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Behavior Change: The Soul of Health Promotion

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Behavior Change: The Soul of Health Promotion ... Focus: Behavior is explained by dynamic interaction among personal factors, ... Theory of Planned Behavior ... – PowerPoint PPT presentation

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Title: Behavior Change: The Soul of Health Promotion


1
Behavior ChangeThe Soul of Health Promotion
2
  • What was the last major life change you
    implemented? (i.e. job, health, family)
  • Why did you do it?
  • What did you have to overcome?
  • What did you have to learn?
  • What motivated you?
  • Whos help did you have to enlist?
  • When did it become permanent?
  • Did you change your environment?

3
Social Marketing
  • Focus The application of commercial marketing
    technologies to increase the practice of healthy
    behaviors in order to improve individual and
    collective well-being.

4
Social Cognitive Theory/Social Learning Theory
  • Focus Behavior is explained by dynamic
    interaction among personal factors, environmental
    influences, and behavior.

5
Stages of Change/Transtheoretical Model
  • Focus Readiness to change or attempt to change a
    health behavior varies among individuals and
    within an individual over time. Relapse is a
    common occurrence and part of the normal process
    of change.

6
  • From
  • Contemplation

7
To Action
To Action
8
Theory of Reasoned Action/Theory of Planned
Behavior
  • Focus People are rational beings whose intention
    to perform a behavior strongly relates to its
    actual performance through beliefs, attitudes,
    subjective norms, and perceived behavioral
    control.

9
Health Belief Model
  • Focus Peoples' perceptions of the threat of a
    health problem and appraisal of behavior
    recommended to prevent or manage problem.

10
Does Anyone Use These Models?
11
What Really TriggersHealth Behavior Change?

12
You would think . . .
  • that having had a heart attack would be enough to
    persuade a man to quit smoking, change his diet,
    exercise more, and take his medication

13
You would think . . .
  • that hangovers, damaged relationships, an auto
    crash, and memory blackouts would be enough to
    convince a woman to stop drinking

14
You would think . . .
  • that very real threats of blindness, amputations,
    and even early death would be enough to motivate
    diabetics to lose weight, exercise and eat better

15
You would think . . .
  • that time spent in prison would dissuade people
    from re-offending

16
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17
Why is behavior change so hard?
  • Fix me up Doc mentality
  • Too much pressure to be unhealthy
  • Lack of education
  • Lack sufficient motivation
  • Dont know how
  • Barriers are too great to overcome
  • I-dont-care-itis

18
  • Behavior Change Simplified

19
  • Educate
  • Motivate
  • Build skills
  • Change the environment

20
Behavior Change even more Simplified
  • Why and What
  • How
  • Things that help me do this

21
Educate (Why and What)
  • Create individual awareness
  • Create community and organizational awareness and
    support
  • Create buzz

22
  • Flyers
  • Posters
  • Email notifications
  • Television/video programs
  • Books
  • Payroll stuffers
  • Internet sites
  • Magazines
  • Lunch and learns
  • Special speakers
  • Newsletters

23
Motivate
  • Before/after stories in newsletters
  • Incentives
  • Extrinsic and intrinsic
  • Triggers
  • Emotional
  • Social
  • Physical/health

24
Build Skills (How do I do this?)
  • How to overcome barriers
  • How to strategies
  • Goal setting, contracts
  • Healthy substitutions
  • Making healthy choices
  • How to make healthy foods
  • Finding inexpensive healthy foods

25
Change the Environment
  • Physical Environment
  • Policy
  • Culture

26
Supportive Environments
  • Physical environments
  • Healthy food in cafeteria
  • Freedom from media and advertising that peddle
    risky behaviors
  • Farmers market
  • Free from overly demanding work
  • Opportunities to be physically active
  • Walking paths
  • Bike paths
  • Recess and PE at schools

27
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31
  • Smoke free air to breath at home
  • Safe place to exercise
  • Convenient access to healthy, inexpensive foods

32
  • Policies
  • Medical coverage for preventive services
  • Absenteeism policy that supports being healthy
  • No smoking policies
  • Flex time
  • Time to be healthy
  • Free from overly demanding work

33
  • Culture
  • Health role models (champions)
  • Peer support
  • Supportive friends
  • Church, community support
  • Worksite health promotion programs

34
Trans fats
  • Educate
  • Motivate
  • Build skills
  • Change the environment
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