scholarly journals Physician training in self-efficacy enhancing interviewing techniques (SEE IT): Effects on patient psychological health behavior change mediators

2016 ◽  
Vol 99 (11) ◽  
pp. 1865-1872 ◽  
Author(s):  
Anthony Jerant ◽  
Melissa Lichte ◽  
Richard L. Kravitz ◽  
Daniel J. Tancredi ◽  
Elizabeth M. Magnan ◽  
...  
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Psychological Health ◽  
Self Efficacy ◽  
Health Behavior Change ◽  
Physician Training ◽  
Interviewing Techniques ◽  
Change Mediators

scholarly journals Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention

2018 ◽  
Vol 53 (8) ◽  
pp. 756-768
Author(s):  
Rebecca Murray ◽  
Amanda Baker ◽  
Sean Halpin ◽  
Ben Britton ◽  
Kristen McCarter ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Health Behavior ◽  
Behavior Change ◽  
Therapeutic Alliance ◽  
Motivational Interviewing ◽  
Head And Neck ◽  
Neck Cancer ◽  
Health Behavior Change ◽  
Behavior Change Intervention ◽  
Interviewing Techniques

Abstract Background The relationship between a clinician and their client—the “therapeutic alliance” is a robust predictor of outcome in healthcare settings; yet, few interventions to improve alliance have been tested. Motivational interviewing is a client-centered approach that embodies many principles and strategies consistent with a strong therapeutic alliance. Purpose To examine whether alliance is enhanced by training dietitians to deliver a motivational interviewing informed health behavior change intervention (“Eating as Treatment”; EAT) as part of routine consultations with patients with head and neck cancer. The predictive ability of motivational interviewing techniques was also assessed. Methods A secondary analysis of the EAT stepped-wedge cluster-randomized controlled trial was conducted. Patients with head and neck cancer undergoing radiotherapy (n = 307) were treated by radiotherapy dietitians (n = 29) during the control (Treatment as Usual) or intervention (EAT) phase. Alliance was rated during the first and final weeks of radiotherapy, and again 4 and 12 weeks post-radiotherapy. Dietetic sessions were audiotaped. Week one sessions were objectively rated for dietitians’ use of motivational interviewing techniques. Results Generalized linear-mixed effects regressions found no effect of EAT on dietitian-rated alliance (p = .237). After excluding outliers, patient-rated alliance was 0.29 points lower after EAT training (p = .016). Post hoc analyses revealed lower patient ratings on perceived support and dietitian confidence. Hierarchical multiple regressions found that no specific motivational interviewing techniques predicted patient-rated alliance. Dietitian acknowledgment of patient challenges was related to dietitian-rated alliance (β =.15, p =.035). Conclusions Patient and dietitian ratings of alliance were high after EAT training, but not significantly improved. Further research is needed to better understand the differential impact of intervention training and delivery on patient and clinician ratings of therapeutic alliance. Clinical Trial information Trial registration number ACTRN12613000320752

scholarly journals The Role of Self-Efficacy in Achieving Health Behavior Change

1986 ◽  
Vol 13 (1) ◽  
pp. 73-92 ◽  
Author(s):  
Victor J. Strecher ◽  
Brenda McEvoy DeVellis ◽  
Marshall H. Becker ◽  
Irwin M. Rosenstock
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Self Efficacy ◽  
Health Behavior Change

scholarly journals Teixeira PJ, Johnson MW, Timmermann C, Watts R, Erritzoe D, Douglass H, Kettner H, Carhart-Harris RL et al. (in press). Psychedelics and Health Behavior Change, J Psychopharmacology

2021 ◽  
Author(s):  
Pedro J. Teixeira ◽  
Matthew Johnson ◽  
Christopher Timmermann ◽  
Rosalind Watts ◽  
David Erritzoe ◽  
...  
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Stress Reduction ◽  
Psychological Health ◽  
Premature Mortality ◽  
Science Research ◽  
Health Behavior Change ◽  
Healthy Behaviors ◽  
Balanced Diet ◽  
New Research

Healthful behaviors such as maintaining a balanced diet, being physically active, and refraining from smoking have major impacts on the risk of developing cancer, diabetes, cardiovascular diseases, and other serious conditions. The burden of the so-called “lifestyle diseases” - in personal suffering, premature mortality, and public health costs - is considerable. Consequently, interventions designed to promote healthy behaviors are increasingly being studied, e.g. using psychobiological models of behavioral regulation and change. In this article, we explore the notion that psychedelic substances such as psilocybin could be used to assist in promoting positive lifestyle change conducive to good overall health. Psilocybin has a low toxicity, is non-addictive, and has been shown to predict favorable changes in patients with depression, anxiety, and other conditions marked by rigid behavioral patterns, including substance (mis)use. While it is still early days for modern psychedelic science, research is advancing fast and results are promising. Here we describe psychedelics’ proposed mechanisms of action and research findings pertinent to health behavior change science, hoping to generate discussion and new research hypotheses linking the two areas. Therapeutic models including psychedelic experiences and common behavior change methods (e.g., Cognitive Behavior Therapy, Motivational Interviewing) are already being tested for addiction and eating disorders. We believe this research may soon be extended to help promote improved diet, exercise, nature exposure, and also mindfulness or stress reduction practices, all of which can contribute to physical and psychological health and wellbeing.

Transtheoretical Model and Stages of Change in Health and Risk Messaging

2017 ◽  
Author(s):  
Seth M. Noar
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Health Behavior Change ◽  
Decisional Balance ◽  
Message Design ◽  
Tailored Interventions ◽  
Theoretical Approaches

The Transtheoretical Model (TTM) is an integrative health behavior change theory that describes the process of how people change their behavior. The central organizing construct in the theory is stages of change, which are five distinct stages of readiness to change behavior, ranging from not ready to change (precontemplation), thinking about change (contemplation), preparing to change (preparation), changing (action), and maintaining the change (maintenance). Movement through the stages may be nonlinear, and cycling and recycling through the stages is viewed as a natural part of the change process. Other model constructs explain what drives individuals forward through the stages of change. Decisional balance involves a weighing of pros and cons of changing behavior, while self-efficacy involves situation-specific confidence that one can change. Increases in pros, deceases in cons, and increases in self-efficacy propel people forward through the stages of change. The processes of change are experiential and behavioral strategies that people use to change their behavior. In early stages of change, people use experiential strategies while they use behaviorally oriented strategies in later stages of change. The TTM holds significant implications for message design. Most notably, messages should be targeted and tailored to stages of change, and where possible, to other model variables as well. Studies indicate that the TTM has been successfully applied to health communication campaigns, and to a larger extent, to computer-tailored interventions to change health behavior. Meta-analyses indicate that scores of computer-tailored interventions have been efficacious, including many based upon the TTM and stages of change. New applications of the model include a focus on novel health behaviors, multiple behavior change, and advancing an understanding of message design in the context of the TTM in combination with other theoretical approaches.

scholarly journals Factors Influencing the Health Behavior During Public Health Emergency: A Case Study on Norovirus Outbreak in a University

2020 ◽  
Vol 5 (1) ◽  
pp. 27-39
Author(s):  
Shijuan Li ◽  
Qian Jiang ◽  
Pengyi Zhang
Keyword(s):  
Public Health ◽  
Health Literacy ◽  
Health Behavior ◽  
Behavior Change ◽  
Self Efficacy ◽  
Health Belief ◽  
Health Behavior Change ◽  
Perceived Susceptibility ◽  
Perceived Severity ◽  
Research Framework

AbstractIt is known that health belief and health literacy are closely related to health behavior. But, we do not know explicitly how health belief and health literacy interact with each other and determine health behavior change under public health emergencies (PHE). Through the integration of constructs from health belief model (perceived susceptibility, severity, benefits, barriers, and self-efficacy) and diverse dimensions of health literacy (functional, interactive and critical), a research framework is proposed to examine the underlying mechanism of health behavior change during PHE. Structural equation modeling (SEM) was used to analyze 386 questionnaire data collected from Chinese university students for the research framework. The analysis results show that (1) both health belief and health literacy have significant impacts on health behavior change during PHE. However, health belief plays a mediating role which affects the health literacy's impact on health behavior; (2) while the increase of perceived severity of disease and self-efficacy promote the health behavior change, the effectiveness of perceived susceptibility on health behavior depends on the increase of perceived severity; and (3) the enhancement of interactive health literacy effectively promotes health behavior change, while functional and critical health literacy reduces the blind change. The results throw lights on health education services and provide references and factors in understanding and encouraging health behavior changes to relevant stakeholders including social media operators, practitioners, social service providers, and policy makers.

scholarly journals The Role of Behavioral Science in Personalized Multimodal Prehabilitation in Cancer

2021 ◽  
Vol 12 ◽  
Author(s):  
Chloe Grimmett ◽  
Katherine Bradbury ◽  
Suzanne O. Dalton ◽  
Imogen Fecher-Jones ◽  
Meeke Hoedjes ◽  
...  
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Psychological Health ◽  
Behavioral Science ◽  
Health Behavior Change ◽  
Clinical Settings ◽  
Nutritional Interventions ◽  
Physical And Psychological Health ◽  
Primary Focus

Multimodal prehabilitation is increasingly recognized as an important component of the pre-operative pathway in oncology. It aims to optimize physical and psychological health through delivery of a series of tailored interventions including exercise, nutrition, and psychological support. At the core of this prescription is a need for considerable health behavior change, to ensure that patients are engaged with and adhere to these interventions and experience the associated benefits. To date the prehabilitation literature has focused on testing the efficacy of devised exercise and nutritional interventions with a primary focus on physiological and mechanistic outcomes with little consideration for the role of behavioral science, supporting individual behavior change or optimizing patient engagement. Changing health behavior is complex and to maximize success, prehabilitation programs should draw on latest insights from the field of behavioral science. Behavioral science offers extensive knowledge on theories and models of health behavior change to further advance intervention effectiveness. Similarly, interventions developed with a person-centered approach, taking into consideration individual needs and preferences will increase engagement. In this article, we will provide an overview of the extent to which the existing prehabilitation literature incorporates behavioral science, as well as studies that have explored patient's attitudes toward prehabilitation. We will go on to describe and critique ongoing trials in a variety of contexts within oncology prehabilitation and discuss how current scientific knowledge may be enhanced from a behavioral science perspective. We will also consider the role of “surgery schools” and detail practical recommendations that can be embedded in existing or emerging clinical settings.

Abstract P126: Influence of CIMT as a Motivator for Health Behavior Change in a Heart Health Program

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Elaine Walizer ◽  
Marina Vernalis ◽  
Randolph Modlin
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Self Efficacy ◽  
Subclinical Atherosclerosis ◽  
Exercise Adherence ◽  
Predictive Ability ◽  
Health Behavior Change ◽  
Control Group ◽  
Risk Awareness ◽  
Cvd Risk

Introduction: Carotid intima media thickness (CIMT) ultrasound is a known surrogate marker of atherosclerosis but few studies examine its influence on patient behavior. Motivation and self-efficacy (SE) are known predictors of health behavior change. This randomized, double-blind trial examined 1) use of CIMT images plus associated CVD risk to motivate adherence, and 2) the predictive ability of motivation and SE on adherence change. Methods: Patients with ≥ 2 cardiovascular disease (CVD) risk factors and subclinical atherosclerosis were assigned to either the intervention group [receive results weekly (R-CIMT)] or control group [withhold results (W-CIMT)]. All patients received a 12-week lifestyle program (Mediterranean diet, aerobic exercise, group support). Overall change in adherence from baseline to week 12 was determined using an ANCOVA model where % adherence was a composite measure of diet and exercise adherence. Initial motivation plus exercise and nutrition SE were assessed to determine their predictive ability of adherence in a standard regression model. Results: 166 patients randomized; 161 (R-CIMT n=81; W-CIMT n=80) eligible for intention-to-treat analysis. Patients were middle age (mean age = 54 ± 11 yrs), 62% (100 or 161) women, 48% (77 of 161) black. Baseline group differences: W-CIMT group was younger (52 vs 55 yrs; p=0.05), had a lower systolic blood pressure (120 vs 125; p=0.01), lower % family history of CVD (49 vs 65; p=0.03). In comparing R-CIMT vs W-CIMT groups, no difference was detected in overall % adherence change (16.4 ± 25.6 vs 19.8 ± 25.4; p=0.39). Initial motivation and SE measures were not predictive of change in adherence when added to group assignment (see Table). Conclusions: CIMT evidence of subclinical atherosclerosis increased participant CVD risk awareness but did not translate into actionable healthy behavior changes beyond those in the control group. Neither exercise nor dietary adherence was affected by initial motivation or self-efficacy when added to CIMT risk awareness.

scholarly journals Dietary Adherence, Self-Efficacy, and Health Behavior Change of WASHOKU-Modified DASH Diet: A Sub-analysis of the DASH-JUMP Study

2020 ◽  
Vol 16 (2) ◽  
pp. 128-137
Author(s):  
Atsuko Kawamura ◽  
Junko Inagaki ◽  
Seiji Umemoto ◽  
Katsuko Kajiya ◽  
Hiroko Kishi ◽  
...  
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Self Efficacy ◽  
Phase 1 ◽  
Japanese Version ◽  
Health Behavior Change ◽  
Home Delivery ◽  
Dietary Adherence ◽  
Lifestyle Habits ◽  
Dash Diet

Background: We previously reported the nutritional characteristics and effects of the DASH-JUMP diet, which is a WASHOKU-modified DASH diet, in Japanese participants with untreated high-normal blood pressure or stage 1 hypertension. The dietary adherence of the DASH diet in Japanese participants has never been evaluated before. Objective: We aimed to assess the relationships between dietary adherence, self-efficacy, and health behavior change among study participants who received the DASH-JUMP diet by home delivery. Methods: Participants were treated with the DASH-JUMP diet for 2 months and consumed their usual diets for the next 4 months. We conducted surveys using the stage of behavior change model questionnaire and the modified perceived health competence scale Japanese version questionnaire at baseline and 1, 2, 3, and 6 months to assess dietary adherence. Results: Forty-three participants (25 men, 18 women; mean age 53.6 ± 8.2 years) returned completed questionnaires, which we analyzed. Health behavior change was motivated by previous behavioral changes and improved biomarkers. The improvement and maintenance of self-efficacy were deeply related to health behavior change and previous self-efficacy. The experience of the DASH-JUMP study for participants included three processes to improve lifestyle habits: Phase 1, reflecting on previous lifestyle habits; Phase 2, learning through new experiences and the acquisition of knowledge; and Phase 3, desiring to maintain their own health. Conclusion: It indicated that the DASH-JUMP diet significantly increased self-efficacy and promoted health behavior change.

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