HEP4211 Changing Health behaviour all summary lectures and (part of) literature mini lectures
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Module
Changing Health Behaviour (HEP4211)
Institution
Maastricht University (UM)
Passed the exam with an 9! This document contains an extensive summary of all summary lectures and a large part of the literature for the mini lectures. Perfect preparation for the exam and for making the mini lectures!
Mini lecture session 1....................................................................................................................................... 3
Mini lecture session 2....................................................................................................................................... 4
Summary lecture risk communication .............................................................................................................. 4
Mini lecture session 3..................................................................................................................................... 29
Mini lecture session 4..................................................................................................................................... 44
Summery lecture targeting conscious and non-conscious processes to change health behavior .................... 45
Mini lecture session 5..................................................................................................................................... 67
Week 5 How to break bad habits and reduce the intention-behaviour gap? ................................................ 165
Week 6 Strategies to modify environmental factors at the micro level ....................................................... 182
Lecture Introduction
Finding ingredients for effective behaviour change interventions
- Methods/strategies that influence determinants of behaviour change
- Applying these methods in health messages
Goal of health promotion: achieve the definitions stated for health on a physical, mental and social
level → motivate and support people in adoption and maintenance of healthy behaviour.
,Determinants of behaviour:
- Motivational factors: intention, attitude, self-efficacy
o It was thought that influencing these, leads to behaviour change. But not true →
intention-behaviour gap
- Post motivational factors
→ these two day that behaviour is intentional
- Automatic processes
o Not intentional, but automatic processes
- Environmental factors
o Macro and micro environment
Theoretical method: general technique or process to induce change in a determinant (fear appeal,
modelling)
Practical application: form in which the theoretical method can be applied in an intervention
(cigarette packaging, role model stories)
Exam material:
- Basic literature
- Mini lectures
- Summary lectures
- Training lectures/introductions
Open ended questions
Mini lecture session 1
Perceived susceptibility/vulnerability: how high is the change I will get a car accident
Perceived severity: how lager are the consequences
Identify with peers.
Methods:
, - Presentation of risk information
o Verbal: high, moderate, low → very vague, what is high?
o Numerical
- Narrative information
- Fear appeal
Mini lecture session 2
Narrative: imaginability is the most important parameter for use
The con and consequences must be as vivant as possible
Fear appeal:
Fear appeal without efficacy statement → EPPM → fear control
Summary lecture risk communication
Risk perception incorporated in many health behaviour change theories:
- Protection motivation theory
- HBM
- I-change model
- HAPA
- Many others
Precondition for motivation (pre motivational stage: need to become aware of their risk )and
informed decision making
Based on their risk perception → people can get in the motivational stage (attitude) → intention →
behaviour (week 5)
Severity + susceptibility
- How high is the chance that I get this health risk
- How bad are the consequences
Some methods focus more on one of them
- Susceptibility: first method
- Severity: narrative and fear appeal
Risk communication: Conveying or transmitting information between parties about a range of areas
including:
- Levels of health or environmental risk: susceptibility
- the significance or meaning of health or environmental risks = severity
- Decision, actions or policies the significance or meaning of health or environmental risks →
change health behaviours
Goals of risk communication
- Behaviour change (people do not perceive the risk)
- Provide reassurance when people are outraged/far more concerned than expected based on
science
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