This document discusses health behavior change and the role of mobile technology. It covers theories of behavior change like the Theory of Planned Behavior and Transtheoretical Model. It discusses determinants of human behavior and behavior change interventions. The role of mobile apps and social media in facilitating behavior change is examined, as are challenges like ensuring accuracy and privacy. Overall, the document provides an overview of concepts and theories in behavior change and how mobile technologies can be leveraged to influence health behaviors.
Resilience Knowledge Mobilization and the ResilienceInYouth AppChristine Wekerle
This presentation outlines an exploratory knowledge mobilization study where research-based and evidence-based posts were shared on instagram (@resilienceinyouth) to see if instagram was a feasible outlet for resilience knowledge mobilization. Research conducted by researchers in the CIHRTeamSV grant was shared on instagram via links to ResearchGate. The development of a resilience-based app for youth is described and an overview of its features is given.
Humans have been using technology since the earlier times to make their lives easier but that technology has also lead to some side effects such as pollution, industrial wastes, radiations etc. However, technology can also be used to promote pro-environmental behaviors.
Persuasive technology is broadly defined as technology that is designed to change attitudes or behaviors of the users through convincement and social influence, but not through force or oppression. Persuasive technology aims to form a connection between technology and psychology in order to solve environmental issues.
Resilience Knowledge Mobilization and the ResilienceInYouth AppChristine Wekerle
This presentation outlines an exploratory knowledge mobilization study where research-based and evidence-based posts were shared on instagram (@resilienceinyouth) to see if instagram was a feasible outlet for resilience knowledge mobilization. Research conducted by researchers in the CIHRTeamSV grant was shared on instagram via links to ResearchGate. The development of a resilience-based app for youth is described and an overview of its features is given.
Humans have been using technology since the earlier times to make their lives easier but that technology has also lead to some side effects such as pollution, industrial wastes, radiations etc. However, technology can also be used to promote pro-environmental behaviors.
Persuasive technology is broadly defined as technology that is designed to change attitudes or behaviors of the users through convincement and social influence, but not through force or oppression. Persuasive technology aims to form a connection between technology and psychology in order to solve environmental issues.
This discussion, covened by the Dubai Future Foundation, focusses on identifying the significance of the concept of well-being for social-science and policy; and the opportunities to measure it at scale.
Deactivated
Kelie Hein
2 posts
Re:Topic 4 DQ 1
In considering this question, I have decided that understanding the local health care system to implement EBP is similar to understanding the patient to implement interventions. The nurse must first assess the patient in order to implement appropriate interventions; local health care systems must be assessed in order to know where to start in implementing EBP.
In discussing this concept with my mentor, she seems to agree. One point she made is that we must first know the culture and level of EBP exposure, of the facility and staff. If the facility has not had much exposure, implementation must "start with the basics at a much slower pace" (Rosshirt, 2017, n.p.). After assessment, we can begin to determine interventions that will create staff buy-in, and lead to successful EBP implementation.
In conducting research for this post, sources seem to agree with the position that the system must be understood in order to use relevant strategies and interventions. Individual and organization culture are social systems that must be understood. Change and EBP implementation are complex so communication is essential. We must understand the current relationship between researchers and practitioners. Knowledge gaps are how we determine relevant interventions. Relevance is the first step to creating staff buy-in, and successful implementation. Factors that may effect implementation include organization size, staffing levels, resources, and facility location; we must understand those things before we develop any interventions. Titler (2008) posits that "the strength of evidence alone will not promote adoption" (pg. 11); we must make the evidence relevant to the system. For example, "clinicians tend to be more engaged in adopting patient safety initiatives when they understand the evidence base of the practice" (Titler, 2008, pg. 12), as opposed to adminstrators forcing it upon them.
What works for one agency may not work for another. Warren, et al. (2016) educates that different systems have different barriers, and need different types and levels of support. Demographics, suchs as Magnet designation, staff education level, and employee role, effect successful implementation of EBP practice. We "must consider the work environment and the culture...across the system" (Warren, et al., 2016, pg. 22) as well, when developing strategies to implement EBP.
In my change proposal, I will consider all of the things discussed in this post. Motivators must be considered, and staff will want to know "so what?". In assessing motivators and culture, it will put me in a better position to write a proposal relevant to my audience, which will inspire motivation, and lead to a more successful transition.
Rosshirt, J. (2017). Personal correspondence.
Titler, M. (2008). The evidence for evidence-based practice implementation. Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Chapter 7.
Warren, e.
Case Study 3 The Health Belief Model and COVID- 19 Ar Using the .pdfsattarali527
Case Study 3: The Health Belief Model and COVID- 19 Ar Using the Health Belief Model,
discuss why some people might not have followed the "safer at home" practices (e.g., social
distancing, masking, no large gatherings) after the vaccine became widely available. Minimum
word count 250. ("Behavioral Change Models" discusses the Health Belief Model.)
Public health is a multi-disciplinary field that aims to 1) prevent disease and death, 2) promote a
better quality of ife, and 3) create environmental conditions in which people can be healthy by
intervening at the institutional, community, and societal level. Whether public health
practitioners can achieve this mission depends upon their abilty to accurately identify and define
public health problems, assess the fundamental causes of these problems, determine populations
most at-risk, develop and implement theory- and evidence-based interventions, and evaluate and
refine those interventions to ensure that they are achieving their desired outcomes without
unwanted negative consequences. To be effective in these endeavors, public health practitioners
must know how to apply the basic principles, theories, research findings, and methods of the
social and behavioral sciences to inform their efforts. A thorough understanding of theories used
in public health, which are mainly derived from the social and behavioral sciences, allow
practitioners to: - Assess the fundamental causes of a public health problem, and - Develop
interventions to address those problems. Note: This module has been translated into Estonian by
Marie Stetanova. The translation can be accessed at htips:/uww.bildeleekspert
di/blog/2018/08/06/sotsiaalsete-normide-teooria/ Learning Objectives After successfully
reviewing these modules, students will be able to: - List and describe the key constructs of the
Health Belief Model and the theory of planned behavior and explain how they might be applied
to develop effective public heath interventions - List and describe the elements of "perceived
behavioral contror - Describe the underlying theory and basic elements of Social Norms Theory
and marketing campaigns - List and describe the key constructs of Social Cognitive Theory and
explain how they might be applied to develop effective public health interventions Summarize
the criticisms that have been made regarding the major traditional models of health behavior
change and why these models do not seem adequate to account for observed health behaviors
Outine the major steps in the Transtheoretical Model - List the characteristics of each step of the
Transtheoretical Model - Describe Diffusion of Innovation Theory and how it can be applied in
heath promotion - Outline the basic structures of the Theory of Gender and Power and its
application to Public Health - Explain the constructs of the Sexual Health Model and its
application to public health The Health Belief Model The Heath Belief Model (HBM) was
developed in the early 1950 s by social sci.
Running head LEARNING THEORIES 126LEARNING THEORIES.docxwlynn1
Running head: LEARNING THEORIES 1
26
LEARNING THEORIES
Learning Theories
Abstract
The implementation of Health Informatics throughout the health care system has allowed the patient to receive higher quality of care with safer outcomes. As health informatics continues to grow at a rapid pace the question as to what the most effective way is to train its users has been considered. The patient is now expected to utilize technology to communicate with providers and evaluate their health through equipment and data portals. Healthcare workers must understand health informatics to both teach the patient and do their job effectively. It is important to note that health informatics is ever evolving and the learning, teaching for those involved in healthcare is never ending. Through research of different learning theories and styles this paper seeks to identify how the adult can most effectively be taught to utilize health informatics whether as a patient or healthcare provider
Keywords: Health informatics, learning theory, behavioral theories, Cognitive learning theories, adult learning theories, and learning styles.
Learning Theories
Health informatics can be defined as the practice of studying, acquiring, and controlling health data and the application of various medical concepts together with health information technology systems to enable healthcare professionals to provide patients with the best healthcare, it can also mean the application of informatics and information technology to deliver better healthcare to clients (Nelson & Staggers, 2016). Technology has been growing very fast in the past years and it has changed the way things are done in many fields and so is the healthcare system. Health informatics therefore has changed the way things are done in healthcare system hence ensuring that patients receive safe and effective healthcare services. This field of study makes use of theories that are used in other fields of study such as computer science, information science, and the science of the specific discipline such as nursing, medicine, or pharmacy. People who work as health informatics specialists make use of learning theories to guide them in their roles which include; designing and implementing online health records, offering training to other medical stuff on the use of the electronic health records (EHR), give the right information to those who consult them, come up with policies in the health institutions where they work, and also manage and analyze the impacts of those policies. This paper will therefore discuss how different learning theories relate to current practices, policies, and regulations in health informatics.
Learning theories are coherent frameworks of integrated principles and constructs that explain, describe, and predict how people learn. These theories are the main guide for systems of education in the classroom and also in the training included in specific disciplines in healt.
Running head LEARNING THEORIES 126LEARNING THEORIES.docxjeanettehully
Running head: LEARNING THEORIES 1
26
LEARNING THEORIES
Learning Theories
Abstract
The implementation of Health Informatics throughout the health care system has allowed the patient to receive higher quality of care with safer outcomes. As health informatics continues to grow at a rapid pace the question as to what the most effective way is to train its users has been considered. The patient is now expected to utilize technology to communicate with providers and evaluate their health through equipment and data portals. Healthcare workers must understand health informatics to both teach the patient and do their job effectively. It is important to note that health informatics is ever evolving and the learning, teaching for those involved in healthcare is never ending. Through research of different learning theories and styles this paper seeks to identify how the adult can most effectively be taught to utilize health informatics whether as a patient or healthcare provider
Keywords: Health informatics, learning theory, behavioral theories, Cognitive learning theories, adult learning theories, and learning styles.
Learning Theories
Health informatics can be defined as the practice of studying, acquiring, and controlling health data and the application of various medical concepts together with health information technology systems to enable healthcare professionals to provide patients with the best healthcare, it can also mean the application of informatics and information technology to deliver better healthcare to clients (Nelson & Staggers, 2016). Technology has been growing very fast in the past years and it has changed the way things are done in many fields and so is the healthcare system. Health informatics therefore has changed the way things are done in healthcare system hence ensuring that patients receive safe and effective healthcare services. This field of study makes use of theories that are used in other fields of study such as computer science, information science, and the science of the specific discipline such as nursing, medicine, or pharmacy. People who work as health informatics specialists make use of learning theories to guide them in their roles which include; designing and implementing online health records, offering training to other medical stuff on the use of the electronic health records (EHR), give the right information to those who consult them, come up with policies in the health institutions where they work, and also manage and analyze the impacts of those policies. This paper will therefore discuss how different learning theories relate to current practices, policies, and regulations in health informatics.
Learning theories are coherent frameworks of integrated principles and constructs that explain, describe, and predict how people learn. These theories are the main guide for systems of education in the classroom and also in the training included in specific disciplines in healt ...
Karen Day, University of Auckland
Koray Atalag, University of Auckland
Denise Irvine, e3health
Bryan Houliston, Auckland University of Technology
(4/11/10, Illott, 1.45)
+What is the main idea of the story Answer in one paragraph or lo.docxadkinspaige22
+What is the main idea of the story? Answer in one paragraph or longer at least 5-7 sentences)
https://www.youtube.com/watch?v=maCsqrN-irQ
+Go to the following link, and read the article by Michael Bronski, “A Gay Man’s Case Against Gay Marriage”.
https://www.beliefnet.com/news/2004/05/a-gay-mans-case-against-gay-marriage.aspx
Why is Bronski against homosexual marriage? (1 paragraph or longer)
What does Bronski say about his own parents’ marriage? (1 paragraph or longer)
Does Bronski believe in equal rights for homosexuals? (1 paragraph or longer)
Note:
Each paragraph is at least 5-7 sentences, and sentence is not too short
Healthy People 2020
Healthy People was a call to action and an attempt to set health goals for the United States for the next 10 years.
Healthy People 2000 established 3 general goals:
Increase the span of healthy life.
Reduce health disparities.
Create access to preventive services for all.
Healthy People 2010 introduced 2 general goals:
Increase quality and years of healthy life.
Eliminate health disparities.
Practical Policy for Preventive Services
The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform.
There is broad evidence that Americans often do not get the care they need even though the United States spends more money per person on health care than any other nation in the world.
Preventive care is underutilized, resulting in higher spending on complex, advanced diseases.
Practical Policy for Preventive Services
Patients with chronic diseases too often do not receive proven and effective treatments such as drug therapies or self management services to help them more effectively manage their conditions.
These problems are exacerbated by a lack of coordination of care for patients with chronic diseases.
Reforming our health care delivery system to improve the quality and value of care is essential to address escalating costs, poor quality, and increasing numbers of Americans without health insurance coverage.
Why policies need to be developed?
Basic needs are not being met (e.g., People are not receiving the health care they need)
People are not being treated fairly (e.g., People with disabilities do not have access to public places)
Resources are distributed unfairly (e.g., Educational services are more limited in neighborhoods of concentrated poverty)
Why policies need to be developed?
Current policies or laws are not enforced or effective (e.g., The current laws on clean water are neither enforced nor effective)
Proposed changes in policies or laws would be harmful (e.g., A plan to eliminate flextime in a large business would reduce parents' ability to be with their children)
Existing or emerging conditions pose a threat to public health, safety, education, or well-being (e.g., New threats from terrorist activity)
Marjory Gordon’s Functional Health Patterns
Marjory Gordon was a nursing theorist and professor who created a.
This discussion, covened by the Dubai Future Foundation, focusses on identifying the significance of the concept of well-being for social-science and policy; and the opportunities to measure it at scale.
Deactivated
Kelie Hein
2 posts
Re:Topic 4 DQ 1
In considering this question, I have decided that understanding the local health care system to implement EBP is similar to understanding the patient to implement interventions. The nurse must first assess the patient in order to implement appropriate interventions; local health care systems must be assessed in order to know where to start in implementing EBP.
In discussing this concept with my mentor, she seems to agree. One point she made is that we must first know the culture and level of EBP exposure, of the facility and staff. If the facility has not had much exposure, implementation must "start with the basics at a much slower pace" (Rosshirt, 2017, n.p.). After assessment, we can begin to determine interventions that will create staff buy-in, and lead to successful EBP implementation.
In conducting research for this post, sources seem to agree with the position that the system must be understood in order to use relevant strategies and interventions. Individual and organization culture are social systems that must be understood. Change and EBP implementation are complex so communication is essential. We must understand the current relationship between researchers and practitioners. Knowledge gaps are how we determine relevant interventions. Relevance is the first step to creating staff buy-in, and successful implementation. Factors that may effect implementation include organization size, staffing levels, resources, and facility location; we must understand those things before we develop any interventions. Titler (2008) posits that "the strength of evidence alone will not promote adoption" (pg. 11); we must make the evidence relevant to the system. For example, "clinicians tend to be more engaged in adopting patient safety initiatives when they understand the evidence base of the practice" (Titler, 2008, pg. 12), as opposed to adminstrators forcing it upon them.
What works for one agency may not work for another. Warren, et al. (2016) educates that different systems have different barriers, and need different types and levels of support. Demographics, suchs as Magnet designation, staff education level, and employee role, effect successful implementation of EBP practice. We "must consider the work environment and the culture...across the system" (Warren, et al., 2016, pg. 22) as well, when developing strategies to implement EBP.
In my change proposal, I will consider all of the things discussed in this post. Motivators must be considered, and staff will want to know "so what?". In assessing motivators and culture, it will put me in a better position to write a proposal relevant to my audience, which will inspire motivation, and lead to a more successful transition.
Rosshirt, J. (2017). Personal correspondence.
Titler, M. (2008). The evidence for evidence-based practice implementation. Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Chapter 7.
Warren, e.
Case Study 3 The Health Belief Model and COVID- 19 Ar Using the .pdfsattarali527
Case Study 3: The Health Belief Model and COVID- 19 Ar Using the Health Belief Model,
discuss why some people might not have followed the "safer at home" practices (e.g., social
distancing, masking, no large gatherings) after the vaccine became widely available. Minimum
word count 250. ("Behavioral Change Models" discusses the Health Belief Model.)
Public health is a multi-disciplinary field that aims to 1) prevent disease and death, 2) promote a
better quality of ife, and 3) create environmental conditions in which people can be healthy by
intervening at the institutional, community, and societal level. Whether public health
practitioners can achieve this mission depends upon their abilty to accurately identify and define
public health problems, assess the fundamental causes of these problems, determine populations
most at-risk, develop and implement theory- and evidence-based interventions, and evaluate and
refine those interventions to ensure that they are achieving their desired outcomes without
unwanted negative consequences. To be effective in these endeavors, public health practitioners
must know how to apply the basic principles, theories, research findings, and methods of the
social and behavioral sciences to inform their efforts. A thorough understanding of theories used
in public health, which are mainly derived from the social and behavioral sciences, allow
practitioners to: - Assess the fundamental causes of a public health problem, and - Develop
interventions to address those problems. Note: This module has been translated into Estonian by
Marie Stetanova. The translation can be accessed at htips:/uww.bildeleekspert
di/blog/2018/08/06/sotsiaalsete-normide-teooria/ Learning Objectives After successfully
reviewing these modules, students will be able to: - List and describe the key constructs of the
Health Belief Model and the theory of planned behavior and explain how they might be applied
to develop effective public heath interventions - List and describe the elements of "perceived
behavioral contror - Describe the underlying theory and basic elements of Social Norms Theory
and marketing campaigns - List and describe the key constructs of Social Cognitive Theory and
explain how they might be applied to develop effective public health interventions Summarize
the criticisms that have been made regarding the major traditional models of health behavior
change and why these models do not seem adequate to account for observed health behaviors
Outine the major steps in the Transtheoretical Model - List the characteristics of each step of the
Transtheoretical Model - Describe Diffusion of Innovation Theory and how it can be applied in
heath promotion - Outline the basic structures of the Theory of Gender and Power and its
application to Public Health - Explain the constructs of the Sexual Health Model and its
application to public health The Health Belief Model The Heath Belief Model (HBM) was
developed in the early 1950 s by social sci.
Running head LEARNING THEORIES 126LEARNING THEORIES.docxwlynn1
Running head: LEARNING THEORIES 1
26
LEARNING THEORIES
Learning Theories
Abstract
The implementation of Health Informatics throughout the health care system has allowed the patient to receive higher quality of care with safer outcomes. As health informatics continues to grow at a rapid pace the question as to what the most effective way is to train its users has been considered. The patient is now expected to utilize technology to communicate with providers and evaluate their health through equipment and data portals. Healthcare workers must understand health informatics to both teach the patient and do their job effectively. It is important to note that health informatics is ever evolving and the learning, teaching for those involved in healthcare is never ending. Through research of different learning theories and styles this paper seeks to identify how the adult can most effectively be taught to utilize health informatics whether as a patient or healthcare provider
Keywords: Health informatics, learning theory, behavioral theories, Cognitive learning theories, adult learning theories, and learning styles.
Learning Theories
Health informatics can be defined as the practice of studying, acquiring, and controlling health data and the application of various medical concepts together with health information technology systems to enable healthcare professionals to provide patients with the best healthcare, it can also mean the application of informatics and information technology to deliver better healthcare to clients (Nelson & Staggers, 2016). Technology has been growing very fast in the past years and it has changed the way things are done in many fields and so is the healthcare system. Health informatics therefore has changed the way things are done in healthcare system hence ensuring that patients receive safe and effective healthcare services. This field of study makes use of theories that are used in other fields of study such as computer science, information science, and the science of the specific discipline such as nursing, medicine, or pharmacy. People who work as health informatics specialists make use of learning theories to guide them in their roles which include; designing and implementing online health records, offering training to other medical stuff on the use of the electronic health records (EHR), give the right information to those who consult them, come up with policies in the health institutions where they work, and also manage and analyze the impacts of those policies. This paper will therefore discuss how different learning theories relate to current practices, policies, and regulations in health informatics.
Learning theories are coherent frameworks of integrated principles and constructs that explain, describe, and predict how people learn. These theories are the main guide for systems of education in the classroom and also in the training included in specific disciplines in healt.
Running head LEARNING THEORIES 126LEARNING THEORIES.docxjeanettehully
Running head: LEARNING THEORIES 1
26
LEARNING THEORIES
Learning Theories
Abstract
The implementation of Health Informatics throughout the health care system has allowed the patient to receive higher quality of care with safer outcomes. As health informatics continues to grow at a rapid pace the question as to what the most effective way is to train its users has been considered. The patient is now expected to utilize technology to communicate with providers and evaluate their health through equipment and data portals. Healthcare workers must understand health informatics to both teach the patient and do their job effectively. It is important to note that health informatics is ever evolving and the learning, teaching for those involved in healthcare is never ending. Through research of different learning theories and styles this paper seeks to identify how the adult can most effectively be taught to utilize health informatics whether as a patient or healthcare provider
Keywords: Health informatics, learning theory, behavioral theories, Cognitive learning theories, adult learning theories, and learning styles.
Learning Theories
Health informatics can be defined as the practice of studying, acquiring, and controlling health data and the application of various medical concepts together with health information technology systems to enable healthcare professionals to provide patients with the best healthcare, it can also mean the application of informatics and information technology to deliver better healthcare to clients (Nelson & Staggers, 2016). Technology has been growing very fast in the past years and it has changed the way things are done in many fields and so is the healthcare system. Health informatics therefore has changed the way things are done in healthcare system hence ensuring that patients receive safe and effective healthcare services. This field of study makes use of theories that are used in other fields of study such as computer science, information science, and the science of the specific discipline such as nursing, medicine, or pharmacy. People who work as health informatics specialists make use of learning theories to guide them in their roles which include; designing and implementing online health records, offering training to other medical stuff on the use of the electronic health records (EHR), give the right information to those who consult them, come up with policies in the health institutions where they work, and also manage and analyze the impacts of those policies. This paper will therefore discuss how different learning theories relate to current practices, policies, and regulations in health informatics.
Learning theories are coherent frameworks of integrated principles and constructs that explain, describe, and predict how people learn. These theories are the main guide for systems of education in the classroom and also in the training included in specific disciplines in healt ...
Karen Day, University of Auckland
Koray Atalag, University of Auckland
Denise Irvine, e3health
Bryan Houliston, Auckland University of Technology
(4/11/10, Illott, 1.45)
+What is the main idea of the story Answer in one paragraph or lo.docxadkinspaige22
+What is the main idea of the story? Answer in one paragraph or longer at least 5-7 sentences)
https://www.youtube.com/watch?v=maCsqrN-irQ
+Go to the following link, and read the article by Michael Bronski, “A Gay Man’s Case Against Gay Marriage”.
https://www.beliefnet.com/news/2004/05/a-gay-mans-case-against-gay-marriage.aspx
Why is Bronski against homosexual marriage? (1 paragraph or longer)
What does Bronski say about his own parents’ marriage? (1 paragraph or longer)
Does Bronski believe in equal rights for homosexuals? (1 paragraph or longer)
Note:
Each paragraph is at least 5-7 sentences, and sentence is not too short
Healthy People 2020
Healthy People was a call to action and an attempt to set health goals for the United States for the next 10 years.
Healthy People 2000 established 3 general goals:
Increase the span of healthy life.
Reduce health disparities.
Create access to preventive services for all.
Healthy People 2010 introduced 2 general goals:
Increase quality and years of healthy life.
Eliminate health disparities.
Practical Policy for Preventive Services
The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform.
There is broad evidence that Americans often do not get the care they need even though the United States spends more money per person on health care than any other nation in the world.
Preventive care is underutilized, resulting in higher spending on complex, advanced diseases.
Practical Policy for Preventive Services
Patients with chronic diseases too often do not receive proven and effective treatments such as drug therapies or self management services to help them more effectively manage their conditions.
These problems are exacerbated by a lack of coordination of care for patients with chronic diseases.
Reforming our health care delivery system to improve the quality and value of care is essential to address escalating costs, poor quality, and increasing numbers of Americans without health insurance coverage.
Why policies need to be developed?
Basic needs are not being met (e.g., People are not receiving the health care they need)
People are not being treated fairly (e.g., People with disabilities do not have access to public places)
Resources are distributed unfairly (e.g., Educational services are more limited in neighborhoods of concentrated poverty)
Why policies need to be developed?
Current policies or laws are not enforced or effective (e.g., The current laws on clean water are neither enforced nor effective)
Proposed changes in policies or laws would be harmful (e.g., A plan to eliminate flextime in a large business would reduce parents' ability to be with their children)
Existing or emerging conditions pose a threat to public health, safety, education, or well-being (e.g., New threats from terrorist activity)
Marjory Gordon’s Functional Health Patterns
Marjory Gordon was a nursing theorist and professor who created a.
FINAL PRESENTATION - Mobile Technology & Consumer Behaviour Change
1. Health Behaviour Change
& Mobile Technology
- MSc Nutrition in Practice–
Week 8
Pip Tsepelidis, PhD Student
2. What influences Health Behaviour?
How can we change Health Behaviour through theory-
based Behaviour Change Interventions?
What is the role of Mobile Technology in facilitating Health
Behaviour Change (HBC)?
What is the role of Social Media in facilitating Health
Behaviour Change (HBC)?
Future Challenges
Q&A
3. “Homo economicus can think like Albert Einstein, store as
much memory as IBM’s Big Blue, and exercise the willpower of
Mahatma Ghandi”
(Thaler and Sustein, 2008, p.6)
“People act and behave in ways that are contradicting with
their overall wellbeing and health”
(Pine and Fletcher, 2014, p.2)
4. Determinants of Human Behaviour
“...we are heavily influenced by who communicates information,
we are motivated by incentives but we have a stronger aversion to losses than we do affinity for gains,
we are strongly influenced by comparisons and what others do,
we go with the flow of preset options (i.e., defaults),
we are influenced by things that seem relevant and vivid to us,
our acts are influenced by subconscious cues such as the arrangement or smell of a room,
our emotional associations can powerfully shape our actions,
we seek to be consistent with our public promises and commitments,
and we act in ways that make us feel better about ourselves”
Source: Institute for Government and the Cabinet Office (2010)
5. “Behaviour Change”
• It is not just about the individual factors
• Internal and External influences on perception,
attitude and action influence our decision making
• There is a relationship between knowledge,
behaviour and intention to change
• Lifestyle decisions include both automatic and
reflective/systematic processing of information
6. “What is needed for Behaviour
Change to occur?”
The Fogg Behaviour Model
1. Motivation (pleasure/pain, hope/fear, social
acceptance/social rejection)
2. Ability (knowledge, skills, capacity, time)
3. Trigger (facilitator, signal, spark)
Source: http://www.behaviormodel.org/
7. “Behaviour Change Interventions”
“Behaviour change interventions are coordinated sets of
activities designed to change specified behaviour
patterns” (Michie, 2011)
Designing BCIs:
Behaviour
Target
Behaviour
Population
Behaviour
Context
9. “Behavioural Theories”
Explanatory Theories (look at reasons why a problem exists)
• Theory of Reasoned Action/ Planned Behaviour
• Health Belief Model
• Social Cognitive Theory
Behaviour Change Theories (develop a framework for
intervention development and evaluation)
• Stages of Change Model
11. “Transtheoretical Model”
(Stages of Change)
Source: Prochaska et al (2012)
Examples of Applications: smoking, alcohol and drug addiction and
prevention, eating behaviours, exercise, HIV/AIDS preventions
(Prochaska et al, 1992; Prochaska and Marcus, 1994; Prochaska and
DiClemente, 1983; Horwath, 1999; Fava et al, 1995; Willenbring, 2005;
Sutton, 2001; Mahmoodabad et al, 2013;)
14. “WHY #HBC...?”
• 2/3 of British adults are overweight or obese
(RSPH, 2013)
• 8,367 alcohol-related deaths in the UK in
2012 (381 less fewer than in 2011) (ONS,
2014).
• Smoking, alcohol consumption, HIV/AIDS,
diet, activity patterns and accidents are some
of the most common causes of death ever
year (RSPH, 2013)
15. “CURRENT HBC
#PRACTICE”
A systematic approach toward HBC could
include:
• Industry Partnerships
• School Interventions
• Government campaigns
• New Policies
• Changes in the Food Chains
• Default Setting
• Nudging (Thaler and Sustein, 2008)
16. • 36m adults (73%) in the UK accessing the internet
on a daily basis (ONS, 2013)
• 60-80% use the internet daily to research health
related concerns compared to the 55% that
consult their personal physicians as their main
source of information (iHealth, 2012).
• Patient.co.uk; 8.5 million visits per month
• MyHealth; 98% of 73,000 users have set their own
healthy targets.
• Increased mobile subscriptions in Africa:
1998 = 4 million | 2013 = 800 million | 2017 = 1.12 billion
“THE ROLE OF
#TECHNOLOGY IN
HBC”
18. “WHY #MOBILE
TECHNOLOGIES...?”• The Opportune Moment (tailored suggestions,
recommendations)
• The Convenience Factor
• Influence Strategies:
- Tracking
- Analysis
- Reference Material
* They encourage Competition, Cooperation,
Recognition
19. “KEY FACTS ON #MOBILE
TECHNOLOGY”In April 2013, 67% of
internet users personally
owned a smartphone and
35% had a tablet!
200m YouTube videos
are being seen per day
via mobile devices!
50% of smartphone
owners use their devices
for health information and
1/5 have health apps.
28% of smartphone
owners and 55% of
tablet owners use their
device for shopping
purposes!
400m users visit Facebook
via a mobile device per
month (50% of website’s
overall visits)!
20. • Developers have pursued the opportunity to
create apps that seek to address behaviour
change (Cummiskey, 2011; Lister et al, 2013).
– Millions of health apps (free & paid) are available
– Applications allow patients to monitor their health on
their own, and keep a record of their own health
– Applications allow patients to research and better
understand health diseases, treatments, and
emergency first aid
– Diabetes, Blood Pressure, Heart Activity, Stress and
Coping, Sleeping Patterns, Medicine Reminders etc.
“#MOBILE
TECHNOLOGIES &
HBC”
22. “THE ROLE OF
#SOCIAL MEDIA”
‘’Social Media is the media we use to be
Social. That’s it!’’ (Safko, 2010, p.5)
‘Social’ as defined by the Concise Oxford English Dictionary
(2008) means: to be related to societies or organizations
where people meet for pleasure.
‘Media’, according to Safko (2010), refers to all the
technologies people use to allow these connections
between themselves.
23. “SOCIAL MEDIA &
#HEALTHCARE”
Beyond just socialising
No1 online activity worldwide
It reaches nearly 82% of the world’s internet
population
1 in 5 minutes spent online is on Social
Networking Sites
Unique monthly visitors increased by 43.7%
from February 2011 to February 2013
24. The most powerful source for news updates
It has empowered, engaged, and educated
consumers (Sarasohn-Kahn, 2008) .
http://www.youtube.com/watch?v=LDn-
Tmbo9Zo
“SOCIAL MEDIA &
#HEALTHCARE” (CONT)
25. • Download a Health App on your
Smartphone and analyse it in terms of:
– Behaviour Target, Behaviour Population,
Behaviour Context?
– Motivation, Ability, Trigger?
– What Stages of Change is it aimed at?
– Influence Strategies (Tracking, Analysis,
Reference Material, other)?
“#EXERCISE”
26. • Accuracy and precision
– Device makers start from an engineering perspective of how to build
something that looks and works like something that already exists in
healthcare and develops around presentation and imagery and shrinks
down to working on iPhone. But how do we know if this will work?
• Privacy and Security
– Huge issue. New generation is used to sharing a lot of data. Yet, health
cares are responsible for protecting data (large penalties for
breaches).
– Patients want to send information and communicate through social
media, but there is huge responsibility when health carers receive that
information. How do they go forward?
• Complex Work flows
– You can’t just send data to your doctors. There are huge
databases/health records.
– Doctors have enough info to deal with.
Attached from: Dreamforce (2013)
“FUTURE
#CHALLENGES”
27. Suggested Bibliography
• Bandura, A. (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84 (2) June, p.191.
• Fabri, M., Wall, A. and Trevorrow, P. (2013) Changing Eating Behaviors through a Cooking-Based Website for the Whole Family. In: Design, User
Experience, and Usability. User Experience in Novel Technological Environments, July 21-26, 2013, Las Vegas USA. Springer Berlin Heidelberg, pp.484-
493.
• Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behavior: An introduction to theory and research.
• Fogg, B. J. (2003) Persuasive Technology: Using Computers to Change what we think and do. San Francisco: Morgan Kaufmann Publishers.
• Fogg, B. J. and Hreha, J. (2010) Behavior wizard: A method for matching target behaviors with solutions. In Persuasive Technology. Springer Berlin
Heidelberg. pp. 117-131
• Fox, S., & Duggan, M. (2012) Mobile health 2012. Pew Research Center's Internet x0026 American Life Project [Internet].
• Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.) (2008) Health behavior and health education: theory, research, and practice. John Wiley & Sons.
• Lawrence, J. S. S., & Fortenberry, J. D. (2007). Behavioral Interventions for STDs: Theoretical models and intervention methods. In Behavioral
interventions for prevention and control of sexually transmitted diseases (pp. 23-59). Springer US.
• Michie, S., van Stralen, M. M., & West, R. (2011) The behaviour change wheel: a new method for characterising and designing behaviour change
interventions. Implementation Science, 6 (1), 42.
• Prochaska, J. O. and DiClemente, C. C. (1983) Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of
Consulting and Clinical Psychology, 51, pp.390-395.
• Socialwelfare (2013) Changing behaviours in public health: To nudge or to shove. Research report. London: Local Government Association.
• Thaler, R. H., & Sunstein, C. R. (2008) Nudge: Improving decisions about health, wealth, and happiness. Yale University Press.
• Blumenthal-Barby and Burroughs (2012) - Seeking Better Health Care Outcomes, The Ethics of Using the ''Nudge'‘
• Riley, W. T., Rivera, D. E., Atienza, A. A., Nilsen, W., Allison, S. M., & Mermelstein, R. (2011). Health behavior models in the age of mobile
interventions: are our theories up to the task?. Translational behavioral medicine, 1(1), 53-71.
• http://www.instituteforgovernment.org.uk/sites/default/files/publications/MINDSPACE.pdf
• Webb, Michie (2010) Using the Internet to Promote Health Behaviour Change: A Systematic Review and Meta-analysis of the Impact of Theoretical
Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy
Smartphones, apps, they’ve changed the way we collect information, communicate, do business and live. but have they had a significant impact on health?
mHealth, Wireless Health, Mobile Health, Digital Health are all the same -use of PDAs (personal digital assistant ) and mobile phones for health services and information + the integration of these technological features in many health situations for certain purposes. mHealth is not only about patients. It is about consumers, citizens, and about their health. What we as end users want is not mHealth care when we use these devices. These tools create platforms that allow us to take better care of ourselves.
http://www.youtube.com/watch?v=ShVusyocQmw
Behavioral economics differs from traditional economics in the model of the decision maker that is assumed. Traditional economists are committed to the idea of “homo economicus,” a decision maker who chooses rationally and in a way that maximizes utility at least the majority of the time. As leaders in the field of behavioral economics, Richard Thaler and Cass Sunstein write, “If you look at economics textbooks, you will learn that homo economicus can think like Albert Einstein, store as much memory as IBM’s Big Blue, and exercise the willpower of Mahatma Gandhi” (Thaler and Sunstein 2008, 6). Behavioral economists, on the other hand, know that real people’s judgment and decision making are flawed and biased in predictable ways. Behavioral economists and psychologists have generated a set of principles about how real people engage in judgment and decision making.
Examples of Irrational Behaviour: We smoke, We consume alcohol, We buy and eat unhealthy food ,We do not exercise, We do not recycle, We prefer to travel by car over bicycle to work, We drive fast
This shows how many variables can influence our decision making as users, as consumers, as patients, as human beings.
Decisions are made differently from person to person. Each person has different values, culture.
We can’t change a person, but we can influence the way they behave by shaping the environment they function within … through good design we have the ability to shape and influence someone’s behaviour.
Therefore, much Attention on Behaviour Change and BC Theories as it is a very complex issue
Our perceptions and attitudes form whether or not we achieve a behaviour
Not knowing how smoking harms your lungs -> visual intervention for increased consciousness and awareness
Lifestyle choices are the result of both decisions that are based on routines that require very little active decision-making and reflective, elaborate decision making where options are carefully considered.
Are people being sufficiently triggered?
Do they have the ability?
Are they lacking motivation?
Motivations include pleasure, pain, hope, fear, social acceptance, and social rejection.
Ability is directly affected by training as well as the perceived ease of the target behavior.
Triggers (a call to action or prompt for them to do so) can be facilitated (high motivation, low ability), signaled (high ability, high motivation), or sparked (high ability, low motivation) depending on the level of ability or motivation the person has with the target behavior in mind.
Taking the above into account, improving public health depends on behaviour change and behaviour change interventions are fundamental in doing so.
Definition
Designing BCI involves first determining the broad approach that will be adopted and then working on the specifics of the intervention design/components.
Behaviour target
Behaviour population
The context in which the intervention will be delivered
(Take Child obesity for example)
A theory is a systematic way of describing events and behaviors. It explains or predicts behaviors by examining the relationships between variables. Theoretical models provide a logical framework for designing, measuring, and evaluating behavioral interventions.
Behavioural theories are used as a framework that enable the intervention designer/developer to consider what they are planning within a larger context, applying relevant theoretical models to develop tailored programs and measurement of the effectiveness of those programs.
Thus, behavioral theories provide us with a roadmap for studying a health problem, explaining the relationships between behaviors. In other words, our theories provide a way of organizing the reasons why people do or do not engage in specific behaviors, helping to identify what we
need to know before we develop a health promotion program, and suggesting what we need to monitor and measure in order to know whether our intervention manages to change the intended outcomes.
As it may make sense, theory-based interventions are more effective. But most interventions at the moment are based on common-sense.
TPB example: 95% say they favour organ donation, only 30% register
HBC is important as it can help prevent deaths which are avoidable
Industry Partnerships (Hand washing was promoted through printed message on breads in India, funded by Unilever)
The National Teenage Pregnancy Strategy; education toward more effective condom use amongst young people
Government laws: Helmet use laws, seatbelt, smoking ban
Healthy goals, targets = sporting metaphors
Rewarding change
Crisps example
Pinki’s APPLES Project; choice architecture
Food chain and industry partnerships, policies +Wheel
Despite the previous interventions and practices, results are still not satisfying. Therefore, worth considering what else can be done. That’s why we turn to technology..
Patient.co.uk: UK’s leading health information website
MyHealth provides individuals with an accurate analysis of their health and enables users to set and track their own health goals.
-Modern technologies can be used to collect data and adapt methods.
Bridget Benelam, Senior Nutrition Scientist has stated that simply informing people as to how they should or should not behave cannot achieve effective behaviour change (Emerald, 2012). Therefore, Male and Pattinson (2011) support that, as mobile technologies show immense popularity and growth, human interaction with mobile technologies increases, creating a technology supported environment applicable to e-learning platforms, which can be used to interfere in human behaviours. Abroms and Maibach (2008) have identified the significance of this event, as they believe that it can bring new opportunities to life for successful behavioural change interventions, targeted towards consumers who are increasingly interacting with these technologies.
Not only mobile, but also wearable, small, stylish.
Key to changing behaviour is to make the behaviour easier to achieve.
Studies have shown that devices that have been developed for a certain purpose and do not look and work like something that already exists in our everyday lives has had lower acceptance rates.
What do mobile techs have that enhances their potential in persuading people to change their health behaviour?
Opportune moment: location, task, routine, time of day etc. relevant reminder, suggestion
Convenience factor: in the trapped in silence moments i.e. Recycling app example which allows you to rehearse recycling and makes you more likely to recycle in real life. However, this would not be as successful on Playstation.
Cooperation = Social Facilitation & Comparison: we exercise better when with others
3 group-level intrinsic motivators: Competition, Cooperation, Recognition
Motivation, Ability and Trigger is not enough. Various other things must be taken into account. Make things easy to do i.e. dieting (1 click)
Weight watchers
NHS couch to 5K
Nike+ Kit
Nike+ Fuelband
Pocket First Aid & CPR
Symptom Tracker
Avva; cancer related - can keep track of appointments, names, places, scheduled procedures, and medicines
Whole Foods Market Recipes
My Diet Coach; motivation
Walk Game app; hip-movement = story telling
Drink Coach; track and advice on alcohol consumption
NHS Drinks Tracker
A very broad term
What do you think Social Media is?
Look at both words separately and combine (breaking down the term)
Social
Media
Interacting with people online to share, comment, interact, communicate and engage between users. Ideology: user generated content. Readers can comment back. = Web2.0.
Social media has empowered, engaged, and educated consumers (Sarasohn-Kahn, 2008) .
Social media in the health care industry gives consumers the opportunity to share their stories and relate their conditions, issues, or cases with other people, similar to themselves. Through testimonials the consumers create an emotional support system as well as a trusted source of first-hand knowledge. (Campbell et al, 2012)
Health Care & Social Media: https://www.youtube.com/watch?v=fScgEA9imCI
Social media in the health care industry gives consumers the opportunity to share their stories and relate their conditions, issues, or cases with other people, similar to themselves. Through testimonials the consumers create an emotional support system as well as a trusted source of first-hand knowledge. (Campbell et al, 2012)
Health Care & Social Media: https://www.youtube.com/watch?v=fScgEA9imCI
All looks promising, but there are significant boundaries/challenges in healthcare that need to be defeated.
26% of users who download a health app use it only once! (Chesanow and Fogg, 2013)
http://www.youtube.com/watch?v=mASIdHC2KEw
