Psychosocial Factors
Patients have social and behavioral factors that may have not only contributed to the clinical condition, they may have caused it. These social and behavioral factors may need to be addressed for the clinical treatments to be effective. The social and behavioral factors include being willingness to change, depressed, stress as someone else's care giver, physical activity, nutrition and patient activation.(See: Improving Clinical Outcomes By Addressing Social And Basic Needs)
The Psychosocial Factors are a component of the Patient Recovery Factors.
Contents
Patient (About)
This is about how to understand and relate to the patient. Patient (About) are elements of the psychosocial factors in patient recovery.
About
- Narrative/Story
- Photos
- Language Speaking and literacy
Family & Friends
- Marital Status
- Family Members - Their regular interaction, role in care or monitoring, where they live in proximate
- Friends - Their regular interaction, role in care or monitoring, where they live in proximate
- Photos
- Support received from family and friends
Support
- Support received from family and friends
- Support provided to family and friends
Career
- Education Level
- Job History
Passions/Goals
- Sports Teams, Television, reading, social media
- Physical Activities - Walking, shopping, etc.
Stress Factors
- Recent Stressful Events
- Ongoing Stressful Challenges
- Potential Stressful Events
Perspectives
- politics
- lifestyle,
- culture
Spirituality
- Religion
- Religious beliefs
- Yoga, etc.
Jail Involved
- History of jail or prison time
Patient Lifestyle
Patient lifestyle factors are elements of the psychosocial factors in patient recovery.
Activities (Physical)
- Sports Participation (Golf)
- Sporting Events (enjoy race track, kids sporting events, etc.)
- Home maintenance
Activities (Social)
- Family Activities (dinners, youth sports)
- Social Activities (Social Organizations, frequent bars, etc.)
Activities (Sedentary)
- Television (Watch Baseball, Drama series, News - Favorite programs)
- Read, knit,etc.
- Hobbies
Volunteering
- Youth Coaching
- Social Service
Care Giver Roles
- Kids, parents, friends
Home and Travel
- Snowbird (summers in the North, winters in the South)
- Travel
Patient Behavior
Patient behavior factors are elements of the psychosocial factors in patient recovery.
Physical Activity
- Exercise and Activity Levels
- Transportation (Always walks, always drive, always buses or subways)
- Work (how active)
Nutrition
- Diet and Nutrition
- Nutrition (Fast Food, Take Out, Home cooked meals)
Social Interactions
- Engagement with others
- Engagement with Caregivers, others
- Organized Communities - like PatientsLikeMe
- Socially Isolated
Adverse Behaviors
- Adverse Behaviors (use of alcohol, drugs, gambling, unprotected sex, smoking)
Sentiment
- Upbeat, depressed
Patient Preferences
Patient preferences factors are elements of the psychosocial factors in patient recovery.
Authorizations
- Privacy and HIPAA
- Advanced Beneficiary Notice
- Recovery Team Access to Electronic Medical Records
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)
Living Will
- Advanced Patient Directives
Treatment Preferences
- Home Based
- Recovery Team
- Technology Use
- Palliative Care and End of Life preferences
Patient Activation
Patient activation factors are elements of the psychosocial factors in patient recovery.
Activation Level
- Patient Activation Measures - understands conditions, understands treatment, understand how to care for conditions, understands how to manage symptoms
- Activation History
Condition Management Aptitude
- Diabetic monitoring glucose and injecting insulin
- Self-care
Education
- Diagnosis
- Prognosis
- Treatments
- Understand Options and onboard with the treatment plan
Treatment Adherence
- Medication Adherence
- Nutrition
- Therapy, Physician Visits
- Recommended Activity levels
Intervention Activation
- Know when to ask for help
- Comfortable asking for help
- Know who to ask for help
Patient Technology Adoption
This could be for the patient or a patient authorized care giver. Patient technology adoption factors are elements of the psychosocial factors in patient recovery.
Device Aptitude
- Use of remote monitoring devices (Blood Pressure cuff)
- Use of remote diagnostic devices (ecg app)
- Use of tablet, computer or smartphone
Technology Aptitude
- Using Internet to find information
- Education Videos
- Patient Portal Usage
- Ability to use Secure Texting, Video Conferencing, email
Online Personal Health Record
- Online Electronic Health Record
- Access Authorization (Recovery Team access)
- Patient Input History (Patient answer questions or inputs data into Personal Health Record)
Technology Usage
- Broadband Internet, Wifi & Telecom Network (AT&T, Verizon)
- Devices - Computer, Smartphone or Tablet
- Remote Monitoring Devices (Blood pressure cuff, blood glucose monitoring)
- Remote Diagnostic Devices (ECG app)
- Accessing patient history via Blue Button
