Definition of Health “Health is a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity.” World Health Organization (WHO)

Definition of Health Health is the blending of your physical, emotional, social, mental, spiritual and environmental resources as they assist you in mastering the developmental tasks necessary for you to enjoy a satisfying and productive life” Hahn & Paine

6 DIMENSIONS OF HEALTH  Physical  Emotional  Spiritual  Social  Mental/Intellectual  Environmental

PHYSICAL Comprised of strength, coordination, endurance, susceptibility to disease, body weight, sensory abilities. Genetic pre-dispositions. Usual dimension used to define health.

EMOTIONAL Ability to copy with stress, be flexible in the face of conflict An awareness and acceptance of a wide range of feelings for self and others Ability to express emotions rather than holding them in

SPIRITUAL May include religious beliefs and practices Includes relationship to other living things Your willingness to serve others Implies a belief in some meaning or order in the universe, a higher power that provides greater significance to individuals Identifying your basic purpose in life

SOCIAL Ability to interact effectively with others and the social environment Our relationships with people, culture, politics Ability to develop satisfying relationships and fulfill social roles Participating and contributing to your community and living in harmony with neighbors

MENTAL/INTELLECTUAL Ability to process and act on information, clarify values/beliefs and exercise decision- making skills. Ability to learn from life experiences and develop critical thinking skills. Openness to new ideas and perspectives.

ENVIRONMENTAL The impact your world has on your well-being and the impact you have on the world around you Protecting yourself from dangers in food, air, water, soil and products you use. Employment satisfaction directly related to your health Your commitment to preserve and protect the environment.

Changing Personal Behaviors  Physiological  Psychological  Cultural  And social factors influence behavior change

7 Dynamics of Change Feel Awkward What do we have to give up? We feel alone We can’t handle change Different levels of readiness Different levels of readiness We don’t have enough resources Revert to old behaviors

Models of Behavior Change

Social Support Theory One of several ecological approaches to personal behavior change whereby the positive impact of social networks on individual wellness is acknowledged

Transtheoretical Model (Stages of Change, Stage of Readiness) This model integrates both the processes and principles of change from across theories represented above Stages of Change (Prochaska, J.O. & Velicer, W.F. The transtheoretical model of health behavior changes. Am J Health Prom 12:38-48,1997. Based on the premise that people move through a series of stages in their attempt to change a behavior.

Precontemplation individual is not doing target behavior and is not intending to move to the new behavior individual is uniformed about the long- term effects of current behavior

Contemplation individual is considering change may stay in this stage for more than 2 years when individual substitutes thinking for action = chronic contemplator ambivalent about changing: see pros and cons of sustaining the risk behavior as equal central element: serious consideration of problem resolution

Preparation defined by making small changes have a plan of action or have made some behavior change do not yet have a preset behavior criterion to reach action stage immediate intention to engage in the behavior

not a stable stage contains people who are more likely to progress than contemplators or precontemplators combines the criteria of intention and behavior

Action individual actively engages in the new behavior overt behavior change has occurred in the last 6 months individuals change their behavior, experiences, or environment in order to overcome their problems modifications are highly visible and receive greatest recognition from others

Maintenance individual is sustaining the change over time period of continued change because individual is working to prevent relapse and consolidate the gains attained during the action stage

Termination may be the absolute absence of temptation to engage in old behavior and 100% self- efficacy in engaging in the new behavior when considering exercise, formerly sedentary individuals seem to always be at risk for relapse and must work to stay in maintenance stage

SMART Objectives SpecificMeasurableAchievement-orientedRelevantTime-bound

FITT FrequencyIntensityTimeType

What Should You do? Pay attention to the food pyramid How many colors did you eat today? Make Exercise a habit Fit it in! Be aware of all dimensions of health

My prescription for a successful first year of college: Keep and open mind about everyone and everything Introduce yourself to your professors Use a planner and learn time management NOW! Study in small blocks of time with study groups Don’t work more than 10 hours/week Exercise Eat a colorful diet