Ipe 3 Behaviour

8/19/2019 Ipe 3 Behaviour

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B E H A V I O R C H A N G E , O N E H E A LT H M O D U L E S

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B E HAV I OR CHA GE ! OE HE A "#H $O% &"E '

In(roduc(ion


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MODULE COMPETENCIES

• Compe(ency )*• E+plain ,eha-ior modica(ion (heories and chane

manaemen( concep(s

• Compe(ency )/• Adap( models for indi-idual ,eha-ior chane for OH

ini(ia(i-es across a rane of s(a0eholders

• Compe(ency )1• %emons(ra(e cul(ural compe(ency and professionalism

in leadin chane• Compe(ency )2

• %esin ,eha-ior modica(ion s(ra(eies for OHin(er-en(ions in communi(ies


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3hen was (helas( (ime

you didsome(hin

for (he rs( (ime


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B E HAV I OR CH A GE ! OE HE A "#H $O%&E "'

Professional-Direce! "s#Paien-Cenere! Be$a"ior

C$an%e


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Mo!els of Paien-Cenere! Be$a"iorC$an%e

Health Belief Model

B E HAV I OR CH A GE ! OE HE A "#H C O&R'E


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THE HEALTH BELIE& MODEL

• %e-eloped ,y a roup of social psycholois(s a(&.'. 4u,lic Heal(h 'er-ice in (he *567s.

• %eri-ed from psycholoical and ,eha-ioral (heory.

• O,jec(i-e was (o e+plain why people were no(par(icipa(in in a (u,erculosis screenin 8diseasede(ec(ion9.

• One of (he rs( models de-eloped (o specically

address heal(h:rela(ed ,eha-iors.

• #he model has ,een modied (o apply (o area(er amoun( of si(ua(ions.


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THE HEALTH BELIE& MODEL

&l(ima(ely! an indi-idual;s course of

ac(ion depends on an indi-idual;spercep(ions of (he ,ene(s and ,arriersrela(ed (o heal(h ,eha-ior.


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HEALTH BELIE& MODELCONSTRUCTS

&or a 'aien o c$an%e (e$a"ior, 'aien )*s+

• call (o ac(ion; (o spar0 (he chane

• 4ercei-es (ha( s?he can successfully preform (he,eha-ior


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HEALTH BELIE& MODEL+SI CONSTRUCTS

4a(ien(s; percep(ion (ha( (hey are suscep(i,le (o orha-e a par(icular heal(h condi(ion.

Percei"e! S*sce'i(ili


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4a(ien(s; ,elief (ha( ha-in (he condi(ion is seriousand harmful.

Percei"e! Se"eri


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4a(ien(s; percep(ion (ha( ac(ions will resul( in a ,ene( 8areduc(ion in (he (hrea( of (he illness or disease or (he curin

if (he illness or disease9.

Percei"e! Bene.


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4a(ien(s; percep(ion (ha( (he ,ene(s of chanin(heir ,eha-ior will ou(weih (he challenes and

o,s(acles of ma0in (he chane.

Percei"e! Barriers


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4a(ien( feels a >call (o ac(ion; (o spar0 (he chaneprocess.

C*e o Acion


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4ercei-es! or has (he condence! (ha( s?he cansuccessfully preform (he ,eha-ior

Self-E/cac


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MODI&0ING &ACTORS IMPACTINGLI1ELIHOOD &OR CHANGE


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2HAT DO 0OU THIN13

• 3ha( do you see as (he sren%$s of (he heal(h,elief model@

•

3ha( do you see as (he li)iaions of (he

heal(h ,elief model@


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Ma4in% $e c$an%e5

6*iin% S)o4in%

No )a4in% $e c$an%e5

Conin*in% o S)o4e

Bene.s Coss Bene.s Coss

3on;( couh in

(he mornin

'(ressful (o ui( Helps wi(h s(ress 3orry a,ou(

heal(h

$ore enery Gain weih( Enjoy smo0in

wi(h friends

'ocial '(ima

'a-e money "ose ano(her

pleasure

Ruins s0in

Be((er role

model for 0ids

3i(hdrawal

symp(oms

Canno( smo0e a(

wor0 or in (he

house

Ge( winded and

canno( do some

ac(i-i(ies


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Mo!els for Paien-Cenere!Be$a"ior C$an%e

Readiness to Change and

Motivational Interviewing

B E HAV I OR CH A GE ! OE HE A "#H $O%&"E '


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I)'orance R*ler

NoI)'oran

So)e8$aI)'oran

VerI)'oran

Con.!ence R*ler

No a allCon.!en

So)e8$aCon.!en

VerCon.!en

Rea!iness o C$an%e R*ler

No

Rea!

So)e8$a

Rea!

Ver

Rea!


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3HA# %O O& #HI


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S'iri of Moi"aional Iner"ie8in%+ ACE

AA*ono)

Honor (he pa(ien(;s choice a,ou( chane. Of(en! ac0nowledin a persons; rih(

and freedom (o choose O# (o chane! frees (hem up (o consider chane.

CColla(oraion

Crea(e a safe! colla,ora(i-e en-ironmen( and encourae?facili(a(e join( decision:

ma0in and pro,lem sol-in.

EE"ocaion

E-o0e or draw ou( pa(ien(;s own ideas and mo(i-a(ion for chane. &nders(and

(heir own perspec(i-es! unco-er -alues and oals (ha( suppor( heal(h ,eha-ior

chane.

G*i!in% Princi'les of Moi"aional Iner"ie8in%+ RULE

RResis $eRi%$in% Re9e:

4eople enerally ,elie-e wha( (hey hear (hemsel-es say (hey should

do F reac( in opposi(ion of wha( o(hers (ell (hem (o do. #he pa(ien( is

his?her own e+per(.

UUn!ersan! o*r

Paien;s

Moi"aions

I( is (he pa(ien(;s own reasons for chane! and no( ours! which are

mos( li0ely (o (rier ,eha-ior chane.

LLisen o o*r

'aien

3hen i( comes (o ,eha-ior chane! (he answers mos( li0ely lie wi(hin

(he pa(ien( and ndin (hem reuires lis(enin and disco-ery 8li0e

pannin for old9.

E

E)'o8er o*rPaien

#he pa(ien( who is ac(i-e in (he consul(a(ion! (hin0in aloud a,ou( (he

way and how of chane! is more li0ely (o follow (hrouh.


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1E0 S1ILLS O& MOTIVATIONALINTERVIE2ING

E)'a$i


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MOTIVATIONAL INTERVIE2ING ANDRULE RE6UIRE+

• &sin open:ended ues(ions (o e+plore pa(ien(sfeelins

• Armin commen(s and ,eha-iors (ha( show

sins of increased in(eres( in chane• E+plorin (he ,ene(s and draw,ac0s of ma0in

(he chane

• Ha-in (he pa(ien( en-ision a fu(ure and as0 wha(

needs (o happen (o achie-e (ha( fu(ure


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T8o Mo!els for Or%ani


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1OTTER;S = ESSENTIAL STEPS&OR CHANGE

• Es(a,lishin a 'ense of &rency

• Crea(in a Guidin Coali(ion

• %e-elopin a Vision F '(ra(ey

• Communica(in (he Chane Vision• Empowerin Broad:Based Ac(ion

• Genera(in 'hor(:#erm 3ins

• Consolida(in Gains F 4roducin $ore Chane

• Anchorin ew Approaches in (he Cul(ure


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LE2IN;S THREE STEP MODEL &ORCHANGE


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2HAT DO 0OU THIN13

• 3ha( (hey li0ed a,ou( each model.

• 3ha( (hey need (o s(udy more a,ou( each model.

•

Are (he models e+clusi-e of each o(her@Complimen(ary@


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E:'an!in% Paien-Cenere!Be$a"ior C$an%e Mo!els Beon! $e

H*)an Heal$ Cone:

B E HAV I OR CHA GE ! OE HE A "#H C O&R'E


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How would (heheal(h ,elief modelwor0 in your reion!cul(ure! ordiscipline@

How would youmodify$o(i-a(ionalIn(er-iewin andR&"E (o wor0 inyour reion! cul(ureor discipline@


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2HAT DO 0OU THIN13

• Are (here any similari(ies in your models (ha( wesee cu((in across reions?cul(ures or disciplines@

• 3ha( are (he dierences across reions! cul(ures

and disciplines (ha( we need (o ,e aware of andsensi(i-e (o when wor0in as par( of a One Heal(h(eam@

• How do you (hin0 unders(andin (hese similari(iesand dierences in approach will help you in yourwor0@


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BUILD 0OUR TOOL1IT

• As a mem,er of a One Heal(h #eam! wha( do youfeel is your role in chanin people;s ,eha-iors@

• Crea(e your model for ,eha-ior chane in your

discipline and as par( of a One Heal(h (eam.


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Ipe 3 Behaviour

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