This document discusses supporting behavior change in group settings. It provides an overview of several behavior change theories and highlights that using established behavior change techniques (BCTs) improves intervention effectiveness. The document outlines a group task to identify BCTs and map them to a standard taxonomy. It also discusses considerations for effective group leadership, including the role of the leader, building the delivery team, and handling disruptive individuals. The goal is to explore how to best support sustained behavior change through group-based programs and interventions.

1. Working with groups
Supporting Behaviour Change in a group format.
Where theory meets practice
Helen Tite Ben Jane

2.  As a profession we need to work on sustained behaviour
change.
 Existing Training
 Potential
 This Workshop
Context

3. Teaching
Counselling
Leadership
Instruction
Support
Advocacy
This SessionAn overview of some considerations: Intro to theory and real-life examples.

4.  Self-Determination Theory
 Social Cognitive Theory
 Self-efficacy Theory
 Transtheoretical Model of Change
 Social Ecological Model
 Social Learning theory
 Health Action Process Approach
 Theory of Planned Behaviour
Behaviour Change Theories
Image from
@ekkekaki

5.  Intervention effectiveness improved by use of well
established BCTs
(Greaves et al, 2011)
 Minimal difference between theories
(Gourlan et al, 2015)
 Minimal impact of using a theory…
(Prestwich et al , 2014)
Why use BCTs?

6.  NICE PH 54 Exercise Referral schemes to promote physical activity
 Incorporates the core techniques outlined in recommendations 7–10 of 'Behaviour
change: individual approaches' NICE PH49 This includes:
 recognising when people may or may not be more open to change
 agreeing goals and developing action plans to help change behaviour
 advising on and arranging social support
 tailoring behaviour change techniques and interventions to individual need
 monitoring progress and providing feedback
 developing coping plans to prevent relapse
 NICE PH49 Behaviour Change: Individual Approaches
 REPs L3 ExRef criteria
 Understand the importance of long term behaviour change for exercise referral patients
 Explain how to encourage patients to commit themselves to long-term change
Why use BCTs?

7.  In small groups, spend no more than 5 minutes
creating a list of the different activities and
techniques that we could use to support behaviour
change
 E.g. Advise to keep the kid’s snacks in the top
cupboard…out of sight, hard to reach
Restructure the physical environment
 Once listed, pick 3
 See Michie handout & next slide, then map across
How can we support behaviour change?
Group Task

8.  Goals and planning
 Feedback and monitoring
 Social Support
 Shaping Knowledge
 Natural consequences
 Comparison of behaviour
 Associations
 Repetition and substitution
 Comparison of outcomes
 Reward and threat
 Regulation
 Antecedents
 Identity
 Scheduled consequences
 Self-belief
 Covert Learning
How can we support behaviour change?
A Taxonomy of 93 BCTs (Michie et al, 2013 v1)

9.  Psychoanalysis, Alcohol, Drugs, Weight management,
Cardiac Rehab
 Marjon Back Pain & Cancer Programmes
 The Core, Falmouth
 The Eden Project
 Football Fans in training (www.FFIT.org)
Working with groups

10.  Case Study: You have been asked to lead a group at a large
manufacturing site that is looking for more lifestyle support
for a population of male employees.
Working in groups
Good Not so Good
You (the leader)
The participants
Group Task

11.  Working in small groups…
 Discuss the role of the group leader
 Skills, Knowledge, Abilities
The Role of a Group LeaderGroup Task

12.  Examples might include:
 Building a delivery team
 Coping with disruptive individuals
 Coping with difference (age, fitness, illness)
 Delivering content
 Extending the points of contact
 Building sustainability
Group Leadership in Practice

13.  Make time to talk
 Participant driven content
 Be reflective
 Seek out good practice
 Multi-disciplinary training
 Innovative team working
Final Thoughts

14.  Michie, S. F., West, R., Campbell, R., Brown, J., & Gainforth, H. (2014). ABC of behaviour change theories.
 Wagner, C. C., & Ingersoll, K. S. (2012). Motivational interviewing in groups. Guilford Press [amazon]
 Prendiville, P. (2008) Developing Facilitation Skills: A Handbook for Group Facilitators [full text]
 Smith, Mark K. (2001; 2009) ‘Facilitating learning and change in groups’ The encyclopaedia of informal education.[full text]
 Bolitho, S., Lawrence, D., & McNish, E. (2013). The Complete Guide to Behavioural Change for Sport and Fitness Professionals. A&C Black.
 Gray, C. M., Hunt, K., Mutrie, N., Anderson, A. S., Leishman, J., Dalgarno, L., & Wyke, S. (2013). Football Fans in Training: the development and
optimization of an intervention delivered through professional sports clubs to help men lose weight, become more active and adopt
healthier eating habits. BMC public health, 13(1), 232. [full text]
 Greaves, C. J., Sheppard, K. E., Abraham, C., Hardeman, W., Roden, M., Evans, P. H., & Schwarz, P. (2011). Systematic review of reviews of
intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC public health, 11(1), 119.
[full text]
 Prestwich, A., Sniehotta, F. F., Whittington, C., Dombrowski, S. U., Rogers, L., & Michie, S. (2014). Does theory influence the effectiveness of
health behavior interventions? Meta-analysis. Health Psychology, 33(5), 465.
 Gourlan, M., Bernard, P., Bortholon, C., Romain, A., Lareyre, O., Carayol, M., ... & Boiché, J. (2014). Efficacy of theory-based interventions to
promote physical activity. A meta-analysis of randomised controlled trials. Health psychology review, 1-74.
 American College of Sports Medicine. (2013). ACSM's Behavioral Aspects of Physical Activity and Exercise. Lippincott Williams & Wilkins.
 www.benjanefitness.com
Further Resources
Thanks,
Ben
@benjanefitness
Helen
@helentite