thesis

Addressing health inequalities in disadvantaged groups using health psychology theory and evidence

Abstract

This portfolio focusses on work undertaken to aid understanding and reducing health inequalities in several underserved minority groups. The main topic was health promotion with adults with learning disabilities using theory and evidence-based approaches. A social cognitive theory-based interview study was conducted with adults with learning disabilities and carers to better understand how the model could be used to address healthy eating, physical activity and sedentary behaviour in this group. This led to planning, development and delivery of a health promotion intervention in group and individual settings, primarily focussing on healthy eating as this was identified as a key priority. One of the group interventions has been the focus of the case study for the behaviour change intervention competence. The research undertaken also informed teaching sessions with social care staff to enhance practical and emotional social support provided to clients. In contrast, the consultancy project involved delivering a public health intervention with United Kingdom (UK) Punjabi South Asian adults regarding prevention and management of Type 2 diabetes on the radio. This involved increasing understanding and coping with diabetes, behaviour change to enhance lifestyle management and provide mutual positive social support within the community and changing beliefs regarding medical decision making. Finally, the systematic review was conducted in the field of LGBTQ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning) health. This focussed on psychological barriers to primary care access faced by adults self-identified as sexual or gender minorities under this umbrella term

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