Behavioural Change Flashcards
t/f pharmacy practice interventions seem to be most effective when delivered by highly experienced Phc with excellant clinical knowledge, communication skills and confidence in their actions
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what is a theory?
a system of ideas or statements held as an explanation or account of a group of facts or phenomena
What do behavioural change theories attempt to explain?
why human behaviours change
Behavioural change theories cite __, ___ and ____ characteristics as major factors in behavioural determination
environmental, personal and behavioural
why are theories and frameworks like toothbrushes?
everyone has one, and no one wants to use someone else’s
what is the purpose of the COM-B model?
identifies barriers to behaviours
what are the 3 main barriers to behaviour proposed by the COM-B model?
capability, motivation, and opportunity
what is capability?
the psychological or physical ability to enact behaviour
what is motivation?
reflective of automatic mechanisms that activate or inhibit behaviour
what is opportunity?
physical and social environment that enables the behaviour
what is the theoretical domain framework?
a framework (not a theory) that is mainly focused on health behaviour and is synthesizd from 33 theories (128 theoretical constructs)
what is the main goal of the theoretical domain framework?
to make behavioural theory more accessible to researchers working in implementation
t/f the theoretical domain framework translates to patient behaviour
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what does the theoretical domain framework want to get us away from doing?
making our own implicit assumptions, bringing in our personal beliefs or the ISLAGIAT (it seemed like a good idea at the time) principle
what are the 13 theoretical domains of the theoretcial domain framework?
- knowledge
- skills
- social/professional role & identity
- beliefs about capabilities
- Optimism
- beliefs about consequences
- reinforcement
- Intentions
- Goals
- memory, attention & decision processes
- environmental context & resources
- social influences
- emotion
t/f the TDF can be mapped to the COM-B
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what are the 9 intervention functions proposed by MICHIE et. al?
- education
- persuassion
- incentivisation
- coercion
- training
- restriction
- environmental restructuring
- modelling
- enablement
explain the education intervention function
providing information / education on the topic
explain persuasian as an intervention for behavioural change
using communication to induce positive or negative feelings to stimulate action
explain incentivisation as an intervention function for behavioural change
creating expectation of reward for behavioural changes
explain coercion as an intervention function for behaviour change
creating expectation of punishment or cost of behaviour is not changed
explain training as an intervention function for behaviour change
imparting skills (ex: continued education in pharmacy)
explain restriction as an intervention function for behaviour change
using rules to reduce the opportunity to engage in the target behaviour (or to increase target bahaviour by reducing opportunity to engage in other behaviours)
explain the environmental restructuring as an intervention function for behaviour change
changing the physical of social context (ex: providing on screen Kroll prompts to ask patients about allergies)
explain modelling as an intervention function for behavioural change
providing an example for people to aspire to or imitate
give an example of enablement as an intervention function for behaviour change
behavioural support for smoking cessation
what are 7 policy options?
- communication/marketing
- Guidelines
- fiscal
- regulation
- legislation
- environmental / social planning
- service provision
explain communication/marketing policy
using print, electronic, telephone, or broadcast media
explain guidelines as a policy
creating documents that recommend of mandate practice. This includes all changes to service provision
explain fiscal policy
using the tax system to reduce or increase the financial cost
explain regulation policy
establishing rules or priciples of behaviour or practice
explain legislation policy
making or changing laws
explain environmental & social planning policy
designing and or controlling the physical or social environment
explain the service provision policy
delivering a service
give an example of communication / marketing policy
coducting mass media campaigns
give an example of guidelines as a policy
producing and disseminating treatment protocols
give an example of fiscal policy
increasing duty or increasing anti-smuggling activities
give an examples of regulation policy
establishing voluntary agreements on advertising
give an example of legislation policy
prohibiting sale or use
give an example of environmental or social planning policy
using town planning
give an example of service provision policy
establishing support services in workplace communities
once we know the intervention functions, we can use specific techniques to influence behaviour. What are these techniques called?
behaviour change techniques
Knowledge theoretical domain
an awareness of the existence of something
skills domain
ability or proficiency gained through practice
social/professional role & identity
coherent set of behaviours & personal qualities of an idividual in a social or work setting
beliefs about capabilities domain
acceptance of truth about an ability that a person can put to use
optimism domain
the confidence that things will work out for the best, or your goals will be reached
beliefs about consequences domain
acceptance of truth about outcomes of a behaviour
reinforcement domain
increasing probability of a response by arranging a dependent relationship or contingency between the response and stimulus
intentions domain
a conscious decision to perform a behaviour or a resolve to act a certain way
goals domain
mental representations of outcomes or end states that someone wants to achieve
memory, attention, and decision processes domain
ability to retain information, focus, and choose between 2/more alternatives
environmental context & resources domain
any circumstances of a person’s situation or environment that encorages or discourages behaviour
social influences domain
interpersonal processes that can cause individuals to change their thoughts, feeling, or behaviours
emotion domain
a complex reaction pattern, involving many elements, which the individual attempts to deal with a personally significant matter or event
behavioural regulation domain
anything aimed at managing or changing actions
