scholarly journals The impact of Healthy Conversation Skills training on health professionals’ barriers to having behaviour change conversations: a pre-post survey using the Theoretical Domains Framework

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jenna L. Hollis ◽  
Lucy Kocanda ◽  
Kirsty Seward ◽  
Clare Collins ◽  
Belinda Tully ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Health Behaviour ◽  
Health Professionals ◽  
Theoretical Domains Framework ◽  
Clinical Settings ◽  
Conversation Skills ◽  
Health Behaviour Change ◽  
The Impact

Abstract Background Changing people’s behaviour by giving advice and instruction, as traditionally provided in healthcare consultations, is usually ineffective. Healthy Conversation Skills (HCS) training enhances health professionals’ communication skills and ability to empower and motivate people in health behaviour change. Guided by the Theoretical Domains Framework (TDF), this study examined the impact of HCS training on health professional barriers to conducting behaviour change conversations in both clinical and non-clinical settings. Secondary aims were to i) identify health professionals’ barriers to having behaviour change conversations, and explore the ii) effect of HCS training on health professionals’ competence and attitudes to adopting HCS, iii) feasibility, acceptability and appropriateness of using HCS in their clinical and non-clinical roles, and iv) acceptability and quality of HCS training. Methods HCS training was conducted in October-November 2019 and February 2020. Pre-training (T1), post-training (T2) and follow-up (T3; 6-10 weeks post-training) surveys collected data on demographics and changes in competence, confidence, importance and usefulness (10-point Likert scale, where 10 = highest score) of conducting behaviour change conversations. Validated items assessing barriers to having these conversations were based on eight TDF domains. Post-training acceptability and quality of training was assessed. Data were summarised using descriptive statistics, and differences between TDF domain scores at the specific time points were analysed using Wilcoxon matched-pairs signed-rank tests. Results Sixty-four participants consented to complete surveys (97% women; 16% identified as Aboriginal), with 37 employed in clinical settings and 27 in non-clinical settings. The training improved scores for the TDF domains of skills (T1: median (interquartile range) = 4.7(3.3-5.3); T3 = 5.7(5.3-6.0), p < 0.01), belief about capabilities (T1 = 4.7(3.3-6.0); T3 = 5.7(5.0-6.0), p < 0.01), and goals (T1 = 4.3(3.7-5.0); T3 = 4.7(4.3-5.3), p < 0.01) at follow-up. Competence in using ‘open discovery questions’ increased post-training (T1 = 25% of responses; T2 = 96% of responses; T3 = 87% of responses, p < 0.001), as did participants’ confidence for having behaviour change conversations (T1 = 6.0(4.7-7.6); T2 = 8.1(7.1-8.8), p < 0.001), including an increased confidence in having behaviour change conversations with Aboriginal clients (T1 = 5.0(2.7-6.3); T2 = 7.6(6.4-8.3), p < 0.001). Conclusions Provision of additional support strategies to address intentions; memory, attention and decision processes; and behavioural regulation may enhance adoption and maintenance of HCS in routine practice. Wider implementation of HCS training could be an effective strategy to building capacity and support health professionals to use a person-centred, opportunistic approach to health behaviour change.

scholarly journals The impact of nature-based interventions on public health: a review using pathways, mechanisms and behaviour change techniques from environmental social science and health behaviour change

2021 ◽  
Vol 9s7 ◽  
pp. 33-61
Author(s):  
Stephanie Wilkie ◽  
Nicola Davinson
Keyword(s):  
Public Health ◽  
Social Science ◽  
Health Outcomes ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Behaviour Change Techniques ◽  
Change Models ◽  
Health Behaviour Change ◽  
The Impact ◽  
Environmental Social Science

The aim of this narrative review is to explore whether nature-based interventions improved individual public health outcomes and health behaviours, using a conceptual framework that included pathways and pathway domains, mechanisms, and behaviour change techniques derived from environmental social science theory and health behaviour change models. A two-stage scoping methodology was used to identified studies published between 2000 and 2021. Peer reviewed, English-language reports of nature-based interventions with adults (N = 9) were included if the study met the definition of a health�behaviour change intervention and reported at least one measured physical/mental health outcome. Interventions focused on the restoring or building capacities pathway domains as part of the nature contact/experience pathway; varied health behaviour change mechanisms and techniques were present but environmental social-science-derived mechanisms to influence health outcomes were used less. Practical recommendations for future interventions include explicit statement of the targeted level of causation, as well as utilisation of both environmental social science and health behaviour change theories and varied public health outcomes to allow simultaneously testing of theoretical predictions.

scholarly journals Systematic Review on the Effect of Training Interventions to Improve the Skills of Health Professionals in Promoting Health Behaviour Change, with Meta-Analysis of Behavioural Outcomes.

2020 ◽  
Author(s):  
Tom G Hatfield ◽  
Thomas Michael Withers ◽  
Colin J Greaves
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Healthcare Professional ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Meta Analysis ◽  
Health Behaviours ◽  
Health Behaviour Change ◽  
Patient Health

Abstract Background We aimed to identify, synthesise and evaluate randomised control trial evidence on the effects of healthcare professional training on the delivery quality of health behaviour change interventions and, subsequently, on patient health behaviours.Methods Systematic review with narrative synthesis of effects on delivery quality and meta-analysis of health behaviour outcomes. We searched: Medline, EMBASE, PsychInfo, AMED, CINAHL Plus and the Cochrane Central Register of Control Trials up to March 2019. Studies were included if they were in English and included intervention delivery quality as an outcome. The systematic review was registered on PROSPERO (registration: CRD42019124502).Results Twelve-studies were identified as suitable for inclusion. All studies were judged as being high risk of bias with respect to training quality outcomes. However with respect to behavioural outcomes, only two of the six studies included in the meta-analysis had a high risk and four had some concerns. Educational elements (e.g. presentations) were used in all studies and nine included additional practical learning tasks. In eight studies reporting delivery quality, 54% of healthcare professional communication outcomes and 55% of content delivery outcomes improved in the intervention arm compared to controls. Training that included both educational and practical elements tended to be more effective. Meta-analysis of patient health behavioural outcomes in six-studies found significant improvements (Standardised mean difference (SMD): 0.20, 95% confidence interval: 0.11 to 0.28, P<0.0001, I 2 = 0%). No significant difference was found between short (≤6-months) and long-term (>6-months) outcomes (SMD: 0.25 vs 0.15; P=0.31).Conclusions Delivery quality of health behaviour change interventions appears to improve following training and consequently to improve health behaviours. Future studies should develop more concise /integrated measures of delivery quality and develop optimal methods of training delivery.

scholarly journals Offshore workers and health behaviour change: an exploration using the Theoretical Domains Framework

2018 ◽  
Vol 69 (4) ◽  
pp. 248-256 ◽  
Author(s):  
Kathrine Gibson Smith ◽  
Vibhu Paudyal ◽  
Francis Quinn ◽  
Susan Klein ◽  
Derek Stewart
Keyword(s):  
Behaviour Change ◽  
Health Behaviour ◽  
Theoretical Domains Framework ◽  
Health Behaviour Change

The impact of health behaviour change intervention on indoor air pollution indicators in the rural North West Province, South Africa

2011 ◽  
Vol 22 (3) ◽  
pp. 35-44 ◽  
Author(s):  
Brendon Barnes ◽  
Angela Mathee ◽  
Elizabeth Thomas
Keyword(s):  
Air Pollution ◽  
Health Outcomes ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Indoor Air ◽  
Indoor Air Pollution ◽  
Control Group ◽  
Pollution Indicators ◽  
Health Behaviour Change ◽  
The Impact

Indoor air pollution has been associated with a number of health outcomes including child lower respiratory infections such as pneumonia. Behavi-oural change has been promoted as a potential intervention strategy but very little evidence exists of the impact of such strategies on actual indoor air pollution indicators particularly in poor rural contexts. The aim of this study was to evaluate a community counselling intervention on stationary levels of PM10 and carbon monoxide (CO) as well as CO measured on children younger than five. Using a quasi-experimental design, baseline data was collected in an intervention (n=36) and a control (n=38) community; the intervention was implemented in the intervention community only; and follow-up data was collected one year later amongst the same households. Despite the fact that indoor air pollution was reduced in both communities, the intervention group performed significantly better than the control group when stratified by burning location. The net median reductions associated with the intervention were: PM10=57%, CO=31% and CO (child)=33% amongst households that burned indoor fires. The study provides tentative evidence that a health behaviour change is associated with reductions in child indoor air pollution exposure. The intervention is relatively inexpensive and easy to replicate. However, more powerful epidemiological studies are needed to determine the impact on health outcomes.

scholarly journals Applying multi-theory model of health behaviour change to address implicit biases in public health

2017 ◽  
Vol 4 (9) ◽  
pp. 3048 ◽  
Author(s):  
Manoj Sharma
Keyword(s):  
Public Health ◽  
Quality Of Care ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Educational Interventions ◽  
Theory Model ◽  
Public Health Services ◽  
Health Behaviour Change ◽  
Implicit Biases

A person receiving public health services should not receive a lesser standard of service because of his/her race, gender, age, colour, national origin, disability status, occupation or any other extraneous characteristics. However, sometimes our perception based on these hidden linkages (unconscious, irrepressible, or irrational connotations) may influence our judgements resulting in unfairness which are referred as implicit biases. Such biases can result in poorer quality of care. In public health, where the ultimate motive is to ensure social justice, these implicit biases are thus quite deleterious. The purpose of this article was to examine the implicit biases in public health practice and develop recommendations for education, training and research in this discipline using the application of a novel behavioural theory, multi-theory model (MTM) of health behaviour change. A review of literature in the MEDLINE, CINAHL, Google Scholar, and ERIC databases was performed to prepare this article. The constructs of participatory dialogue in which advantages outweigh disadvantages, behavioural confidence, and changes in physical environment were discussed to initiate behaviour change devoid of implicit biases. The constructs of emotional transformation, practice for change and changes in social environment were discussed to sustain behaviour change devoid of implicit biases. Educational interventions based on MTM need to be adopted by Schools of Public Health in education of public health students and training of public health professionals. Such efforts will reduce implicit biases in the discipline of public health and improve quality of care.  

scholarly journals Developing a National Undergraduate Curriculum for Health Professionals in Ireland on health behaviour change (Making Every Contact Count)

2017 ◽  
Vol 17 (5) ◽  
pp. 160
Author(s):  
Maria O' Brien ◽  
Orlaith Josephine O' Reilly ◽  
Dawn O' Sullivan ◽  
Mairead Gleeson ◽  
Marie Killeen ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Health Behaviour ◽  
Health Professionals ◽  
Undergraduate Curriculum ◽  
Health Behaviour Change
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