hbhe600 2008 12 conceptual framewks
TRANSCRIPT
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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH
Conceptual
frameworks
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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTHUNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH
Perceived performance levelCausal attributions
General
str
ategy
Performance goal
Behavioral
strategy
same
differentap
proa
ch
avoidEffort
Performance
Affect
Performance
history
Self-efficacy
Goalorientation
Goalcommitm
ent
Goal-
relatedatti
tudes
Subjecti
venorms
Self-regulation
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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH
Characteristics of theory
General - broad application
Abstract - not specified in detail
Testable - you can measure constructs
Replicable - can be tested again and again
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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH
Purpose of a conceptual model
To summarize and integrate what we know
Define constructs
Provide explanations for causal linkages
Generate hypotheses
Identify targets for intervention
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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH
Developing a conceptual model
Specify an outcome of interest.
Use an existing model(s) as a starting point.
Select potential constructs related to the outcome. Determine the initial relationships among selected
constructs using theory and empirical evidence, as well
as personal knowledge.
Draw linkages among constructs.
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HBHE 600: Psychosocial Factors in Health-Related Behavior
Conceptual Framework
Proficiency in
psychosocial
factors
Attitudes
Info I want?Fun?Boring?Get a job?Keep a job?
Intention to become
proficient in
psychosocial factors
Subjective
norms
Students Friends
Parents Teachers
Barriers
Its new Dont know
how to do it
Previous class
performances
Performance of
other students
Stress/ anxiety
Social support
Psychosocial
factor self-
efficacy
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Definition of types of variables
Predictor variable
Factor or condition which influences or effects an outcome of
interest
Dependent or outcome variableFactor or condition which is the focus of the research or
intervention
Antecedent variable
Background factor or condition
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Definition of relationships among variables
Mediating
Variables that come between predictor and outcome variables
Moderating
Relationship between the predictor and outcome is influenced
by different levels of another variable.
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PredictorVariable
DependentVariable
AntecedentVariable
Dependent
Variable
Predictor
Variable
Mediating
Variable
Types of relationships between variables
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Physician-PatientCommunication
MedicationAdherence
Patient age
Conceptual model with moderating variable
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Physician-PatientCommunication
MedicationAdherence
Conceptual model with moderating variable
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Physician-PatientCommunication
MedicationAdherence
Conceptual model with moderating variable
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Medication
Adherence
Physician-Patient
Communication
Patient
Understanding of
Regimen
Patient
Satisfaction
Age
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Physician-Patient
Communication
Patient
Understanding of
Regimen
Patient
Satisfaction
Gender Medication
Adherence
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Adherence
w/ diabetes
medication
Physician-Patient
Communication
Patient
Understanding of
RegimenGender
Patient
Satisfaction
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Physician-Patient
Communication
Patient
Understanding
of Regimen
Gender
Patient
Satisfaction
Adherence
w/ diabetes
medication
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Physician-Patient
Communication
Patient
Understanding
of Regimen
Gender
Patient
Satisfaction
Adherence
w/ diabetes
medication
Intention to
comply
Compliance-
related self-
efficacy
Compliance
barriers
Coping
strategies
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Intention to
comply
Physician-Patient
Communication
Patient
Understanding
of Regimen
Gender
Patient
Satisfaction
Compliance-
related self-
efficacy
Adherence
w/ diabetes
medication
Compliance
barriers
Coping
strategies
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Intention to
comply
Physician-Patient
CommunicationGender
Patient
Satisfaction
Compliance-
related self-
efficacy
Coping
strategies
Adherence
w/ diabetes
medication
Barriers
-understanding
-forgets
-multiple meds
-Doc anxiety
-side effects
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Intention to
comply
Physician-Patient
CommunicationGender
Patient
Satisfaction
Compliance-
related self-
efficacy
Adherence
w/ diabetes
medication
Barriers
-understanding
-forgets
-multiple meds
-Doc anxiety
-side effectsCopingstrategies
-memory devices
-pill organizers
-Doc questions
-side effect tx
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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH
Intention to
comply
Physician-Patient
CommunicationGender
Patient
Satisfaction
Compliance-
related self-
efficacy
Adherence
w/ diabetes
medication
Barriers
-understanding
-forgets
-multiple meds
-Doc anxiety
-side effectsCopingstrategies
-memory devices
-pill organizers
-Doc questions
-side effect tx
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UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH
Intention to
comply
Physician-Patient
CommunicationGender
Compliance-
related self-
efficacy
Barriers
-understanding
-forgets
-multiple meds
-Doc anxiety
-side effectsCopingstrategies
-memory devices
-pill organizers
-Doc questions
-side effect tx
Patient
Satisfaction
Perceived
threat of
diabetes
Susceptibilityto diabetessequelae
X
Severity of
diabetessequelae
Perceived
benefits ofcompliance
Adherence
w/ diabetes
medication
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Purpose of a conceptual model
To summarize and integrate what we know
Define concepts
Provide explanations for causal linkages
Generate hypotheses
Identify targets for intervention