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Behaviour Change Unit 1 Notes

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Lecture notes of 11 pages for the course HLTH315 at QU (Behaviour Change)

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  • December 12, 2022
  • 11
  • 2022/2023
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HLTH 315 Unit 2 Notes

Week 5: health message & persuasion



the mind & heart

• behaviour change theories were rooted in the cognitive tradition that ignored the role of emotions in decision-

making

• central role of cognitive beliefs – challenged by findings

◦emotions > cognitive: predicting intentions and behaviours

• people engage in behaviour because it makes them happy, enjoyment, feel good, etc.

cognitive vs affective messages

• cognitive cognitive logicalthinking
◦traditionally used

◦focus on health benefits and other instrumental reasons for engaging in a health behaviour

• affective affective emo
◦largely neglected until last decade

◦focus on stimulating emotion/emotional benefits towards a health behaviour

term longterm
short
attitudes affective r cognitive Attitudes Behaviour
• affective and cognitive messages = target ATTITUDES

• attitudes: link between a behaviour/product/issue and our feelings about it



effective message types

• some studies support affective messages to be more effective but depends on:

◦PA level: inactive like affective > cognitive

◦temporal salience of affective/cognitive outcomes = long-term cognitive + short term affective is best

◦baseline attitudes basis: matching attitude to message type

‣ affective attitude basis respond more to affective messages

‣ cognitive attitude basis respond more to cognitive messages



message framing

• frame: the way we talk about an issue/behaviour or the way info about a behaviour is presented

◦can influence how we think about a particular topic/behaviour

• gain/lose frame: prospect theory (tversky & kahneman) Gainframe benefits
◦gain frame: framing a behaviour in terms of benefits Lossframe consequences
‣ benefit if you engage in a healthy behaviour or don't engage in an unhealthy behaviour

, ‣ i.e. exercising makes you feel good

◦loss frame: framing a behaviour in terms of costs

‣ losses if you don't engage in a healthy behaviour or engage in an unhealthy behaviour

‣ i.e. not exercising can lead to health problems



which frame is better?

• loss frame is more effective – not well supported but hypothesized

• riskiness of outcome from engaging in the behaviour

◦detection behaviour: no difference between message types – risky

‣ i.e. exercise

◦prevention behaviour: gain-frame is more persuasive – not risky

‣ i.e. cancer screening

◦treatment behaviour: little research – not risky

‣ i.e. medical adherence

• individual perception of the risk

◦depends on age, culture, social norms, access to resources, etc.

◦affective or cognitively based attitudes?

◦engagement level

◦self-efficacy



types of health communication – generic to most individualized

• generic: communication that is not individualized based on any kind of individual assessment

◦i.e. ig post about general benefits of vitamins

• personalized generic: not individualized but uses characteristics such as name

◦i.e. email subscription from health organization
target us tailored
• targeted: targeted towards certain part of population population Gindividualized
◦i.e. ig post for people with ibs

• tailored: based on one specific person and their characteristics, outcome of interest, assessment-based

◦i.e. takes into account income level, food preferences

• interpersonal: counselling 1 on 1 interactions



elaboration likelihood model dualprocess howweprocess ads
• dual process model: two pathways through that we can process an ad – depends on relevancy, importance,

motivation, and understanding

◦route 1: tailored morespecific ACTIVE
‣ actively thinks about information – very thorough

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