONTINOUS COMMUNICATION AND IMPROVEMENT OF
POSITIVE HEALTH BEHAVIOURS
ARRANGING COMMUNICATION MODEL ACCORDING TO
PATIENT,DESIGNING TREATMENT PLAN ON THE FRAME OF
THIS MODEL
IMPROVING POSITIVE AND LEAVING OUT THE NEGATIVE
COMMUNICATIVE PATTERNS WHICH ARE DETERMINED BY
PATIENTS BEHAVIORAL FEEDBACK ANALYSING THE
PROBLEMS AT NEGATIVE FEEDBACK
FOLLOW UP
PLANNING
COMMUNICATION BEFORE, DURING AND AFTER TREATMENT
AND FOLLOWING UP THE REACTIONS OF PATIENT
ACTING
CONTROL
16
As patients compliance to health regimens mostly
determines the success of treatment,
rehabilitation, preventive measures, he/she
should be taken into consideration as a system
with biological-physiological subgroups and
psychological processes.
Figure 3
Behaviour B (e.g NONsmoking)
Behaviour A (e.g smoking)
17
Figure 4 Interaction between patient, doctor,
nurse
nurse
doctor
patient
18
How to analyse this subgroups- subsystems - among
the perspective of system concept.
How to find out effective communicative pathways
How to define non-medical parameters relevant to
health
How to improve the quality of lives , remembering
that only healthy individuals can take the
responsibility of their own lives and the
society they are living in.
Responsibility will bring out endeavour and
willingness to develop the quality at every
single area in society.
Thus will bring out control over the bright
futures of tomorrow .and many questions starting
with how..
19
Even in a simple system composed of patient,
doctor, nurse answers are not so easy and with
one choice. First step might be to remember
prevention, treatment, rehabilitation should not
be based on only medical parameters.Most
effective solution may lay down on the concept of
integration of Behavioural Sciences to Medical
Sciences.
Behavioural Sciences INDIVIDUALS BEHAVIOUR
WITH ITS REASONS, GOALS CHARACTERISTICS OF
BEHAVIORAL PROCESSES AND ITS RELEVANCE TO OTHER
SCIENCES ARE STUDIED
THE MAIN SCIENCES THAT FORM BEHAVIORAL SCIENCES
  • PSYCHOLOGY

SOCIOLOGY
SOCIAL PSYCHOLOGY
ANTHROPOLOGY
20
Provision of health services is a process and
generally patient is the most common/identified
input and outcome of this system. Patient with
medical or non medical problems will enter system
and then leave it as satisfied or
dissatisfied.This mood will turn back to system
by feedback as input. Patient maintained or
improved his/her () health, is positive
feedback whereas patient with the previous health
or worser health conditions are negative for the
system. So how to, at least maintain, the
restored () health state. If the process chain
between input and output is the key determinant,
so then it might be better to define this process
.
21
Open systems have two main components, those are
input and output (reference)
System composed of many subsystems
input
output
Transformation process
???????
Patient with positive health outcomes, satisfied
and accepted the offered new health behaviour
leaving the health services
Patient with special needs and
expectations visiting health services
Interaction of sciences that forms the
prevention, treatment and rehabilitation
processes (transformation period)
22
Figure 5
A patient with deep caries and pain
Communicative Patterns based on Behavioural
Sciences
Input
T R A N S F O R M A T I O N P
Social Psychology e.g. how affected from friends,
modelling from family
Psychology e.gPatients beliefs, thoughts,
feelings, attitudes towards oral health care
Sociology e.g. social norms, beliefs affecting
the patients attitudes, thoughts, living
conditions, social realities, environmental
factors .
White box
Black box no any other interaction
Marketing (2.level subsystem of behavioural
sciences) e.g.affective and convincing
communicative patterns...
Treatment and maintenance/improvement of positive
oral health care, development of oral care
behaviourlong term success
outcome
Treatment
23
  • Communication active process at every stage of
    health care service.
  • Communicative patterns can not be standardised
    for all patients because all patients have
    different needs, feelings, attitudes, expectations

planing
Follow-up
communication
treatment
control
24
Figure 6 Communication between doctor and patient
KNOWLEDGE
MOTIVATION
SKILLS
KNOWLEDGE
RECEIVING MESSAGE
SKILLS
MOTIVATION
CONSTRUCTING MEANING
KNOWLEDGE
SKILLS
MOTIVATION
RESPONDING TO MESSAGE
PATIENT
25
MEDICAL SCIENCES ARE MAINLY FOCUSED ON HEALTH
OF INDIVIDUALS NONE OF OPEN SYSTEMS CAN LIVE
WITHOUT INTERACTION WITH NEIGHBOURHOOD
SYSTEMS INDIVIDUALS ARE OPEN SYSTEMS ON CONTINOUS
INTERACTION WITH EXTERNAL INTERNAL
ENVIRONMENT. MEDICAL SCIENCES ARE ON INTERACTION
WITH THE SYSTEMS AFFECTING INDIVIDUALS SO ONLY
ONE WAY MEDICAL TREATMENT CAN NOT BE SO
EFFECTIVE AT LONG TERM. HOLISTIC APPROACH
INTEGRATION OF BEHAVIORAL SCIENCES AND MEDICINE
MIGHT BE A KEY FOR A SOCIETY WITH HEALTHY
INDIVIDULAS HEALTHY INDIVIDUALS ARE EMPOWERED
FUTURE OF A SOCIETY
26
(No Transcript)
27
THANKS FOR READING PLEASE REMEMBER THAT I WILL
BE GLAD TO HEAR ABOUT YOUR VALUABLE
COMMENTS basak.cinar_at_helsinki.fi
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