Health Psych Course Outline 2017 PDF

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PSYC 328 - Health Psychology COURSE SYLLABUS Fall 2017 INSTRUCTOR:

Dr. Bärbel Knäuper Office hours:

Email: [email protected] After class and by appointment

*** Please contact the TAs primarily through the online discussion board as most *** *** questions can be efficiently answered that way and it answers the question for *** ***the other students as well. *** For Last Names starting with:

TAs:

A-M: N-Z:

Zhen Xu Mallory Frayn Kimberly Carrière Iulia Banica

Email: [email protected] Email: [email protected]

LECTURES Lecture Meeting Room: Lecture Schedule:

McIntyre 522 Tuesdays and Thursdays, 11:35 am – 12:55 pm

PREREQUISITE One of PSYC 211, PSYC 212, PSYC 213, PSYC 215, or permission of instructor. REQUIRED TEXTBOOK Taylor, S. E., Sirois, F. M., & Molnar, D. S. (2017). Health Psychology (4th Canadian ed.) McGraw-Hill-Ryerson. The book is available for purchase at the McGill Bookstore and on reserve at the Humanities and Social Sciences Library. Alternatively, you can also purchase the interactive Ebook. It is available for purchase from the publisher’s website. It costs less than the hardcopy: http://www.mheducation.ca/highereducation/products/9781259090240/connect+etext+ecommerc e+t%7C+%7Ca+health+psychology/ You can use the 3rd edition if you make yourself familiar with the changes from 3rd to 4th edition (explained at the beginning of the textbook's 4th edition) and for discrepancies go with the 4th edition. The exams will be based on the 4th edition. COURSE OVERVIEW This course provides a survey of major issues in the field of health psychology: Historical perspective; health effects of stress; pain mechanisms and management; prevention and management of chronic diseases, hypertension, coronary heart disease, cancer, and immunological disorders, behaviour change strategies for smoking, overeating, physical 1

inactivity, and sexual risk behaviours. The course is designed for undergraduate students with an interest in the role of psychological factors in health and disease. The course is particularly relevant for students with interests in clinical psychology, nursing, medicine, or careers in other health related professions. COURSE OBJECTIVES • develop a thorough understanding of the field of health psychology and current theories on disease prevention and health promotion • develop a critical appreciation of the differences between biopsychosocial and biomedical approaches to health and health care • examine how theories, research, and interventions in health psychology relate to current health and health care challenges, with a focus on the Canadian perspective • develop research skills and skills in critical analysis by writing an APA-formatted research paper (optional) • develop critical thinking skills EVALUATION Quizzes (10%), mid-term exam (30%), final exam (60%) ALTERNATIVE EVALUATION OPTION: Research Paper If you decide to write the research paper, then your mid-term exam will be worth 15% and the research paper will be worth 15%. You will need to register to write the research paper on myCourses 3 weeks before its due date, which is October 16. *** If you hand in the research paper, it will be counted towards your final grade even if your mid-term or final exam marks are better than your research paper mark. There will be no exceptions to this rule. *** EXTRA CREDIT OPTION Optional 2% Psychology Department Participant Pool: You are welcome to participate in the participant pool or to do the non-participatory alternate assignments for an extra 2% on your final grade. Participating is entirely voluntary and is between you and the Participant Pool Teaching Assistant, who will indicate to me at the end of the semester who participated and for how much credit. You are permitted to participate in any study for which you are eligible. The pool TA will visit our class to describe the process. All questions about the participant pool should be sent to the pool TA at: [email protected] SUPPLEMENTAL EXAM A supplemental exam will be available for eligible students. It will count for 100% of the supplemental mark. Please check McGill's policy on supplemental exams for eligibility information. ADDITIONAL WORK There will be an option of doing additional work to upgrade marks of D, F, or J for eligible students. Please check McGill's policy on additional work for eligibility information. The additional work consists of submitting the optional research paper, granted that you did not already submit it as part of the course. If you already submitted it as part of the course, then I will assign a different type of research paper to you. The additional work will carry 25% in the calculation of the supplemental mark. 2

GRADING SCHEME A 85 – 100% A80 – 84% B+ 75 – 79% B 70 – 74% B65 – 69% C+ 60 – 64% C 55 – 59% D 50 – 54% F 0 – 49% IMPORTANT DATES • First Class: Tuesday, September 5 • Midterm Exam: Tuesday, October 17 • Register for Optional Research Paper: by Monday September 25, midnight • Optional Research Paper due: Monday October 16, midnight (submit electronic pdf AND Word file to [email protected]) • Last Class: Thursday, November 30 COURSE SCHEDULE – weekly topics and readings Week 1 Sept 5: Sept 7:

Overview of Course; Introduction of Subject Pool Option; Introduction of TAs CHAPTER 1: What is Health Psychology?

Note: CHAPTER 2 is read-only. No in-class lecture on Chapter 2. Week 2 Sept 12: Sept 14:

CHAPTER 3: Health Behaviours CHAPTER 3: Health Behaviours (cont’d)

Week 3 (Quiz 1) Sept 19: CHAPTER 4: Guest Lecture Bassam Khoury: MBSR Sept 21: CHAPTER 4: Preventive and Health Promoting Behaviours Week 4 (Quiz 2) Sept 26: CHAPTER 5: Health-Compromising Behaviours Sept 28: CHAPTER 5: Health-Compromising Behaviours (cont'd) Week 5 (Quiz 3) Oct 3: Guest Presentation Helene Klodawsky: Care-Giving Oct 5: CHAPTERS 6 & 7: Stress Week 6 (Quiz 4) Oct 10: CHAPTER 8: Using Health Services Oct 12: CHAPTER 8: Using Health Services (cont’d); Midterm Exam Review Week 7 (no Quiz) Oct 17: Mid-Term Exam Oct 19: CHAPTER 9: Patient-Provider Relations 3

Week 8 (Quiz 5) Oct 24: CHAPTER 10: Pain and its Management Oct 26: CHAPTER 10: Pain Guest Lecture Esther Yakobov Week 9 (Quiz 6) Oct 31: CHAPTER 11: Living with Chronic Illness Nov 2: CHAPTER 12: Psychological Issues in Advancing and Terminal Illness Week 10 (Quiz 7) Nov 7: CHAPTER 13: Heart Disease, Hypertension, Stroke, and Diabetes Nov 9: CHAPTER 13: Heart Disease, Hypertension, Stroke, and Diabetes (cont’d) Week 11 (Quiz 8) Nov 14: CHAPTER 14: Psychoneuroimmunology, AIDS, Cancer, and Arthritis: Nov 16: CHAPTER 14: Psychoneuroimmunology, AIDS, Cancer, and Arthritis (cont’d) Week 12 (Quiz 9) Nov 21: Guest Lecture Zhen Xu: Stress Management Nov 22: CHAPTER 15: Challenges for the Future Week 13 (Quiz 10 ) Nov 28: CHAPTER 15 (cont'd): Challenges for the Future Nov 30: Course Wrap-Up and Exam Review LECTURES Slides will be available on myCourses. Lectures will be recorded and made available through myCourses after each lecture. POLLING @ MCGILL Anonymous polling will be used in this course to: enhance engagement. During a class with polling questions, you will respond to questions from the instructor from a personal device (smartphone, tablet, or laptop). You should come to class with your devices charged and connected to the Internet. Polling will be available through www.mcgill.ca/polling. To participate in Polling sessions, you must first register for an account by clicking on Register Your Account at www.mcgill.ca/polling and logging in with your McGill username and password. Follow the prompts to agree to the terms of use and create your account. For more information, please visit the Getting Started for Students section at www.mcgill.ca/polling. For any technical problems with polling, please contact the IT Service Desk: http://www.mcgill.ca/it/get-started-it/need-help. QUIZZES Ten online, open-book quizzes on readings will be administered each week, starting the 3rd week of classes and not including the week of the Mid-Term Exam. The goal of the quizzes is to encourage reading the textbook. The quizzes will consist of 10 multiple-choice questions each and should not take longer than 15 to 20 minutes. The quizzes will not be cumulative and will cover the chapter(s) assigned for the week. Out of the 10 quizzes, your highest 7 marks will be 4

used to calculate your final ‘quiz’ mark. Each quiz will be open for a week. There are no extensions of this period. If you miss a quiz, you will receive a 0 for it. EXAMS Mid-Term Exam: The mid-term exam takes place on Tuesday, October 17 during the regular class time. It will consist of 50 multiple-choice questions plus short-answer questions (with choice) and covers Chapters 1 to 8 of the textbook and all lectures material up to this date. The multiple-choice questions have a heavier weight on the textbook and the short-answer questions have a heavier weight on the lectures. Material from guest lectures will be part of the exam. Policy on Missed Mid-Term Exam: If you miss the mid-term exam for either a valid, documented reason (e.g. medical note) or a documented academic conflict (see list below), you need to contact me before or at the latest 24 hours after the exam. If you do so, you have the option to have your final exam count 90% or to do a literature review (instructions would be provided) for a weight of 30% of your final grade. If you do not do so, then your final exam will count 90%. An academic conflict exists if you have: - Two exams on the same day, at the same time - Three exams in one day (morning at 9 a.m., afternoon at 2 p.m., and evening at 6 p.m.) - Three consecutive exams in 24 hours as follows: - One in the afternoon at 2 p.m., one in the evening at 6 p.m. of the same day, and one the following morning at 9 a.m. - One in the evening at 6 p.m., one the following morning at 9 a.m., and one the following afternoon at 2 p.m. - Four exams in two days - Five exams in three days Final Exam: The final exam lasts 3 hours and includes 100 multiple-choice questions and shortanswer questions (with choice). Around 60% of the multiple-choice questions will come from Chapters 9 to 15 of the textbook and lectures related to Chapters 9 to 15 and around 40% will come from Chapters 1 to 8. The multiple-choice questions have a heavier weight on the textbook and the short-answer questions have a heavier weight on the lectures. Material from guest lectures will be part of the exam. Scoring of Multiple-Choice Questions: Based on the response distributions, I will exclude multiple-choice questions from scoring where the response distribution shows that the question or response options were ambiguous. If you feel during the exam that a multiple-choice question or its response options are ambiguous, then please write a convincing rationale on the exam booklet. ALTERNATIVE EVALUATION OPTION: BEHAVIOUR MODIFICATION RESEARCH PAPER Description and Purpose The Behaviour Modification Assignment will involve the selection of a health behaviour that you want to change, the application of an evidence-based intervention, and the submission of a written research paper that summarizes your research and the results of your behaviour modification “experiment”. 5

The purposes of the Behaviour Change Assignment are to provide you with an opportunity to learn more about a problematic health behaviour and to gain first-hand experience in applying and evaluating a psychological intervention for that health behaviour. Procedure 1. Select a health behaviour you would like to change and identify a goal (one that is specific, measurable, and realistic!). You can also choose to change a health behaviour of someone else (e.g. a friend, relative). • This can be an unhealthy problem behaviour that you would like to eliminate or decrease (e.g. smoking, drinking too much alcohol, eating fatty snacks, stress) or a healthy behaviour that you would like to increase (e.g. exercising, eating certain healthy foods). • The textbook can be a good source of ideas for health behaviours to improve • However, you should feel free to be creative in your selection of a health behaviour to change • Be sure to operationalize your goal (i.e., specifically, what does “eating healthier” mean?) 2. Conduct research on why the behaviour you have chosen is important to change • Do a literature search on the role of the behaviour (or its absence) as a risk factor for disease or reduced life quality • Read and integrate into your paper at least 3 peer-reviewed review or empirical articles from professional journals (such as Health Psychology or Annals of Behavioral Medicine) concerning the target behaviour and how amenable to behaviour change it is 3. Conduct research on how the behaviour can be changed • You should identify and integrate into your paper at least 3 (different from the above!) empirical studies from academic journals describing behaviour modification interventions that have been developed and tested to change your target behaviour (or a similar behaviour) • Keep in mind that the best evidence for the efficacy of interventions comes from randomized controlled trials (RCT’s) (which are also referred to as clinical trials) • For some topics, there will be no or few RCT’s, in which case you can also refer to studies that report the results of single case research designs (N = 1) • You should also look for systematic review articles (e.g., meta-analyses, reviews from the Cochrane Collaboration) that generally summarize the evidence supporting behaviour modification interventions for your target behaviour • Examples include behaviour change techniques such as reward-setting, behavioural contracts, self-monitoring, contingency management, stimulus control, implementation intentions, mental imagery, cognitive restructuring, multicomponent behavioural interventions for weight loss, etc. You can use combinations of these techniques if you can provide a rationale and evidence from the literature that it will effective. • Note: Using the "intervention" to exercise more for your target behaviour of exercising more is not what I mean! You need to choose a psychological behaviour modification technique/s to increase your exercising. If in doubt whether the intervention that you decided on is the type of psychological intervention that we have in mind, contact one of the TAs and describe to the TA in 2 sentences what the behaviour is that you want to change and what psychological intervention you are planning to use to change the behaviour. 6

•

You can read the following review for an overview of possible interventions, but you should do additional research once you have selected a specific intervention (e.g., you can look up the specific studies referenced in the review): Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28(6), 690-701.

4. For one week, make no behaviour changes, but choose a way of measuring the behaviour each day and keep a log of your target behaviour. • Gather specific information including how often you engage in the behaviour, to what extent (amount, degree, frequency), and other details such as with whom you are with when you engage in the behaviour, where you engage in it, and whatever other details (e.g., how you were feeling) you deem helpful for behaviour change • You must select some way of quantifying the health behaviour (e.g., frequency of cigarettes smoked each day) • Some health behaviours lend themselves well to being measured in multiple ways – this is acceptable, but you should decide on one primary outcome measure 5. Design a self-monitoring sheet that can be used to track your progress • You will use this to record the above information on a daily basis 6. After this week, plan and implement an intervention for yourself as a health psychologist would for a client for AT LEAST ONE WEEK • The Methods sections of the intervention studies you have found should provide enough detail for you to replicate their intervention • Your textbook can be a helpful resource for describing the specifics of different types of interventions (e.g., see Chapter 3) 7. Then keep again a log (in your self-monitoring sheet) of your target behaviour for at least ONE WEEK. This will allow you to compare your behaviour pre- and post intervention. Paper The assignment must be between 5 and 7 double-spaced typewritten pages, not including the title page and not including the references or any graphs, tables, or figures (graphs, tables or figures are to be placed in the end of the paper, after the references). Do not exceed the page limit of 7 for the text. The grader will stop reading after 7 pages of text and you will be graded on the amount read. Margins should be 1” all around, font should be size 12, and pages should be numbered. The paper must be formatted according to APA style. Please use the guidelines on the following website: http://owl.english.purdue.edu/owl/resource/560/1/ Your final assignment will consist of the following, in order: 1.

A title page (title of topic, student name and ID, course name and number, course instructor, date)

2.

A review of the relevant research literature: This should include an introduction to the health behaviour you have chosen and a description of why the behaviour is important to change. 7

This review should include at least THREE peer-reviewed review or empirical articles from professional journals (such as Health Psychology or Annals of Behavioral Medicine) concerning the target behaviour. 3.

A description of the chosen intervention and review of the relevant research literature and evidence of effectiveness. This should include at least THREE empirical studies from academic journals describing attempts to change the behaviour (different from those studies cited in step #2 above).

4.

A description and documentation of your behaviour change experience. This should include details of your intervention, description of the results of your intervention, a figure/table/graph clearly depicting the results of your intervention. The graph should be included at the end of your paper and DOES NOT count toward the page limit. It is acceptable to write in the 1st person when describing your personal experience of behaviour change.

5.

A summary and critique. This should include a conclusion regarding the current state of evidence on the efficacy of interventions for changing the selected behaviour (can be based on a systematic review or your general reading of the literature as well as your own experience). Also discuss any limitations to the current state of knowledge concerning interventions for this behaviour and suggestions for future research (this is the critique part!).

6.

A reference list.

7.

Copies of your self-monitoring logs.

Due Date: The paper is due on Monday October 16, midnight, as a pdf AND a word file (we will write our comments and feedback directly into the word file and send it back to you) to [email protected]. The word document file should be named with the course number and your full name (e.g., Psych328_SarahAnderson.docx). Early papers will be accepted and are encouraged. You will receive one point deduction for each day that the paper is submitted late. Grading: The grading scheme is provided at the end of this syllabus. Plagiarism: In reviewing literature, it is important to analyze all sections of the article. Summaries of articles provided on websites (e.g. Wikipedia) or in other (secondary) sources are often not comprehensive or accurate. Please note that the instructor and the teaching assistant have extensive knowledge in the topics covered by the research papers and will notice if cited literature has not been read in its original. They will also notice if material has been plagiarized from original articles or websites. We will ...