Aktivitas Promosi Kesehatan
Aktivitas Promosi Kesehatan
Aktivitas Promosi Kesehatan
healthcare.[1] It is concerned with understanding how psychological, behavioral, and cultural factors
contribute to physical health and illness. Psychological factors can affect health directly[2]. For
example, chronically occurring environmental stressors affecting the hypothalamic–pituitary–adrenal
axis, cumulatively, can harm health. Behavioral factors can also affect a person's health. For
example, certain behaviors can, over time, harm (smoking or consuming excessive amounts of
alcohol) or enhance health (engaging in exercise).[3] Health psychologists take
a biopsychosocial approach. In other words, health psychologists understand health to be the
product not only of biological processes (e.g., a virus, tumor, etc.) but also of psychological (e.g.,
thoughts and beliefs), behavioral (e.g., habits), and social processes (e.g., socioeconomic
status and ethnicity).[3]
By understanding psychological factors that influence health, and constructively applying that
knowledge, health psychologists can improve health by working directly with individual patients or
indirectly in large-scale public health programs. In addition, health psychologists can help train other
healthcare professionals (e.g., physicians and nurses) to take advantage of the knowledge the
discipline has generated, when treating patients. Health psychologists work in a variety of settings:
alongside other medical professionals in hospitals and clinics, in public health departments working
on large-scale behavior change and health promotion programs, and in universities and medical
schools where they teach and conduct research.
Although its early beginnings can be traced to the field of clinical psychology,[4] four different divisions
within health psychology and one related field, occupational health psychology (OHP),[5] have
developed over time. The four divisions include clinical health psychology, public health psychology,
community health psychology, and critical health psychology.[6] Professional organizations for the
field of health psychology include Division 38 of the American Psychological Association (APA),[7] the
Division of Health Psychology of the British Psychological Society (BPS),[8] and the European Health
Psychology Society.[9] Advanced credentialing in the US as a clinical health psychologist is provided
through the American Board of Professional Psychology.[10]
Contents
1Overview
2Origins and development
3Objectives
o 3.1Understanding behavioral and contextual factors
o 3.2Preventing illness
o 3.3The effects of disease
o 3.4Critical analysis of health policy
o 3.5Conducting research
o 3.6Teaching and communication
4Applications
o 4.1Improving doctor–patient communication
o 4.2Improving adherence to medical advice
4.2.1Ways of measuring adherence
o 4.3Managing pain
o 4.4Health psychologist roles
5Training
6See also
7Further reading
8References
9External links
o 9.1North America
o 9.2Europe
Overview[edit]
Recent advances in psychological, medical, and physiological research have led to a new way of
thinking about health and illness. This conceptualization, which has been labeled
the biopsychosocial model, views health and illness as the product of a combination of factors
including biological characteristics (e.g., genetic predisposition), behavioral factors (e.g., lifestyle,
stress, health beliefs), and social conditions (e.g., cultural influences, family relationships, social
support).
Psychologists who strive to understand how biological, behavioral, and social factors influence
health and illness are called health psychologists. Health psychologists use their knowledge of
psychology and health to promote general well-being and understand physical illness.[11] They are
specially trained to help people deal with the psychological and emotional aspects of health and
illness. Health psychologists work with many different health care professionals (e.g., physicians,
dentists, nurses, physician's assistants, dietitians, social workers, pharmacists, physical and
occupational therapists, and chaplains) to conduct research and provide clinical assessments and
treatment services. Many health psychologists focus on prevention research and interventions
designed to promote healthier lifestyles and try to find ways to encourage people to improve their
health. For example, they may help people to lose weight or stop smoking.[11] Health psychologists
also use their skills to try to improve the healthcare system. For example, they may advise doctors
about better ways to communicate with their patients.[11] Health psychologists work in many different
settings including the UK's National Health Service (NHS), private practice, universities,
communities, schools and organizations. While many health psychologists provide clinical services
as part of their duties, others function in non-clinical roles, primarily involving teaching and research.
Leading journals include Health Psychology, the Journal of Health Psychology, the British Journal of
Health Psychology,[12] and Applied Psychology: Health and Well-Being.[13] Health psychologists can
work with people on a one-to-one basis, in groups, as a family, or at a larger population level.[11]
Clinical health psychology (ClHP)
ClHP is the application of scientific knowledge, derived from the field of health psychology, to
clinical questions that may arise across the spectrum of health care. ClHP is one of many
specialty practice areas for clinical psychologists. It is also a major contributor to the
prevention-focused field of behavioral health and the treatment-oriented field of behavioral
medicine. Clinical practice includes education, the techniques of behavior change, and
psychotherapy. In some countries, a clinical health psychologist, with additional training, can
become a medical psychologist and, thereby, obtain prescription privileges.
Public health psychology (PHP)
PHP is population oriented. A major aim of PHP is to investigate potential causal links
between psychosocial factors and health at the population level. Public health psychologists
present research results to educators, policy makers, and health care providers in order to
promote better public health. PHP is allied to other public health disciplines
including epidemiology, nutrition, genetics and biostatistics. Some PHP interventions are
targeted toward at-risk population groups (e.g., undereducated, single pregnant women who
smoke) and not the population as a whole (e.g., all pregnant women).
Community health psychology (CoHP)
CoHP investigates community factors that contribute to the health and well-being of
individuals who live in communities. CoHP also develops community-level interventions that
are designed to combat disease and promote physical and mental health. The community
often serves as the level of analysis, and is frequently sought as a partner in health-related
interventions.
Critical health psychology (CrHP)
CrHP is concerned with the distribution of power and the impact of power differentials on
health experience and behavior, health care systems, and health policy. CrHP prioritizes
social justice and the universal right to health for people of all races, genders, ages, and
socioeconomic positions. A major concern is health inequalities. The critical health
psychologist is an agent of change, not simply an analyst or cataloger. A leading
organization in this area is the International Society of Critical Health Psychology.
Health psychology, like other areas of applied psychology, is both a theoretical and
applied field. Health psychologists employ diverse research methods. These
methods include controlled randomized experiments, quasi-
experiments, longitudinal studies, time-series designs, cross-sectional
studies, case-control studies, qualitative research as well as action research. Health
psychologists study a broad range of variables including cardiovascular disease,
(cardiac psychology), smoking habits, the relation of religious beliefs to
health, alcohol use, social support, living conditions, emotional state, social class,
and more. Some health psychologists treat individuals with sleep problems,
headaches, alcohol problems, etc. Other health psychologists work to empower
community members by helping community members gain control over their health
and improve quality of life of entire communities.
Objectives[edit]
Understanding behavioral and contextual factors[edit]
Health psychologists conduct research to identify behaviors and experiences that
promote health, give rise to illness, and influence the effectiveness of health care.
They also recommend ways to improve health care policy.[24] Health psychologists
have worked on developing ways to reduce smoking[25] and improve daily
nutrition[26] in order to promote health and prevent illness. They have also studied
the association between illness and individual characteristics. For example, health
psychology has found a relation between the personality characteristics of thrill
seeking, impulsiveness, hostility/anger, emotional instability, and depression, on
one hand, and high-risk driving, on the other.[27]
Health psychology is also concerned with contextual factors, including economic,
cultural, community, social, and lifestyle factors that influence health[2].
The biopsychosocial modelcan help in understanding the relation between
contextual factors and biology in affecting health[28]. Physical addiction impedes
smoking cessation. Some research suggests that seductive advertising also
contributes to psychological dependency on tobacco,[29] although other research has
found no relationship between media exposure and smoking in youth.[30] OHP
research indicates that people in jobs that combine little decision latitude with a high
psychological workload are at increased risk for cardiovascular disease.[31][32]Other
OHP research reveals a relation between unemployment and elevations in blood
pressure.[33][34] Epidemiologic research documents a relation between social class
and cardiovascular disease.[35]
Health psychologists also aim to change health behaviors for the dual purpose of
helping people stay healthy and helping patients adhere to disease treatment
regimens (also see health action process approach). Health psychologists
employ cognitive behavior therapy and applied behavior analysis (also see behavior
modification) for that purpose.
Preventing illness[edit]
Health psychologists promote health through behavioral change, as mentioned
above; however, they attempt to prevent illness in other ways as well. Health
psychologists try to help people to lead a healthy life by developing and running
programmes which can help people to make changes in their lives such as stopping
smoking, reducing the amount of alcohol they consume, eating more healthily, and
exercising regularly.[11] Campaigns informed by health psychology have targeted
tobacco use. Those least able to afford tobacco products consume them most.
Tobacco provides individuals with a way of controlling aversive emotional states
accompanying daily experiences of stress that characterize the lives of deprived
and vulnerable individuals.[36] Practitioners emphasize education and effective
communication as a part of illness prevention because many people do not
recognize, or minimize, the risk of illness present in their lives. Moreover, many
individuals are often unable to apply their knowledge of health practices owing to
everyday pressures and stresses. A common example of population-based attempts
to motivate the smoking public to reduce its dependence on cigarettes is anti-
smoking campaigns.[37]
Health psychologists help to promote health and well-being by preventing
illness.[11] Some illnesses can be more effectively treated if caught early. Health
psychologists have worked to understand why some people do not seek early
screenings or immunizations, and have used that knowledge to develop ways to
encourage people to have early health checks for illnesses such as cancer and
heart disease.[11] Health psychologists are also finding ways to help people to avoid
risky behaviors (e.g., engaging in unprotected sex) and encourage health-
enhancing behaviors (e.g., regular tooth brushing or hand washing).[11]
Health psychologists also aim at educating health professionals, including
physicians and nurses, in communicating effectively with patients in ways that
overcome barriers to understanding, remembering, and implementing effective
strategies for reducing exposures to risk factors and making health-enhancing
behavior changes.[38]
There is also evidence from OHP that stress-reduction interventions at the
workplace can be effective. For example, Kompier and his colleagues[39] have shown
that a number of interventions aimed at reducing stress in bus drivers has had
beneficial effects for employees and bus companies.
Conducting research[edit]
Like psychologists in the other main psychology disciplines, health psychologists
have advanced knowledge of research methods. Health psychologists apply this
knowledge to conduct research on a variety of questions.[43] For example, health
psychologists carry out research to answer questions such as:
Applications[edit]
Improving doctor–patient communication[edit]
Health psychologists aid the process of communication between physicians and
patients during medical consultations. There are many problems in this process,
with patients showing a considerable lack of understanding of many medical terms,
particularly anatomical terms (e.g., intestines).[44] One area of research on this topic
involves "doctor-centered" or "patient-centered" consultations. Doctor-centered
consultations are generally directive, with the patient answering questions and
playing less of a role in decision-making. Although this style is preferred by elderly
people and others, many people dislike the sense of hierarchy or ignorance that it
inspires. They prefer patient-centered consultations, which focus on the patient's
needs, involve the doctor listening to the patient completely before making a
decision, and involving the patient in the process of choosing treatment and finding
a diagnosis.[45]
Training[edit]
See also: List of universities with health psychology programs
In the UK, health psychologists are registered by the Health Professions
Council (HPC) and have trained to a level to be eligible for full membership of the
Division of Health Psychology within the BPS.[51] Registered health psychologists
who are chartered with the BPS will have undertaken a minimum of six years of
training and will have specialized in health psychology for a minimum of three
years.[43] Health psychologists in training must have completed BPS stage 1 training
and be registered with the BPS Stage 2 training route or with a BPS-accredited
university doctoral health psychology program. Once qualified, health psychologists
can work in a range of settings, for example the NHS, universities, schools, private
healthcare, and research and charitable organizations.[43] A health psychologist in
training might be working within applied settings while working towards registration
and chartered status.[43] A health psychologist will have demonstrated competencies
in all of the following areas:
See also[edit]
Applied psychology
Behavioral medicine
Bodymind
Cardiac psychology
Chronic stress
Cognitive epidemiology
European Academy of Occupational Health Psychology
Healing environments
Impact of health on intelligence
Nutrition psychology
Occupational health psychology
Occupational Health Science
Occupational safety and health
Outline of psychology
Pediatric psychology
Self-concealment
Society for Occupational Health Psychology
Workplace stress
Pain Psychology
Further reading[edit]
Cohen, L.M.; McChargue, D.E.; & Collins, Jr. F.L. (Eds.). (2003). The Health
Psychology Handbook: Practical issues for the Behavioral Medicine
Specialist. Thousand Oaks, CA: Sage Publications.
David F. Marks, Michael Murray, Brian Evans & Emee Vida Estacio
(2011) Health Psychology. Theory-Research-Practice (3rd Ed.) Sage
Publications. ISBN 1-84860-622-2(hbk) 978-1848606227 (pbk).
Michie, S.; & Abraham, C. (Eds.). (2004). Health psychology in
practice. London. BPS Blackwells.
Ogden, J. (2007). Health Psychology: A Textbook (4th ed.). Berkshire, England:
Open University Press.
Quick, J.C.; & Tetrick, L.E. (Eds.). (2011). Handbook of Occupational Health
Psychology (2nd ed.). Washington, DC: American Psychological Association.
Schonfeld, I.S., & Chang, C.-H. (2017). Occupational health psychology: Work,
stress, and health. New York, NY: Springer Publishing Company.
Taylor, S.E. (1990). Health psychology. American Psychologist, 45, 40–50.
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External links[edit]
North America[edit]
American Psychological Association, Division 38: Health Psychology.
Accessed: 15:52, 29 July 2014 (UTC).
Division 38: Health Psychology at APA.org. Accessed: 15:52, 29 July 2014
(UTC).
Society for Occupational Health Psychology. Accessed: 15:52, 29 July 2014
(UTC).
Society of Behavioral Medicine. Accessed: 15:52, 29 July 2014 (UTC).
Europe[edit]
European Health Psychology Society. Accessed: 15:06, 25 July 2017 (UTC).
Division of Health Psychology of the British Psychological Society. Accessed:
15:52, 29 July 2014 (UTC).
European Academy of Occupational Health Psychology. Accessed: 15:52, 29
July 2014 (UTC).