Hold dig rask, mens du holder dig hjemme

Posted Sebastian PottHoffPosted in Acceptance and Commitment Therapy, Coping, Habit, Mental Health, Planning, Routines, Self-monitoring, SMART Goals

Af Dr. Federica Picariello og professor Rona Moss-Morris, King’s College London, Storbritannien.

I løbet af få uger ændrede dagligdagen sig dramatisk verden over, og usikkerhed omkring fremtid opstod i kølvandet på COVID-19-pandemien. Ud over det øjeblikkelige, presserende behov for at bremse spredningen af ​​COVID-19 gennem hurtige, omfattende adfærdsændringer (dvs. selvisolation, social afstand og karantæne), bør indvirkningen på mental og fysisk velvære overvejes for at muliggøre tidlig indgriben og afbøde konsekvenserne på længere sigt.

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Hvordan opretholder man sunde vaner på langt sigt?

Posted Sebastian PottHoffPosted in Habit, Motivation, Self-monitoring, Self-regulation

Dominika Kwasnicka, SWPS University, Poland and University of Melbourne, Australia

Det ultimative mål med sundhedsfremmende tiltag er at skabe længerevarende forandring og sundhedsprofessionelle kan hjælpe patienterne til at forbedre deres helbred og bibeholde adfærdsændringer. Vi ved at det er svært at påbegynde en adfærdsændring og endnu sværere at holde ved den på længere sigt. Et af de store spørgsmål, inden for sundhedspsykologi, er, hvorfor det er så svært at holde ved.  

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Stop being an ostrich! The benefits of helping people to monitor their progress

Posted Sebastian PottHoffPosted in Self-monitoring

By Thomas L. Webb, Department of Psychology, The University of Sheffield, the UK

How are you getting on with your goal to reduce the amount of sugar that you eat and lose 10kg? Chances are that you don’t really know – or even want to know. In situations like these, people tend to behave like ostriches and bury their heads in the sand, intentionally avoiding or rejecting information that would help them to monitor their goal progress. Research on this “ostrich problem” suggests that people often do not keep track of their progress (e.g., step on weighing scales, read the packets of food that they buy), in part, because doing so can make them feel bad about themselves – e.g., they realise that they weigh more than hoped and that they still consume too much sugar. However, theory and evidence suggest that keeping track of progress helps people to identify discrepancies between their current and desired states that warrant action. The implication is that avoiding monitoring makes it difficult to identify the need to act and the most appropriate way to do so. The ostrich problem therefore represents an opportunity for healthcare professionals (and others) to help people to monitor their progress and capitalise on the benefits of so doing. Perhaps not surprisingly then, we found good evidence that prompting people to monitor their progress helps people to achieve goals across a range of domains.

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Insights from behavioural science for the COVID-19 pandemic

Posted Sebastian PottHoffPosted in Communication

By Shane Timmons, Economic and Social Research Institute, Ireland

Governments worldwide have mobilised to try to control the spread of the novel coronavirus, but the behaviour of individuals will be vital to their success. We – the Behavioural Research Unit at the Economic and Social Research Institute in Dublin – are working with Ireland’s Department of Health to inform their response to the COVID-19 pandemic. As part of this work, we’ve reviewed over 100 scientific papers and have begun testing ways to best communicate with the public, with lessons relevant for health psychology practitioners. In our review, we focus on literature relevant for three areas that have formed the basis for public health messaging in multiple countries: hand hygiene, face touching and isolation. We also address broader literatures on how to motivate helpful behaviour and communicate effectively in a crisis. 

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The importance of assessing clients’ coping strategies

Posted Sebastian PottHoffPosted in Assessment, Coping

By Nadia Garnefski and Vivian Kraaij, Department of Clinical Psychology, Leiden University, The Netherlands

“Rob has just heard that he has HIV (negative event). He thinks that he is the one to blame for this (self-blame) and he avoids seeing his friends (withdrawal). The situation makes him sad. When sitting at home, he cannot stop thinking about his feelings (rumination) and believes that what has happened to him is a complete disaster (catastrophizing). Because he feels sad, he has little energy. As a result, he withdraws even more. This makes him even sadder. In this way, Rob is drawn into a downward spiral.”

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Are your clients being defensive? If so, self-affirmation may help.

Posted Sebastian PottHoffPosted in Communication, Motivation, Self-affirmation, Self-efficacy

Peter Harris and Ian Hadden, The Self-Affirmation Research Group, School of Psychology, University of Sussex, UK

Have you ever been reluctant to face up to something you’d rather ignore? Maybe your fondness for something bad for you that you eat too often or your tendency to avoid health check-ups? Well, you’re not alone. Most of us think we are generally quite sensible and competent people. So, being told that something we do is not really sensible or competent can be quite challenging. As a result, we can be pretty skilled at resisting messages we’d prefer not to hear.

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Becoming your better self as reason for changing behavior

Posted Sebastian PottHoffPosted in Mental Imagery, Possible selves

By Winifred Gebhardt, Leiden University, The Netherlands

About nine years ago, I became a vegetarian overnight. In a novel I was reading, the main character explained how he could not eat anything “in which at some time a heart had been beating”. Like a thunderbolt these few words sunk in. I realized that this was exactly how I felt. I stopped eating meat and fish instantly, and I have not had any problem sticking to this new diet ever since. The new behavior perfectly fitted the “person I am”. 

Conversely, in the past I used to jog regularly and could easily run seven kilometers. However, I never regarded myself as a “sporty person”, and whenever a barrier occurred such as being ill, I lapsed into being a couch potato. I now no longer try to “be sporty” but do try to walk whenever I can during the day. I consider myself an “active person”. 

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N-of-1-undersøgelser: Hvad kan vi lære ved at studere en enkelt case?

Posted Sebastian PottHoffPosted in Assessment, Interventions

Af Marie Johnston and Derek Johnston, University of Aberdeen, Scotland

Introduktion

Praktiserende læger vil ofte have svaret på en problematik, der angår én person, ét sundhedsteam, ét hospital eller én region osv. F.eks. kan det være vigtigt at vide, hvor ofte en overvægtig mand spiser mellemmåltider, hvornår og hvor han spiser dem henne, og om stress gør det værre. Eller måske ønsker du at finde ud af, hvor ofte ansatte i sundhedsteamet undlader at udføre håndhygiejne, om det bliver værre, når de er underbemandede, og om påmindelser på afdelingen forbedrer det. Du kan også være ved at undersøge årsager til utilsigtede hændelser, for at kontrollere om de sker hyppigere på nogle afdelinger eller i bestemte personalegrupper. Eller, på politisk niveau kan det være værdifuldt at undersøge, om en ny lov, såsom et rygeforbud på offentlige områder, har påvirket antallet af rygere.

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Fysisk aktivitet for ældre: Hvor meget er nok?

Posted Sebastian PottHoffPosted in Goal setting, Motivational interviewing, Self-monitoring

Af Anne Tiedemann, The University of Sydney, Australien

“Mangel på aktivitet ødelægger ethvert menneskes gode helbred, mens bevægelse og systematisk fysisk aktivitet bevarer og beskytter det”… Plato, 400 f.Kr.

Det har længe været velkendt, at fysisk aktivitet, som en fast vane, er vigtig for både helbred og velvære. Sundhedskampagner er imidlertid ofte målrettet børn og unge, og har mindre fokus på vigtigheden af fysisk aktivitet blandt ældre på 65 år og over. Dog er det netop i alderdommen særligt vigtigt at gøre fysisk aktivitet til en del af ens hverdag.

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At tale om vægt i en konsultation

Posted Sebastian PottHoffPosted in Communication

Af Jane Ogden, University of Surrey, UK

Vægt er et kildent emne at omtale i en konsultation. Nogle patienter kan være trætte af at høre ordene “du burde tabe dig” hver gang de besøger klinikken: uanset om de er kommet på grund af ondt i halsen, en screening for livmoderhalskræft eller potentielle hjerteproblemer. De har måske oplevet hele deres liv at føle sig stigmatiseret af folk fra sundhedsvæsnet og tænker, at det eneste folk nogensinde ser er deres størrelse. Mens det for nogle forholder sig således, kan andre, som aldrig har anset deres vægt som et problem, blive fornærmede eller overraskede hvis emnet bliver taget op. Nogle mennesker vil måske simpelthen ikke høre beskeden, ignorerer hvad end der bliver sagt og tænker for eksempel ’hvad ved du – du er tynd / fed / for ung / for gammel’ eller ’videnskab tager altid fejl.’ Samtalen om vægtproblemer kræver derfor grundige overvejelser af ’hvornår’, ’hvordan’ og ’hvad’ der skal siges til en overvægtig person.

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