Developing Sustainable B ehaviour C hange T raining Dr Vivien Swanson Dr Deirdre Holly NHS Education for Scotland Bitter personal experience and metaanalysis converge on the conclusion that people do not always do ID: 1039956
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1. Presented by : Dr Vivien Swanson, NHS Education for Scotland ___________________________
2. Developing Sustainable Behaviour Change Training Dr Vivien Swanson, Dr Deirdre HollyNHS Education for Scotland
3. “Bitter personal experience and meta-analysis converge on the conclusion that people do not always do the things that they intend to do” (Sheeran & Webb 2016) The intention – behaviour gap50%
4. Why Health psychology…? ‘Health is all about behaviour’ NHS needs more effective behaviour change interventions ..... and a ‘psychologically aware’ skilled workforce to work collaboratively with patients to deliver better care What do health psychologists contribute? expertise in the science of health behaviour change understanding mechanisms, complexities of barriers to change added value (theory, evidence base, skills) to existing programmes service improvement design and effectiveness of interventions
5. What do we want to do? develop state-of-the-art resources, build knowledge and skills for NHS staff in Scotland in changing health-related behaviour develop generic and specific training adaptable to individual needs and contextsensure sustainability by developing follow-up coaching and mentoring
6. Implementation science: Formula for successEffective innovations Effective implementationEnabling contexts Socially significant outcomesxx=
7. Implementation Stages2-4 years
8. Developing behaviour change training Exploration Installation Implementation
9. Exploration
10. Exploration: what techniques?
11. Exploration : mapping techniques to competencies
12. Strengthening Collaborative Practice: The MAP of Behaviour ChangeBehaviour
13. Automatic, habitual, unconscious, prompted, emotionally, environmentally cued routeReflective, goal directed, rational thinking of motivations, goals and values
14. AutomaticEnvironmental ContextBehaviour change techniques Rational / deliberate behavioursEnvironmental ContextBehaviour change techniques BehaviourAutomatic/cued behavioursPrompts, Cues Habits MaintenanceMotivation Action Planning
15. Theme 1: Collaboration and Motivation Draw on collaborative care planning (needs of client and health professional are met). Identify values and goals, using these to encourage behaviour change Identify and address personal and environmental barriers to behaviour changeBCT: Verbal persuasion about capability“Tell the person that they can successfully perform the wanted behaviour, arguing against self-doubts and asserting that they can and will succeed”
16. Theme 2: Planning, Action and MaintenanceIdentify, agree goals Set goals Action plan (‘if … then’). Self-monitoring (tailored, using diaries, apps)Planning, identify barriers, problem solve, coping planning Maintenance, re-evaluating goals, re-engaging with behaviour, Support Environmental restructuring BCT: Action planning“Prompt detailed planning of performance of the behaviour (include context, frequency, duration and intensity)”
17. Theme 3: Prompts, Cues, and Habits Understand the role of habits Use environmental cues and prompts Encourage rehearsal and repetition Support long-term maintenanceBCT : Restructure the Physical and Social Environment“Change the environment to facilitate target behaviour…”
18. Installation: WHO? Practice nursesFNP nursesPharmacistsDentistsPublic health practitionersHealth promotion specialistsClinical psychologistsKnowledge is useful but need skills Generic / Profession specific Develop confidenceChange ‘fix-it’ mindset?
19. Installation: HOW?Face to faceOn-lineManualSoundbitesCoaching/mentoring WebinarsLocal eventsReal life examples - videos, vignettes
20. Implementation
21. Please contact us at: Vivien.swanson@nes.scot.nhs.ukDeirdre.holly@nes.scot.nhs.uk