6: Techniques of Behavior change Flashcards
What are behaviou change techniques?
•A systematic strategy used in an attempt to change behaviour
What is the difference between behaviour change tequnique and an intervention?
Intervention= broader and can include more than one technique
Name examples of behaviour change techniques
- Providing information on consequences
- Prompting specific goal setting
- Prompting barrier identification
- Modelling the behaviour
- Planning social support
How can a patient-specific behaviour change technique be chosen?
Apply it to the example of healthy eating
- Behavioural target specification
- increasing the amount of Mediterranian diet
- Behavioural diagnosis
- Who? –> e.g. people
- What? –> decrease non-mediterranian diet type
- When? –> all the time
- How Often? –> all the time
- Where?– >Home, supermarket, cafe etc.
- Who With? –> people influencing diet of target
- Intervention strategy selection
- using COM-B model to explore barriers
- Implementation strategy selection
- Selection of specific BCTs
List effective mechanism that can influence bahavioural change
- Self-monitoring
- Motivational interviewing
Explain the concept of self-monitoring and how it can help to change behavioural techniques
- An individual keeping a record of target behaviours
- Additional information recorded can help to identify barriers e.g. mood, weather
- Role in increasing physical activity and healthy eating studied –> very effective
But: can be Time-consuming over the long term
Explain the concept or motivational interviewing
It is a style of consultation in which
The doctor
- MI ‘Spirit’ –> non-judging+ open minded
- MI-consistent behaviours
- MI-inconsistent behaviours
- Using specific techniques
Looking for signs of: in patients
- Change Talk/Intention
- Stage of Change e.g. readiness to change
- Co-operation, engagement or disclosure (client engagement/involvement)
- Resistance to change (client resistance)
- Self-confidence
- Sense of discrepancy
Explain the structure of implementation intentions in the change of health behaviour
Action plans
- Normally: If-then
- Think about critical situation and act accordingly:
- IF it’s Friday morning at 9am THEN I will go for a run from my house around the park
Plannin in advance increases the cue to action
Explain the role of incentives in implementing a change in behaviour
Reinforcement
- e.g. giving money to people to stop smoking etc.
- can be cost effective
- raie awareness
- bring individuals in contact with health service but
- Normally no lon-term effects and and might be expensive long-term
Is it effective/possible to target mutliple behavoiours at once?
Yes: Targeting multiple behaviours at the same time may lead to greater overall change but individual actions less effective
Focus on 2-3 points
Does tailoring educational materials to individual result in larger changes
Yes – small benefit on effectiveness of behavioural interventions
What is Implememtation of Intention?
action plans, think about critical situations to act and appropriate responses within those situations
Name an example how an implementation of intention could look like?
- If-then aspect “if I do this, then this will happen”
- Planning in advance makes outcomes more possible
- Strengthens connection between a good situation to act and a suitable action à behaviour is more likely to be enacted
