Change Behavior

8/12/2019 Change Behavior

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Behaviour Change:

Patient to Patience

Centre for Community Medicine

All India Institute of Medical Sciences


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Dr. Chandrakant.S. Pandav

Professor and Head


AIIMS, New Delhi

Dr. Kapil Yadav

MBBS, MD (AIIMS)

Senior Programme officer

ICCIDD, New Delhi

Dr. Rakesh Kumar

MBBS, MD (AIIMS)

Senior Programme officer

ICCIDD, New Delhi

Dr. Ravi P. Upadhyay

Resident Doctor


AIIMS, New Delhi

Dr. Rahul Srivastava

Resident Doctor


AIIMS, New Delhi


All India Institute of Medical Sciences


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Outline of Presentation

Behaviour Change

Behaviour and public health

Determinants of behaviour

Stages of behaviour change

Behaviour change process

Enabling factors

Channels of communication

Myths and facts regarding behaviour change

Conclusions


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Behaviour Change 1

List the important changes in the pictures ???


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Behaviour Change2

Quit smoking... Tar the roads... NOT your LUNGS!

Today its me,because of u...

Tomorrow its u,

because of me...

Fully burnt Cigarette ASH Smokers Lung


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Increased interest of behaviour change in different fields with the

hope that understanding it will improve the services offered

Health

Education

Criminology

Energy

International development

Behavioural change theories have gained recognition in health for

their possible effectiveness in explaining health-related

behaviours and providing insight into methods that would

encourage individuals to develop and maintain healthy lifestyles

Behaviour Change3


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Behaviour Change 5

Many theories exist for Behaviour change, the most

prevalent are

Learning theories

Social Cognitive Theory

Theories of Reasoned Action and Planned Behaviour

Trans-theoretical Model

Health Action Process Approach


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Behaviour Change





Enabling factors



Conclusions


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Smoking

Alcohol

Dietary

Physical Activity

Non communicable diseases

such as (NCDs)

Diabetes

Obesity

Hypertension, Cancers, etc.

Sexual Activity

Substance abuse

HIV, STD, Hepatitis

Rash Driving Road Traffic Accidents

Mental DisordersHealthy life

Health-compromising behaviors can be eliminated by self-

regulatory efforts, and by adopting health-enhancing behaviors

Fortunately, human beings have, in theory, control over their conduct

Behaviour Public Health


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Behaviour Change





Enabling factors



Conclusions


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Determinants of

health related behaviour

Individual

Family

GenderRoles

Culturereligion

Income

SocialStatus

Community

Media

Services

Policy


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Behaviour Change





Enabling factors



Conclusions


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How to change behaviour ???Five stages of behaviour change

Stage 1

Precontemplation

Stage 2

Contemplation

Stage 3

Preparation

Stage 4

Action

Stage 5

Maintenance


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Stages of Behaviour change Diabetes

Stage 1Precontemplation

Stage 2Contemplation

Stage 3Preparation

Stage 4Action

Stage 5Maintenance

Why should

I change ????

I want to LIVE...

I will save myself

Prevention is

better then cure

Learn regarding

healthy practices

Filter facts from

Myths

Doctor calling

Dietary changes

Physical activity

Regular

medicines

Positive re-

enforcement,

Negative re-

enforcement

and awarding

Opinion leader

I dont have

disease ..

I am no more

Happy I am

worried I am

havingDiabetes

I am ready to

change

I am doing I will continue

to do.


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Diffusion of Ideas Model

People are more likely to adopt a new behavior whensomeone they respect or admire endorses the behavior:

Opinion leaders influence an initial group

New social norm is established

Rest of community follows (Social conformation)


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Behavior Change ProcessStages of changecontinuum

Unaware

Aware

Concerned

Knowledgeable

Motivated tochange

Trial behaviour

change Sustained

behaviourchange

Channels

Mass media

Community

networks andtraditional media

Interpersonal/group

communication

Enabling factors

Effective

communication

Enabling

environment

User friendly

services and

accessible

commodities


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Myths and facts about behaviour changeMyths

Change is motivated by fear

actsPeople go into denial of the bad things

that might happen to them

We can't change because our

brains become "hardwired"

early in life

We can continue learning complex new

things throughout our lives

Crisis is a powerfulimpetus for change

Majority of patients don't sustain changesin the unhealthy lifestyles that worsen theirdisease

Change for better is always difficult tomakeBehaviour change methods

dont yield adequate resultsBehaviour addressed should be the

felt need of the people targeted

Community involvement is important

for success of any change process

hange in behaviour is notsustained

To achieve sustainable results, it takestime.

Regular reinforcements are needed


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Behavior change is a continuous process

It involves strong community participation

Refutes myths and corrects misunderstanding

Social norms and public policies influence behavior

change. A strategic shift must be also be attempted

simultaneously.

BCC often complements and supports other prevention

strategies and approaches


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Behaviour Change





Enabling factors



Conclusions


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Stepped approach to change

Ajourneyof a thousand

milesbegins with a single step


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Thanking You

Change Behavior

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