Group members:
Prithi Singh
Tandeka Barton
Fauzia Khan
Melissa Ramdeen
University of Guyana
Health Behaviour
MPH 6104
Lecturer: Dr. Paloma Mohamed
3 April 2016
Outline of Presentation
Definition
Diffusion of Innovations
Actions to date
Conclusion
Cervical cancer
instances when there are signs and
symptoms it is usually in the form of vaginal
bleeding and pelvic pain
detection and diagnosis
- examination of the cervix through various
tests
Screening:
Visual Inspection using Acetic Acid (VIA)
Pap smears
Risk Factors
Risk Factors
There are multiple factors involved in cervical
cancer etiology:
low socio-economic level
early age at first intercourse
multiple sex partners
early age at first pregnancy
use of hormonal contraceptives
smoking
WHO estimates
Guyana
Application of HBM
Construct
Application
Define population(s) at risk and levels of risk
Perceived
Susceptibilit Modify risk information based on individual
y
characteristics or behaviours
Perceived
Severity
Perceived
Benefits
Application of HBM
Construct
Perceived
Barriers
Cues
Action
SelfEfficacy
Application
Offer reassurance, incentives, and assistance
Correct misinformation
to Make available how-to information
Promote awareness
Use appropriate reminder systems
Provide training and guidance in performing
action
Use progressive goal setting
Give verbal reinforcement
Demonstrate desired behaviours
Reduce anxiety
HBM
HBM
SCT
SCT constructs
Application
Behaviour serving as a social prompt is the
Behavioral
health care worker demonstrating vaccination
Capability
will prevent illness
Media campaigns to promote screening and
vaccination
Reciprocal
Determinis Skits enacting real life situations of being
m
screened and vaccinated against cervical
cancer
Willingness of community members to
intervene in order to help others is useful in
bringing people together and mobilizing them
Emotional
into action.
Coping
Responses Development of group activities that allow
individuals to get to know each other better
increases confidence to get screened or
vaccinated
Construct
SCT constructs
Application
Huge goal of administering HPV vaccines to all
population at risk is broken down into smaller
Self-Efficacy
measurable steps. Allows recognition and
celebration of small successes along the path
to larger behavior change.
HCW making screening recommendations to
their patients, patients receiving reminders
Collective
about the need for screening/vaccination,
Efficacy
community leaders and others helping to
remove logistical and other barriers to
screening
Role models who are cervical cancer survivors
and willing to share their experiences, offer
Observationa
messages of empowerment, optimism and
l Learning
success as the result of early diagnosis and
screening and serve as a local resource. They
can advocate for use of HPV vaccines.
Construct
SCT constructs
Construct
Incentive
Motivation
Facilitation
SelfRegulation
(Self-Control)
Application
Reducing costs of Pap smears, making tests
equitable
Screening and vaccination conducted in
outreach campaigns
Self-monitoring, goal-setting, feedback, selfreward, self-instruction, and enlistment of
social support
Screened or vaccinated in a large group
Moral
Disengageme
nt
SCT
DOI
Takes
DOI constructs
Construct
Application
Diffusion
Innovation
DOI constructs
Construct
Social
System
Application
Early involvement of partners who will
distribute, provide access to, and refer potential
adopters to cancer screening programs
Small group of influential persons are looked to
by large numbers of others for cues to action
and inaction
Innovation
Developmen
DOI constructs
Construct Application
Adoption Most individuals are highly attuned to social
norms concerning the use of screening
techniques; when they perceive that the norms
of their immediate reference group--both real
and mediated social modelssupport adoption,
they adopt, especially in hinterland communities
Grassroots outreach programs that promote
early detection of cervical cancer. Health
workers, who may or may not be cancer
survivors, serve as educational and health
service resources
DOI constructs
Construct
Application
Implementati Establishing a decentralized support system
on
cervical cancer
Maximise their familiarity with screening
techniques
DOI constructs
Construct
Application
Institutionalizati Advocate for cost-effective interventions
on
DOI factors
Factors that influence adoption of an innovation
Institutes of Health,2002)
Constructs
Application
Exposure
Attention
Capture interest
Interest
Personally relevant by
capturing all areas of
interest
Application
Comprehension
Acquisition
Agreeing(yielding)
Memorizing
Application
Retrieving
Deciding
Acting
Reinforcement
Receiving appropriate
rewards/positive reinforcement
for that behaviour
Consolidation
Message
design,
messenger
credibility,
Conclusion