Transcript Population Health Curriculum for Health Professionals

Learning & Models of
Behavior Change
Diane B. Wilson EdD, RD
Mary S. McLellan MS,RD
Medical University of South Carolina
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CAROLINA
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Developed as part of an
Enhanced AHEC Community
Partnership for Health
Professions Workforce and
Educational Reform project
funded by the Health
Resource and Service
Administration (HRSA)
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CAROLINA
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OBJECTIVES

Behavior change theory, role in
changing health habits
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Major Variables
in Behavior Change
Knowledge
 Skills
 Beliefs
 Attitudes
 Values

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Health Belief Model
INDIVIDUAL PERCEPTIONS
MODIFYING FACTORS
Demographic Variables
Perceived susceptibility
LIKELIHOOD
OF ACTION
Socio-psychological
Variables
Perceived severity
Perceived benefits of
Perceived threat
preventive action
Likelihood of taking
recommended
preventive health action
Perceived barriers
to prevent action
Cues to Action
Information
Reminders
Persuasive
communications
Experience
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Categories of Belief
Perceived Seriousness
 Perceived Susceptibility
 Perceived Benefits
 Perceived Barriers

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Categories of Belief
Seriousness

Relative severity of
the health problem.

E.g. Seriousness of
hepatitis encourages
individuals to get the
hepatitis vaccine.
Susceptibility


Nature and intensity
of perceptions affect
willingness to take
preventive action.
Nature and intensity
of perceptions affect
willingness to take
preventive action.
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Categories of Belief
Benefits


Anticipated value of
the recommended
course of action.
Must believe
recommended
health action will do
good if they are to
comply.
Barriers


Perception of negative
consequences
Greatest predictive
value of whether
behavior will be
practiced.
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Stages of Change
Precontemplation
 Contemplation
 Preparation
 Action
 Maintenance

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Precontemplation

Definition



Not considering changing their behavior
Lack of awareness
Intervention Approach



Novel information
Persuasive communications
Experiences
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Contemplation

Definition



Person is beginning to consider behavior
change
Important stage of information acquisition
Intervention Approach


Motivated by role modeling and persuasive
communications
Receptive to planned or incidental learning
experiences.
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Preparation

Definition



Deciding to change by preparing and
experimenting.
Psychological preparation of trying on or
visualizing new behaviors and sharing the
idea with others. Deciding to change.
Intervention Approach

How-to information, skill development,
attitude change
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Action

Definition


Actually trying the new behavior
Intervention Approach





Skill
Reinforcement
Support
Self-management
Attitude and attribution change
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Maintenance

Definition



Establishment of the new behavior
Taking on the new attitudinal and
environmental supports
Intervention Approach



Relapse prevention skills
Self-management
Social and environmental support
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Discussion Time
Identify one of your health beliefs that
may not be entirely healthy and place it
in the model.
 What might move you to change your
behavior?

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Summary
Behavior change involves many factors,
including cognitive and affective variables.
 Health Promotion is based on several
theoretical models that help explain health
behavior.
 Understanding an individual’s “readiness to
change” is an important aspect of their
potential for success in behavior change.

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