Learning & Models of Behavior Change
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Learning & Models of Behavior Change. Diane B. Wilson EdD, RD Mary S. McLellan MS,RD Medical University of South Carolina.

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Learning & Models of Behavior Change

Diane B. Wilson EdD, RD

Mary S. McLellan MS,RD

Medical University of South Carolina


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Developed as part of an Enhanced AHEC Community Partnership for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)


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OBJECTIVES for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Behavior change theory, role in changing health habits


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Major Variables for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA) in Behavior Change

  • Knowledge

  • Skills

  • Beliefs

  • Attitudes

  • Values


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Health Belief Model for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

INDIVIDUAL PERCEPTIONS MODIFYING FACTORS LIKELIHOOD

OF ACTION

Demographic Variables

Socio-psychological Variables

Perceived susceptibility

Perceived severity

Perceived benefits of

preventive action

Perceived barriers

to prevent action

Likelihood of taking recommended preventive health action

Perceived threat

Cues to Action

Information

Reminders

Persuasive communications

Experience


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Categories of Belief for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Perceived Seriousness

  • Perceived Susceptibility

  • Perceived Benefits

  • Perceived Barriers


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Seriousness for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

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 Belief


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Benefits for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

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.

Categories of Belief


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Stages of Change for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Precontemplation

  • Contemplation

  • Preparation

  • Action

  • Maintenance


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Precontemplation for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Definition

    • Not considering changing their behavior

    • Lack of awareness

  • Intervention Approach

    • Novel information

    • Persuasive communications

    • Experiences


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Contemplation for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Definition

    • Person is beginning to consider behavior change

    • Important stage of information acquisition

  • Intervention Approach

    • Motivated by role modeling and persuasive communications

    • Receptive to planned or incidental learning experiences.


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Preparation for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Definition

    • Deciding 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 Approach

    • How-to information, skill development, attitude change


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Action for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Definition

    • Actually trying the new behavior

  • Intervention Approach

    • Skill

    • Reinforcement

    • Support

    • Self-management

    • Attitude and attribution change


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Maintenance for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • Definition

    • Establishment of the new behavior

    • Taking on the new attitudinal and environmental supports

  • Intervention Approach

    • Relapse prevention skills

    • Self-management

    • Social and environmental support


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Discussion Time for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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?


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Summary for Health Professions Workforce and Educational Reform project funded by the Health Resource and Service Administration (HRSA)

  • 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.


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