Health Psychology: applied Health Psychology within Health Promotion

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Citation: Rich, A. (2009). Health Psychology: applied Health Psychology within Health
Promotion. (Unpublished Doctoral thesis, City University London)
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DPsych Health Psychology: applied Health
Psychology within Health Promotion

By Antonia Rich

Doctorate in Health Psychology

City University

Department of Psychology

Submitted May, 2009
2
CONTENTS

pg

Acknowledgements 7

Declaration 8

SECTION A Preface 9

SECTION B Research 19

Can a sexual health DVD change the cognitive antecedents
of condom use in school pupils? An experimental
evaluation of “Bedroom Business”
Abstract 21
Introduction 23
Method 69
Results 91
Discussion 117
References 157

SECTION C Professional Practice 177

Unit 1 Generic Professional Competence: Supplementary Report 179

Unit 3 Consultancy Case Study: Development, implementation 197
and evaluation of You’re Welcome (Department of Health,
2007); A young people friendly accreditation of scheme for
health services

Unit 4 Teaching and Training Case Study 1: Teaching MSc Health 225
Psychology students

Teaching and Training Case Study 2: Workshop on 235
reflective practice and personal values in sexual health for
community nurses

Unit 5.1 Implementing Interventions to Change Health-Related 247
Behaviour Case Study: Implementing an intervention:
delivering stop smoking group interventions

Unit 5.2 Directing the Implementation of Interventions Case Study: 269
Directing stop smoking interventions of health professionals
in primary care

SECTION D Systematic Review of Literature 291

Psychological interventions for weight loss maintenance for 293
obese or overweight adults: A systematic review

3
LIST OF TABLES AND ILLUSTRATIONS

TABLES pg

SECTION B

Table B1 Coding Frame for the Bedroom Business DVD 63
Table B2 Cronbach’s alpha co-efficient 94
Table B3 Correlations between the cognitive antecedents of condom 96
use
Table B4 Variance ratios for variables with a significant Levene test 99
Table B5 Variance ratios for variables after transformation with a 101
significant Levene test
Table B6 Pre-intervention and post-intervention means and standard 106
deviations
Table B7 Differences in dependent variables (casual partner) at one 108
month follow up
Table B8 Differences in dependent variables (steady partner) at one 109
month follow up
Table B9 Results of the Qualitative Analysis 112

SECTION C

Table C1 Client Information 251
Table C2 Outcome of stop smoking groups 262
Table C3 Performance of Level 2 advisors 286

SECTION D

Table D1 Main characteristics of the six included studies in the 305
systematic review
Table D2 Summary of Results 314

ILLUSTRATIONS

SECTION B

Figure B1 The Theory of Planned Behaviour 46
Figure B2 Responses to “How much do you like the Bedroom 110
Business film?”
Figure B3 Responses to “How much did you learn in the session?” 110
Figure B4 Responses to “Would you recommend watching the 111
Bedroom Business film to other young people?”

SECTION C

Figure C1 Confidence ratings for values and self-reflection before and 242
following the training session

4
APPENDICES

SECTION B pg

B1 Song lyrics 337
B2 Bedroom Business DVD 338
B3 Student demographics 339
B4 Questionnaire 341
B5 Normality and homogeneity of variance statistics 367
(untransformed variables)
B6 Normality and homogeneity of variance statistics 369
(transformed variables)
B7 Normality and homogeneity of variance statistics 371
(untransformed variables, steady partner items)
B8 Normality and homogeneity of variance statistics 373
(transformed variables, steady partner items)
B9 Condom skills training intervention 375

SECTION C

C1 Consultancy Timetable 379
C2 Consultancy Contract 383
C3 Working party meeting minutes 387
C4 Consultancy review meeting 391
C5 Invitation from Department of Health 392
C6 Programme launch 394
C7 Respondents training feedback forms 395
C8 Final evaluation report 397
C9 Course Aims and Learning Objectives 407
C10 Needs Assessment 409
C11 Assessment Instruments 411
C12 Teaching Plan 413
C13 Small Scale Evaluation & Reflective Report 415
C14 Reflective commentary of video footage 419
C15 Observer’s Report 421
C16 Needs Assessment 423
C17 Teaching Plan 424
C18 Observer’s Report 425
C19 Participant’s Feedback 427
C20 Intervention protocol 428
C21 Feedback from group members 440
C22 Service Level Agreement 445
C23 Stop smoking monitoring form 449
C24 Treatment protocol 451

SECTION D

D1 Trial eligibility form 452
D2 Characteristics of excluded studies 453

5
6
Acknowledgements

I would like to thank my supervisors Professor David Marks and Dr Andrew
Kuczmierczyk, and Dr Catherine Sykes, Course Director, for their
encouragement and advice throughout my training.

There are many people who kindly helped me complete my research, such as
providing statistical support, data collection and data entry. I would like to thank
the following: Daniel Heussen, Lina Daouk, Silvio Aldrovandi, Richard Brown,
Rosie McEachan, Anna Davies, Arshia Houshansi, Andrea Conceicao and Anna
Lucas.

I would also like to thank all my colleagues whose support enabled me to
complete this work. I owe a special thanks to those who were at schools for 8.40
am to help me with the data collection. I am also very grateful to the schools and
young people who participated in my research.

I would also like to thank Despina Learmonth, for examining the abstracts and
assisting with the selection of studies in my systematic review. I would also like
to thank Lynn Coventry and Martyn Brookes for their advice on the search
strategy and using electronic databases.

My fellow trainees were a great source of support, in particular Emily Piotrowska
Smart and Alice Theadom.

I would like to also thank my mum, for her support and consistently having faith
in me. And to my sister, Julia, thank you for being absolutely fabulous and giving
me the shelving space for my many, many lever arch files…

7
Declaration

I grant powers of discretion to the University Librarian to allow this thesis to be
copied in whole or in part without further reference to me. This permission
covers only single copies made for study purposes, subject to normal conditions
of acknowledgement.
8
SECTION A: PREFACE
9