Behavior Determinants

Patients have behavior determinants that may have not only contributed to the health conditions, they may have caused it. These behavior determinants may need to be addressed for the clinical treatments to be effective. The behavior determinants include being willingness to change, stress, physical activity and nutrition behaviors.(See: Improving Clinical Outcomes By Addressing Social And Basic Needs)

These Behavior Determinants can decisively affect patient well-being and patient recovery.

Activity

Activity determinants are elements of Behavior Determinants in patient well-being and patient recovery.

Physical Activity

• Exercise and Activity Levels
• Transportation (Always walks, always drive, always buses or subways)
• Work (how active)
• Sports Participation (Golf)
• Sporting Events (enjoy race track, kids sporting events, etc.)
• Home maintenance

Nutrition

• Diet and Nutrition
• Nutrition (Fast Food, Take Out, Home cooked meals)

Self-Care

• Adherence to the Care Plan – take prescribe medicines, keep physician appointments
• Timely Address Issues
• Adherence to recommended activities - walking, nutrition, etc.

Social Interactions

• Engagement with others
• Engagement with Caregivers, others
• Organized Communities - like PatientsLikeMe
• Socially Isolated

Career/Vocation

• Work activities
• Type of work
• Number of hours

Adverse Behaviors

• Adverse Behaviors (use of alcohol, drugs, gambling, unprotected sex, smoking)
• Jail involved - history of jail or prison time

Social Activities

• Family Activities (dinners, youth sports)
• Other Activities (Social Organizations, frequent bars, etc.)

Sedentary Activities

• Television (Watch Baseball, Drama series, News - Favorite programs)
• Read, knit,etc.
• Hobbies

Community Activities

• Youth Coaching
• Social Service

Responsibilities Activities

• Caregiver to child, sick parents or friend

Travel Activities

• Snowbird (summers in the North, winters in the South)
• Visits
• Vacations

Resilience

Resilience determinants are elements of Behavior Determinants in patient recovery.

Psychologically Fit

• Emotional fitness
• Social fitness
• Family fitness
• Spiritual fitness

Stress Factors

• Recent Stressful Events
• Ongoing Stressful Challenges
• Potential Stressful Events

Sentiment

• Upbeat, depressed

Support System

• Care Giver
• Emotional and physical Support from family and friends
• Trust in peoples opinions
• Influencers (people) that could impact patient decisions

Change Acceptance and Determination

• Acceptance to change to Behavior, Lifestyle, address Problem (Stress), Patient Activation, Patient Technology Adoption
• Determination to make change happen
• University of Rhode Island Change Assessment Scale (URICA)(URICA)

Purpose & Meaning

Purpose & meaning determinants are elements of Behavior Determinants in patient recovery.

Goals

• Ability to ....

Perspectives

• politics
• lifestyle,
• culture

Spirituality

• Religion
• Religious beliefs
• Yoga, etc.

Treatment Preferences

• Home Based
• Recovery Team
• Technology Use
• Palliative Care and End of Life preferences

Authorizations

• Privacy and HIPAA
• Advanced Beneficiary Notice
• Recovery Team Access to Electronic Medical Records

Living Will

• Advanced Patient Directives