Behaviour change...CPD
Session
Slides for the Behaviour Change Taster workshop from Hertfordshire
Public Health Service

2...
What is this?
• A taster session on Behaviour Change
• Designed to elicit your views about
– what you are doing,
– what yo...
Current Applications
•
•
•
•
•
•
•

Public Health (various)
Driver speeding and behaviour
Young People
Drug and Alcohol re...
Content
•
•
•
•
•
•
•
•

Why should we care?
What are you doing?
Benefits, challenges
Policy Context
Some useful methods a...
Why should you care?
•
•
•
•

Benefits of behaviour change
What do you think they are?
Why is it important in policy terms...
What are you doing?
• In small groups discuss
– What are you doing on behaviour change?
– What tools do you use?
– What th...
Feedback on benefits and
challenges
– What are you doing on behaviour change?
– What tools do you use?
– What theory/metho...
Policy Context
• Lot of interest
• “nudge” “behaviour change” offending,
recycling, finance, organ donation, health
• Not ...
Locating behaviour change 1
• Psychology
• Different schools, benefits and drawbacks
– Cognitive approaches
– Behavioural ...
Locating behaviour change 2
• Behaviour can be automatic, conscious
and deliberate, habitual, non habitual,
reflected
• Be...
Locating behaviour change 3
•
•
•
•
•
•
•

Lots of pet theories
No magic bullet
Different things for different issues
Need...
Michie, 2011
A first step at a ready reckoner for behaviour
change tools and methods

A ready reckoner for behaviour change tools and m...
Tools you need
1. A framework for quality, commissioning
and evaluation
2. A “roadmap” of which tool or approach
works whe...
Tools you need 1
• New
guidance,
focus on
quality
standards and
outcomes...a
roadmap for
quality
http://www.nice.org.uk/ni...
Tools you need 1 continued
• NICE Recommends a policy and strategy
• Recommends a commissioning framework
• Do we want to ...
Tools you need 1: Principles for effective
interventions (NICE)
1. base interventions on a proper assessment of the target...
Tools you need 1: Principles for effective
interventions (Michie)
• 1. Identify the target behaviour/s
• 2. Understand the...
Tools you need 2: A roadmap
A first step at a ready reckoner for behaviour
change tools and methods
A ready reckoner for b...
Michie’s Behaviour Change
Wheel 2011 (1)
Michie’s Behaviour Change
Wheel 2011 (2)
Michie’s Behaviour Change Wheel 2011 (3)
Tools you need 3: methods
which work
• Evidence
– www.evidence.nhs.uk
– Campbell collaboration
http://www.campbellcollabor...
Recent tools
• Collection of papers,
economists,
psychologists etc look
at how behaviour
science can be used
to help desig...
Behaviour change wheel (Michie)
• Behaviour change wheel step by step powerpoint
• http://www.behaviourworksaustralia.org/...
Tools you need 4: Training
• Behaviour change methods training
• Evidence searching and use training
What can public health do for
you?
•
•
•
•

Training
Support with evidence searching
Finding effective interventions
Helpi...
Next Steps
• Working on a behaviour change policy and
Strategy? What do you think?
• What else?
Thanks

• Jim.mcmanus@hertfordshire.gov.uk
Behaviour change cpd session 2014
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The slides for the initial behaviour change taster session for Hertfordshire. Considers how recent tools including NICE guidance, theory,

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Behaviour change cpd session 2014

  1. 1. Behaviour change...CPD Session Slides for the Behaviour Change Taster workshop from Hertfordshire Public Health Service 24th February 2014, 1-3pm, County Hall Jim McManus Director of Public Health Jim.mcmanus@hertfordshire.gov.uk
  2. 2. What is this? • A taster session on Behaviour Change • Designed to elicit your views about – what you are doing, – what you could do and – what support you need • Gives you an update on policy and practice • Gives you some things to think about
  3. 3. Current Applications • • • • • • • Public Health (various) Driver speeding and behaviour Young People Drug and Alcohol recovery Offending behaviour Recycling behaviour Pro social behaviour
  4. 4. Content • • • • • • • • Why should we care? What are you doing? Benefits, challenges Policy Context Some useful methods and tools Standards and effectiveness What can Public Health do for you? Next steps
  5. 5. Why should you care? • • • • Benefits of behaviour change What do you think they are? Why is it important in policy terms? What do you need to make the best of it?
  6. 6. What are you doing? • In small groups discuss – What are you doing on behaviour change? – What tools do you use? – What theory/methods do you use? – What challenges do you face? – What would be your ideal five things to achieve in behaviour change and what stops you?
  7. 7. Feedback on benefits and challenges – What are you doing on behaviour change? – What tools do you use? – What theory/methods do you use? – What benefits do you get? – What challenges do you face? – What would be your ideal five things to achieve in behaviour change and what stops you?
  8. 8. Policy Context • Lot of interest • “nudge” “behaviour change” offending, recycling, finance, organ donation, health • Not a lot of clear guidance or evidence on “how to” • Needs a framework “what to do, how to do it, how to know it works”
  9. 9. Locating behaviour change 1 • Psychology • Different schools, benefits and drawbacks – Cognitive approaches – Behavioural approaches • Some outdated theories • Economics
  10. 10. Locating behaviour change 2 • Behaviour can be automatic, conscious and deliberate, habitual, non habitual, reflected • Behaviour can be influenced by a range of cues – emotional, visual, cognitive, memory • Behaviour can be learned and unlearned • Often focus on cognitive and forget the behavioural side itself (behaviourism)
  11. 11. Locating behaviour change 3 • • • • • • • Lots of pet theories No magic bullet Different things for different issues Need some useful methods and tools Standards and effectiveness What can Public Health do for you? Next steps
  12. 12. Michie, 2011
  13. 13. A first step at a ready reckoner for behaviour change tools and methods A ready reckoner for behaviour change tools and methods Population Level “Automatic” processes Choice Architecture “Conscious ” processes Advertising e.g. change4 life Policy which influences behaviour (e.g. smoking ban) Group Level “Automatic” processes Choice Architecture “Conscious ” processes Groupwork for behaviour Targeted social marketing Individual Level “Automatic” processes •Choice Architecture •Package design “Conscious” processes Motivational interviewing Behaviourism approaches Behaviour change support e.g. Health Trainers Targeted social marketing We still have gaps and weaknesses in science and tools across all of these (i.e. the science is still developing) © Copyright 2014 Herts CC
  14. 14. Tools you need 1. A framework for quality, commissioning and evaluation 2. A “roadmap” of which tool or approach works when 3. Methods which work 1. E.g. http://www.behaviourworksaustralia.org 4. Training
  15. 15. Tools you need 1 • New guidance, focus on quality standards and outcomes...a roadmap for quality http://www.nice.org.uk/nicemedia/live/14347/66181/66181.pdf
  16. 16. Tools you need 1 continued • NICE Recommends a policy and strategy • Recommends a commissioning framework • Do we want to work together on this or separately? We have embedded the NICE Guidance here...double click on the Icon
  17. 17. Tools you need 1: Principles for effective interventions (NICE) 1. base interventions on a proper assessment of the target group, where they are located and the behaviour which is to be changed: careful planning is the cornerstone of success 2. work with other organisations and the community itself to decide on and develop initiatives 3. build on the skills and knowledge that already exists in the community, for example, by encouraging networks of people who can support each other 4. take account of – and resolve – problems that prevent people changing their behaviour (for example, the costs involved in taking part in exercise programmes or buying fresh fruit and vegetables, or lack of knowledge about how to make changes) 5. base all interventions on evidence of what works 6. train staff to help people change their behaviour 7. evaluate all interventions.
  18. 18. Tools you need 1: Principles for effective interventions (Michie) • 1. Identify the target behaviour/s • 2. Understand the target behaviour/s in context • 3. Consider full range of possible intervention functions • 4. Identify specific behaviour change techniques
  19. 19. Tools you need 2: A roadmap A first step at a ready reckoner for behaviour change tools and methods A ready reckoner for behaviour change tools and methods Population Level “Automatic” processes Choice Architecture “Conscious ” processes Advertising e.g. change4 life Policy which influences behaviour (e.g. smoking ban) Group Level “Automatic” processes Choice Architecture “Conscious ” processes Groupwork for behaviour Targeted social marketing Individual Level “Automatic” processes •Choice Architecture •Package design “Conscious” processes Motivational interviewing Behaviourism approaches Behaviour change support e.g. Health Trainers Targeted social marketing We still have gaps and weaknesses in science and tools across all of these (i.e. the science is still developing) © Copyright 2014 Herts CC
  20. 20. Michie’s Behaviour Change Wheel 2011 (1)
  21. 21. Michie’s Behaviour Change Wheel 2011 (2)
  22. 22. Michie’s Behaviour Change Wheel 2011 (3)
  23. 23. Tools you need 3: methods which work • Evidence – www.evidence.nhs.uk – Campbell collaboration http://www.campbellcollaboration.org/ – Ask for an evidence search “how to” session from Public Health • Case studies – Do something different www.dsd.me
  24. 24. Recent tools • Collection of papers, economists, psychologists etc look at how behaviour science can be used to help design policy initiatives health, education, environment, personal finances and worker remuneration.
  25. 25. Behaviour change wheel (Michie) • Behaviour change wheel step by step powerpoint • http://www.behaviourworksaustralia.org/wpcontent/uploads/2012/11/BWA_Michiefinal.pdf • Behaviour change Wheel article • http://www.implementationscience.com/content/6/1/42/ • Behaviour Works Australia • http://www.behaviourworksaustralia.org/
  26. 26. Tools you need 4: Training • Behaviour change methods training • Evidence searching and use training
  27. 27. What can public health do for you? • • • • Training Support with evidence searching Finding effective interventions Helping with setting outcomes and criteria for evaluations • Finding you external experts • Helping you work through NICE guidance • Appraising case studies you have found
  28. 28. Next Steps • Working on a behaviour change policy and Strategy? What do you think? • What else?
  29. 29. Thanks • Jim.mcmanus@hertfordshire.gov.uk

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