Determinants of incentive preferences for health behavior change in Japan

2018 ◽  
Vol 34 (4) ◽  
pp. 760-769
Author(s):  
Toshihiko Takada ◽  
Shingo Fukuma ◽  
Yosuke Yamamoto ◽  
Sayaka Shimizu ◽  
Kakuya Nihata ◽  
...  
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Transtheoretical Model ◽  
Health Behavior Change ◽  
Accurate Information ◽  
Individual Preferences ◽  
Incentive Program ◽  
Maintenance Stage ◽  
Outcome Type ◽  
Action Stage

Abstract Interest in the use of incentives to promote health behavior change has been growing worldwide. However, to develop an effective incentive program, accurate information regarding individual preferences is essential. Therefore, the aim of this study was to clarify determinants of incentive preferences for health behavior change. A self-completed questionnaire survey regarding incentives for health behavior change was conducted in a Japanese village in 2015. The outcome measures were individual preferences for features of incentives, including item, frequency, type and value. The types of incentives were defined as follows: assured-type (given for participation); effort-type (given if participants make some kind of effort); and outcome-type (given if participants make achievements decided a priori). The associations with respondents’ sex, age, presence of lifestyle-related disease and stage in the transtheoretical model of health behavior change were investigated using multivariate analysis. A total of 1469 residents responded to the survey. Significant associations with preference for different incentive features were found as follows: for monetary items, female and elderly; for high frequency, female and maintenance stage; for effort-type, male, action stage and contemplation stage; and for outcome-type, maintenance stage and action stage. Our results appeared to identify determinants of incentive preferences for health behavior change. These findings are expected to promote the development of an incentive program more in tune with individual preferences.

Multiple Health Behavior Change for Weight Loss: A Scoping Review

2020 ◽  
Vol 44 (5) ◽  
pp. 559-571
Author(s):  
Megan S. Maisano ◽  
Eleanor T. Shonkoff ◽  
Sara C. Folta
Keyword(s):  
Weight Loss ◽  
Health Behavior ◽  
Behavior Change ◽  
Scoping Review ◽  
Transtheoretical Model ◽  
Cognitive Theory ◽  
Health Behavior Change ◽  
Risk Level ◽  
Multiple Health Behavior Change ◽  
Multiple Health

Objectives: In this scoping review, we examine the current state of literature on weight-related Multiple Health Behavior Change (MHBC). Specifically, we investigate: (1) MHBC versus single health behavior change (SHBC) interventions and (2) simultaneous versus sequential MHBC approaches. Secondarily, we explore (3) attributes that predict success in MHBC, and (4) the utilization of theoretical frameworks. Methods: We retrieved studies from PubMed, Web of Science, and Google Scholar within the 2000 to 2018 range. Results: MHBC interventions proved superior for long-term weight loss when compared to SHBC approaches. However, the literature is limited. Studies investigating simultaneous and sequential MHBC approaches are also limited and have mixed results. Predictive characteristics of MHBC include behavior adherence, risk level, stage of change, self-efficacy, social support, environmental barriers, and treatment approaches. Whereas evidence evaluating theory in MHBC programs remains scant, there is promising research on constructs from the Transtheoretical Model and Social Cognitive Theory. Conclusions: MHBC approaches may better support weight loss efforts. However, further research is needed to understand the effects of behavior change order and timing, predictive features of participants and interventions, and theoretical framework utilization in these weight-loss programs.

The Transtheoretical Model of Health Behavior Change

1997 ◽  
Vol 12 (1) ◽  
pp. 38-48 ◽  
Author(s):  
James O. Prochaska ◽  
Wayne F. Velicer
Keyword(s):  
At Risk ◽  
Health Behavior ◽  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Basic Research ◽  
Health Behavior Change ◽  
Decisional Balance ◽  
Computer Based ◽  
At Risk Populations

The transtheoretical model posits that health behavior change involves progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Ten processes of change have been identified for producing progress along with decisional balance, self-efficacy, and temptations. Basic research has generated a rule of thumb for at-risk populations: 40% in precontemplation, 40% in contemplation, and 20% in preparation. Across 12 health behaviors, consistent patterns have been found between the pros and cons of changing and the stages of change. Applied research has demonstrated dramatic improvements in recruitment, retention, and progress using stage-matched interventions and proactive recruitment procedures. The most promising outcomes to date have been found with computer-based individualized and interactive interventions. The most promising enhancement to the computer-based programs are personalized counselors. One of the most striking results to date for stage-matched programs is the similarity between participants reactively recruited who reached us for help and those proactively recruited who we reached out to help. If results with stage-matched interventions continue to be replicated, health promotion programs will be able to produce unprecedented impacts on entire at-risk populations.

scholarly journals Transtheoretical Model of Health Behavior Change Applied to Voice Therapy

2008 ◽  
Vol 22 (6) ◽  
pp. 688-698 ◽  
Author(s):  
Eva van Leer ◽  
Edie R. Hapner ◽  
Nadine P. Connor
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Transtheoretical Model ◽  
Health Behavior Change ◽  
Voice Therapy

Transtheoretical Model and Stages of Change in Health and Risk Messaging

2017 ◽  
Author(s):  
Seth M. Noar
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Health Behavior Change ◽  
Decisional Balance ◽  
Message Design ◽  
Tailored Interventions ◽  
Theoretical Approaches

The Transtheoretical Model (TTM) is an integrative health behavior change theory that describes the process of how people change their behavior. The central organizing construct in the theory is stages of change, which are five distinct stages of readiness to change behavior, ranging from not ready to change (precontemplation), thinking about change (contemplation), preparing to change (preparation), changing (action), and maintaining the change (maintenance). Movement through the stages may be nonlinear, and cycling and recycling through the stages is viewed as a natural part of the change process. Other model constructs explain what drives individuals forward through the stages of change. Decisional balance involves a weighing of pros and cons of changing behavior, while self-efficacy involves situation-specific confidence that one can change. Increases in pros, deceases in cons, and increases in self-efficacy propel people forward through the stages of change. The processes of change are experiential and behavioral strategies that people use to change their behavior. In early stages of change, people use experiential strategies while they use behaviorally oriented strategies in later stages of change. The TTM holds significant implications for message design. Most notably, messages should be targeted and tailored to stages of change, and where possible, to other model variables as well. Studies indicate that the TTM has been successfully applied to health communication campaigns, and to a larger extent, to computer-tailored interventions to change health behavior. Meta-analyses indicate that scores of computer-tailored interventions have been efficacious, including many based upon the TTM and stages of change. New applications of the model include a focus on novel health behaviors, multiple behavior change, and advancing an understanding of message design in the context of the TTM in combination with other theoretical approaches.

Childhood Overweight: Parental Perceptions and Readiness for Change

2015 ◽  
Vol 23 (2) ◽  
pp. 73-79
Author(s):  
Kristen R. Howard
Keyword(s):  
Childhood Obesity ◽  
Health Behavior ◽  
Behavior Change ◽  
Transtheoretical Model ◽  
Health Behavior Change ◽  
Readiness For Change ◽  
School Age Children ◽  
Health Crisis ◽  
Stage Of Readiness ◽  
The Face

Although the national health crisis of childhood obesity is a well-documented problem, few if any clinical interventions have had success in curbing its growth. In fact, childhood obesity, along with its associated morbidities, continues to climb even in the face of increased awareness. Research shows that factors contributing to obesity are almost entirely modifiable on some level. Furthermore, specific behavior changes have been shown to result in positive outcomes, yet these changes have not been widely implemented by practitioners, families, or individuals. The transtheoretical model of health behavior change offers insight into assessing individuals and targeting interventions for behavior change. This article focuses on guiding school nurses to assess parents of school-age children at risk for obesity for readiness for health behavior change, then choosing parent-focused interventions based on their stage of readiness for change.

Childhood Overweight: Parental Perceptions and Readiness for Change

2007 ◽  
Vol 23 (2) ◽  
pp. 73-79 ◽  
Author(s):  
Kristen R. Howard
Keyword(s):  
Childhood Obesity ◽  
Health Behavior ◽  
Behavior Change ◽  
Transtheoretical Model ◽  
Health Behavior Change ◽  
Readiness For Change ◽  
School Age Children ◽  
Health Crisis ◽  
Stage Of Readiness ◽  
The Face

Although the national health crisis of childhood obesity is a well-documented problem, few if any clinical interventions have had success in curbing its growth. In fact, childhood obesity, along with its associated morbidities, continues to climb even in the face of increased awareness. Research shows that factors contributing to obesity are almost entirely modifiable on some level. Furthermore, specific behavior changes have been shown to result in positive outcomes, yet these changes have not been widely implemented by practitioners, families, or individuals. The transtheoretical model of health behavior change offers insight into assessing individuals and targeting interventions for behavior change. This article focuses on guiding school nurses to assess parents of school-age children at risk for obesity for readiness for health behavior change, then choosing parent-focused interventions based on their stage of readiness for change.

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