population health for health professionals. part iii learning and models of behavior change
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Population HealthPopulation Healthfor Health Professionalsfor Health Professionals
Part IIIPart III
Learning and
Models of Behavior Change
Major VariablesMajor Variablesin Behavior Changein Behavior Change
Knowledge Skills Beliefs Attitudes Values
Health Belief ModelHealth Belief Model
INDIVIDUAL PERCEPTIONS MODIFYING FACTORS LIKELIHOOD
OF ACTIONDemographic Variables
Socio-psychological Variables
Perceived susceptibility
Perceived severity
Perceived benefits of
preventive action
Perceived barriers
to prevent action
Perceived threatLikelihood of taking
recommended preventive health action
Cues to Action
Information
Reminders
Persuasive communications
Experience
Categories of BeliefCategories of Belief
Perceived Seriousness Perceived Susceptibility Perceived Benefits Perceived Barriers
Categories of BeliefCategories of Belief
Seriousness Relative severity of
the health problem. E.g. Seriousness of
hepatitis encourages individuals to get the hepatitis vaccine.
Susceptibility Nature and intensity
of perceptions affect willingness to take preventive action.
Nature and intensity of perceptions affect willingness to take preventive action.
Categories of BeliefCategories of Belief
Benefits Anticipated value of
the recommended course of action.
Must believe recommended health action will do good if they are to comply.
Barriers Perception of negative
consequences Greatest predictive
value of whether behavior will be practiced.
Stages of ChangeStages of Change
Precontemplation Contemplation Preparation Action Maintenance
PrecontemplationPrecontemplation
DefinitionNot considering changing their behaviorLack of awareness
Intervention ApproachNovel information Persuasive communications Experiences
ContemplationContemplation
DefinitionPerson is beginning to consider behavior
change Important stage of information acquisition
Intervention ApproachMotivated by role modeling and persuasive
communicationsReceptive to planned or incidental learning
experiences.
PreparationPreparation
DefinitionDeciding to change by preparing and
experimenting.Psychological preparation of trying on or
visualizing new behaviors and sharing the idea with others. Deciding to change.
Intervention ApproachHow-to information, skill development,
attitude change
ActionAction
DefinitionActually trying the new behavior
Intervention ApproachSkillReinforcementSupportSelf-managementAttitude and attribution change
MaintenanceMaintenance
DefinitionEstablishment of the new behaviorTaking on the new attitudinal and
environmental supports Intervention Approach
Relapse prevention skillsSelf-managementSocial and environmental support
Discussion TimeDiscussion Time
Identify one of your health beliefs that may not be entirely healthy and place it in the model.
What might move you to change your behavior?
Summary of Module 3, Part IIISummary of Module 3, Part III
Behavior change involves many factors, including cognitive and affective variables.
Health Promotion is based on several theoretical models that help explain health behavior.
Understanding an individual’s “readiness to change” is an important aspect of their potential for success in behavior change.
Module AuthorsModule Authors
Diane B. Wilson EdD, RD
Associate Professor
Mary S. McLellan MS,RD
Research Associate
Medical University of South Carolina
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