Supporting individual behaviour change

2014 ◽  
pp. 79-94
Author(s):  
John Kemm
Keyword(s):  
Behaviour Change ◽  
Individual Behaviour ◽  
Individual Behaviour Change

scholarly journals The clinical effectiveness of individual behaviour change interventions to reduce risky sexual behaviour after a negative human immunodeficiency virus test in men who have sex with men: systematic and realist reviews and intervention development

2017 ◽  
Vol 21 (5) ◽  
pp. 1-164 ◽  
Author(s):  
Paul Flowers ◽  
Olivia Wu ◽  
Karen Lorimer ◽  
Bipasha Ahmed ◽  
Hannah Hesselgreaves ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Behaviour Change ◽  
Hiv Transmission ◽  
Meta Analysis ◽  
Clinical Effectiveness ◽  
Individual Behaviour ◽  
Behaviour Change Interventions ◽  
Individual Level ◽  
The Uk ◽  
Individual Behaviour Change

AbstractBackgroundMen who have sex with men (MSM) experience significant inequalities in health and well-being. They are the group in the UK at the highest risk of acquiring a human immunodeficiency virus (HIV) infection. Guidance relating to both HIV infection prevention, in general, and individual-level behaviour change interventions, in particular, is very limited.ObjectivesTo conduct an evidence synthesis of the clinical effectiveness of behaviour change interventions to reduce risky sexual behaviour among MSM after a negative HIV infection test. To identify effective components within interventions in reducing HIV risk-related behaviours and develop a candidate intervention. To host expert events addressing the implementation and optimisation of a candidate intervention.Data sourcesAll major electronic databases (British Education Index, BioMed Central, Cumulative Index to Nursing and Allied Health Literature, EMBASE, Educational Resource Index and Abstracts, Health and Medical Complete, MEDLINE, PsycARTICLES, PsycINFO, PubMed and Social Science Citation Index) were searched between January 2000 and December 2014.Review methodsA systematic review of the clinical effectiveness of individual behaviour change interventions was conducted. Interventions were examined using the behaviour change technique (BCT) taxonomy, theory coding assessment, mode of delivery and proximity to HIV infection testing. Data were summarised in narrative review and, when appropriate, meta-analysis was carried out. Supplemental analyses for the development of the candidate intervention focused on post hoc realist review method, the assessment of the sequential delivery and content of intervention components, and the social and historical context of primary studies. Expert panels reviewed the candidate intervention for issues of implementation and optimisation.ResultsOverall, trials included in this review (n = 10) demonstrated that individual-level behaviour change interventions are effective in reducing key HIV infection risk-related behaviours. However, there was considerable clinical and methodological heterogeneity among the trials. Exploratory meta-analysis showed a statistically significant reduction in behaviours associated with high risk of HIV transmission (risk ratio 0.75, 95% confidence interval 0.62 to 0.91). Additional stratified analyses suggested that effectiveness may be enhanced through face-to-face contact immediately after testing, and that theory-based content and BCTs drawn from ‘goals and planning’ and ‘identity’ groups are important. All evidence collated in the review was synthesised to develop a candidate intervention. Experts highlighted overall acceptability of the intervention and outlined key ways that the candidate intervention could be optimised to enhance UK implementation.LimitationsThere was a limited number of primary studies. All were from outside the UK and were subject to considerable clinical, methodological and statistical heterogeneity. The findings of the meta-analysis must therefore be treated with caution. The lack of detailed intervention manuals limited the assessment of intervention content, delivery and fidelity.ConclusionsEvidence regarding the effectiveness of behaviour change interventions suggests that they are effective in changing behaviour associated with HIV transmission. Exploratory stratified meta-analyses suggested that interventions should be delivered face to face and immediately after testing. There are uncertainties around the generalisability of these findings to the UK setting. However, UK experts found the intervention acceptable and provided ways of optimising the candidate intervention.Future workThere is a need for well-designed, UK-based trials of individual behaviour change interventions that clearly articulate intervention content and demonstrate intervention fidelity.Study registrationThe study is registered as PROSPERO CRD42014009500.FundingThe National Institute for Health Research Health Technology Assessment programme.

Public health approaches to tackling obesity in the UK

2019 ◽  
Vol 30 (6) ◽  
pp. 294-298
Author(s):  
Hilda Mulrooney
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Behaviour Change ◽  
Population Based ◽  
Dietary Intakes ◽  
Obesogenic Environment ◽  
Individual Behaviour ◽  
Adults And Children ◽  
The Uk ◽  
Individual Behaviour Change

Being obese and overweight affects an increasing number of adults and children in the UK. Hilda Mulrooney presents an overview of the population-based approaches to improving public health and enabling more people to lose weight Obesity is a serious condition that is highly prevalent in UK adults and children. A number of population-based approaches to improve the ‘obesogenic’ environment have been put into place while more are being proposed. Many of these approaches have the advantage of potentially altering dietary intakes without individual behaviour change, and they are taking place in a wider context that encourages physical activity and partnership working. Approaches to obesity and progress made towards targets will be discussed.

scholarly journals Making a “Pledge”: Moral Suasion and Health Promotion Practice

Challenges ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 39
Author(s):  
Glenn Laverack
Keyword(s):  
Health Promotion ◽  
Harm Reduction ◽  
Low Cost ◽  
Health Behaviours ◽  
Individual Behaviour ◽  
Collective Levels ◽  
Moral Suasion ◽  
The Individual ◽  
Health Promotion Practice ◽  
Individual Behaviour Change

Moral suasion offers a versatile and low-cost approach to influence social norms and risky health behaviours, but is often neglected in health promotion in favour of using educational approaches. The purpose of this paper is to discuss the challenges and the benefits of using moral suasion in health promotion. Past and present experiences of using moral suasion to promote health are discussed in conjunction with other approaches, such as harm reduction. The challenge of using moral suasion as an approach is that it focuses on individual behaviour change, rather than addressing the broader structural causes of poor health. However, the paper concludes that the versatility of the moral suasion approach and the success of using “pledges” means that it can be an important intervention, alongside other educational and motivational techniques, to help to change behaviours at the individual and collective levels.

scholarly journals Is social-ecological risk associated with individual HIV risk beliefs and behaviours?: An analysis of Kenyan adolescents' local communities and activity spaces

2020 ◽  
Author(s):  
Christina Schmidt ◽  
Eve Puffer ◽  
Sherryl Broverman ◽  
Virginia Warren ◽  
Eric Green
Keyword(s):  
Hiv Risk ◽  
Hiv Transmission ◽  
Local Communities ◽  
Individual Behaviour ◽  
Western Kenya ◽  
Activity Spaces ◽  
Risk Beliefs ◽  
Social Ecological ◽  
Community Risk ◽  
Individual Behaviour Change

The places where adolescents live, learn, and play are thought to influence behaviours and health, but we have limited tools for measuring environmental risk on a hyperlocal level. Working with 218 adolescents and their parents/guardians in rural western Kenya, we combined participatory mapping activities with satellite imagery to identify adolescent activity spaces and create a novel measure of social-ecological dangers. We then examined the associations between community risk and individual HIV risk beliefs and behaviours. We found support for the conjecture, derived from social-ecological models of HIV transmission, that community-level risks may be associated with individual beliefs and behaviours. As community risk increased for a sample of Kenyan adolescents, so did their reports of riskier sex beliefs and behaviours, as well as unsupervised outings at night. This study reinforces calls for disease prevention approaches that go beyond emphasizing individual behaviour change.

Guest Editorial: Health Promotion Evaluation

1999 ◽  
Vol 5 (4) ◽  
pp. 6 ◽  
Author(s):  
Hal Swerissen
Keyword(s):  
Health Promotion ◽  
Guest Editorial ◽  
Individual Behaviour ◽  
The Past ◽  
Single Risk Factor ◽  
Health Promotion Programs ◽  
Complex Models ◽  
Single Method ◽  
Intervention Trials ◽  
Individual Behaviour Change

Health promotion has changed significantly over the past twenty years. From its origins based on relatively simple models of individual behaviour change it has evolved to incorporate complex models involving multi causal influences. Interventions have developed from single method, single risk factor to integrated, multi factorial approaches. Similarly, from initial exploratory intervention trials, longer term government sponsored health promotion programs have evolved. Significant dedicated agencies and programs with continuing responsibilities for health promotion are now common.

Overview of behaviour change

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Oral Health ◽  
Behaviour Change ◽  
Health Professionals ◽  
Health Behaviours ◽  
Minor Role ◽  
Dental Practitioners ◽  
Oral Health Behaviours ◽  
Practical Factors ◽  
Individual Behaviour Change

Many dental practitioners become very frustrated with their patients when they fail to follow advice given to improve their oral health. This failure can often be interpreted by dentists as a sign of disinterest, lack of motivation, or sometimes even stupidity! Such an approach helps no one. As has already been identified, to successfully promote oral health the dental team need to work with their patients in a number of ways. For example, to help them select a healthy diet, maintain good oral hygiene, or stop smoking, the dental team need to understand what factors influence these behaviours and how they can be altered successfully. This chapter therefore aims to review behaviour change to help you understand more fully how you as a clinician can help your patients successfully alter their behaviour to promote and maintain their oral health. Theories and models of behaviour change will be reviewed and consideration will also focus on the practical factors influencing the process of change. Before reviewing the theoretical detail of behaviour change it is important to restate a core principle of public health, that is, the importance of the underlying social determinants of health. A wealth of evidence has highlighted that individual behaviours have a relatively limited influence on health outcomes compared to economic, environmental, and social factors (Marmot and Wilkinson 2006 ; Wilkinson 1996). Indeed, oral health behaviours play a somewhat minor role in explaining oral health inequalities (Sabbah et al . 2009; Sanders et al. 2006). Any exploration of individual behaviour change therefore needs to take into account the influence of the broader factors operating at a macro level. However, for health professionals working with individual patients, helping people change their behaviour is still an important task within their clinical practice. Traditionally, health professionals have focused largely upon giving their patients information in an attempt to change their behaviour. Such an approach has, however, been mostly unsuccessful at securing long-term changes in behaviour (Sprod et al. 1996; Yevahova and Satur 2009).

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