Re-Thinking Health Behaviour Change Models From an Integrated Perspective

2022 ◽  
pp. 102-121
Author(s):  
Sara Henriques ◽  
Manuel José Damásio

Scientific evidence indicates that theory-based health interventions are more effective in promoting health behavior change (BC) and in maintaining health changes over time. Previous work identified more than 80 BC theories; however, there is little guidance on how to best choose between them. More than creating new theories, an essential challenge now is to integrate these theories to reach a more complete understanding of the BC process. The chapter is an effort to integrate some of the most central theories in this field, aiming to reach an integrated framework by 1) identifying and merging similarities between theories, reducing conceptual complexity, and by 2) building from dissimilarities as key aspects to overcome limitations. This framework is a practical visual tool that intends to support researchers and practitioners working in the field, guiding on the crucial constructs to address in interventions to promote health BC. This framework also integrates the ACP model as an approach that offers valuable insights to support communication in health interventions.

2021 ◽  
Vol 51 (2) ◽  
pp. 336-345
Author(s):  
Rabia Ruby Patel ◽  
Tanya Monique Graham

This article examines the South African government’s response to COVID-19 by exploring the strong emphasis that has been placed on South Africans taking personal responsibility for good health outcomes. This emphasis is based on the principles of the traditional Health Belief Model which is a commonly used model in global health systems. More recently, there has been a drive towards other health behaviour change models, like the COM-B model and Behaviour Change Wheel (BCW); nonetheless, these remain entrenched within the principles of individual health responsibility. However, the South African experience with the HIV epidemic serves as a backdrop to demonstrate that holding people personally accountable for health behaviour changes has major pitfalls; health risk is never objective and does not take place outside of subjective experience. This article makes the argument that risk-taking health behaviour change in the South African context has to consider community empowerment and capacity building.


2021 ◽  
Vol 9s7 ◽  
pp. 33-61
Author(s):  
Stephanie Wilkie ◽  
Nicola Davinson

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.


2013 ◽  
Vol 27 (4) ◽  
pp. 3-16 ◽  
Author(s):  
Ben S Bernanke

Several key episodes in the 100-year history of the Federal Reserve have been referred to in various contexts with the adjective “Great” attached to them: the Great Experiment of the Federal Reserve's founding, the Great Depression, the Great Inflation and subsequent disinflation, the Great Moderation, and the recent Great Recession. Here, I'll use this sequence of “Great” episodes to discuss the evolution over the past 100 years of three key aspects of Federal Reserve policymaking: the goals of policy, the policy framework, and accountability and communication. The changes over time in these three areas provide a useful perspective, I believe, on how the role and functioning of the Federal Reserve have changed since its founding in 1913, as well as some lessons for the present and for the future.


2021 ◽  
Author(s):  
Rebecca Gillespie ◽  
Maya King

As part of the UK national action plan on antimicrobial resistance (AMR), the Food Standards Agency (FSA) is working to improve the scientific evidence base around consumer perceptions and understanding. A consumer survey was carried out in 2016 and 2019, and replicated in 2021, to understand current views and awareness, and to identify any changes over time.


Author(s):  
Luciana C. de Oliveira ◽  
Sharon L. Smith ◽  
Loren Jones ◽  
Carolina Rossato de Almeida

This chapter presents a multimodal analysis of the picture book I Hate English (Levine, 1989) and highlights key aspects of image-text relations to help teachers understand how to focus on multimodality in their teaching. This picture book describes how Mei Mei, an immigrant child from Hong Kong, changes over time after she immigrates to New York City and learns to love English as much as she loves Chinese. Following Unsworth (2006) and Painter, Martin, and Unsworth (2013), the authors present an analysis focusing on representational/ideational, interactive/interpersonal, and compositional/textual meanings at the intersection of language and image to explore its subject matter, the relation it invites with readers, and the semiotic character of its composition.


2020 ◽  
Author(s):  
Rachael Thorneloe ◽  
Tracy Epton ◽  
Wendy Fynn ◽  
Michael Daly ◽  
Natalia Stanulewicz ◽  
...  

BACKGROUNDDigital contact tracing apps have been proposed as a method of controlling the spread of Covid-19. The effectiveness of this tool depends largely on adequate levels of uptake (e.g. whether the user downloads and registers on the application) and engagement (e.g. the extent of usage of the application or its components over time). It has been estimated that approximately 60% of the population would need to use the NHSX application in order for it to be effective in reducing the spread of COVID-19. It is therefore crucial that we understand the level of, and factors influencing, uptake and engagement with digital tracing applications in order to put appropriate measures in place to mitigate those issues.AIMS1.To quantify the current data on COVID-19 digital contact tracing applicationsa.Uptake and engagement of COVID-19 digital contact tracing applicationsb.Examine whether uptake differs between countries c.Identify any predictors or correlates of uptake and engagement2.To conduct two scoping reviews to identify key barriers and facilitators influencing engagement and uptake of a.COVID-19 digital contact tracing applications b.Health behaviour change applications, including government approved applications, from academic literature and behaviour change guidelinesCONCLUSIONS•There is no evidence on the level of uptake and engagement with COVID-19 digital contact tracing applications.•There is a dearth of evidence regarding the barriers and facilitators to uptake and engagement with COVID-19 digital contact tracing applications.•The health behaviour change literature suggests a number of barriers and facilitators associated with uptake and engagement with applications.


VASA ◽  
2015 ◽  
Vol 44 (5) ◽  
pp. 355-362 ◽  
Author(s):  
Marie Urban ◽  
Alban Fouasson-Chailloux ◽  
Isabelle Signolet ◽  
Christophe Colas Ribas ◽  
Mathieu Feuilloy ◽  
...  

Abstract. Summary: Background: We aimed at estimating the agreement between the Medicap® (photo-optical) and Radiometer® (electro-chemical) sensors during exercise transcutaneous oxygen pressure (tcpO2) tests. Our hypothesis was that although absolute starting values (tcpO2rest: mean over 2 minutes) might be different, tcpO2-changes over time and the minimal value of the decrease from rest of oxygen pressure (DROPmin) results at exercise shall be concordant between the two systems. Patients and methods: Forty seven patients with arterial claudication (65 + / - 7 years) performed a treadmill test with 5 probes each of the electro-chemical and photo-optical devices simultaneously, one of each system on the chest, on each buttock and on each calf. Results: Seventeen Medicap® probes disconnected during the tests. tcpO2rest and DROPmin values were higher with Medicap® than with Radiometer®, by 13.7 + / - 17.1 mm Hg and 3.4 + / - 11.7 mm Hg, respectively. Despite the differences in absolute starting values, changes over time were similar between the two systems. The concordance between the two systems was approximately 70 % for classification of test results from DROPmin. Conclusions: Photo-optical sensors are promising alternatives to electro-chemical sensors for exercise oximetry, provided that miniaturisation and weight reduction of the new sensors are possible.


2007 ◽  
Author(s):  
Miranda Olff ◽  
Mirjam Nijdam ◽  
Kristin Samuelson ◽  
Julia Golier ◽  
Mariel Meewisse ◽  
...  

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