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HUMAN BEHAVIOUR AND HEALTH PROMOTION LINKAGE

. PHASES BETWEEN KNOWLEDGE

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HUMAN BEHAVIOUR AND HEALTH PROMOTION LINKAGE

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    1. HUMAN BEHAVIOUR AND HEALTH PROMOTION LINKAGE

    2. PHASES BETWEEN KNOWLEDGE & BEHAVIOUR

    3. BEHAVIOUR: DEFINITION Behaviour is …...

    4. BEHAVIOUR 1. HEALTH-DIRECTED 2. HEALTH-RELATED

    5. TYPES OF HEALTH-RELATED BAHAVIOUR 1. PREVENTIVE HEALTH BEHAVIOUR 2. ILLNESS BEHAVIOUR 3. SICK-ROLE BEHAVIOUR

    6. BEHAVIOURAL THEORIES AND MODELS

    7. HEALTH BELIEF MODEL “Two major factors influence the likelihood that a person will adopt a recommended preventive health action First they must feel personally threatened by disease I.e. they must feel personally susceptible to a disease with serious or severe consequences Second they must believe that the benefits of taking the preventive action outweigh the perceived barriers to (and/or cost of) preventive action”

    8. HEALTH BELIEF MODEL (Visual)

    9. HEALTH BELIEF MODEL (Detailed)

    10. Modified Health Belief Model as Applied to HIV/AIDS Programme

    11. THEORY OF REASONED ACTION “…there is one primary determinant of behaviour, namely the person’s intention to perform it. This intention is itself viewed as a function of two determinants. - person’s attitude toward performing the behaviour (based on his/her beliefs about the consequences of performing the behaviour, i.e. his or her beliefs about the costs and benefits of performing the behaviour) and - the person’s perception of social (or normative) pressure exerted upon him or her to perform the behaviour.” Source : Fishbein and Ajzen [1975], Ajzen and Fishbein [1980] Fishbein, Middlestadt and Hitchcock [1991], page 4 in Developinh Effective Behaviour Change Interventions, Fishbein M, Univ. of Illinois.

    12. THEORY OF REASONED ACTION

    13. Theory of Reasoned Action and Personal Behaviour applied to HIV/AIDS programme action (Adapted to key focus areas)

    14. SOCIAL COGNITIVE THEORY “Two major factors influencing the likelihood that one will take preventive action: First, like the Health Belief Model, a person believe that the benefits of performing the behaviour outweigh the costs (i.e. a person should have more positive than negative outcome expectancies) Second, and perhaps most important, the person must have a sense of personal agency, or self-efficacy with respect to performing the preventive behaviour … must believe that he or she has the skills and abilities necessary for performing the behaviour under a variety of circumstances”. Source: Fishbein summarising Bandura [1986, 1989, 1991, page 3 in Developing Effective Behaviour Change Interventions, Fishbein M, Univ of Illinois.

    15. SOCIAL LEARING THEORY OR SOCIAL COGNITIVE THEORY

    16. Stages of changing health behaviour (Adapted from Neesham C, 1993 and Prochaska J & DiClemente C, 1984)

    17. Stages of Change as applied to HIV/AIDS Programme

    18. STAGES OF CHANGE MODEL

    19. THE BEHAVIOUR CHANGE SPIRAL

    20. The Behaviour Change Spiral in the context of the Enabling Environment

    21. DIFFUSION MODEL

    22. DIFFUSION OF INNOVATION PROCESS

    23. DIFFUSION OF INNOVATION Time Relapse between awareness, interest, trial and adoption

    24. STEPS TO BEHAVIOUR CHANGE Knowledge 1. Recalls family planning messages. 2. Understands what family planning means. 3. Can name family planning method(s) and/or source of supply. Approval 4. Responds favorable to family planning messages. 5. Discusses family planning with personal networks (family, friends). 6. Thinks family, friends, and community approve of family planning. 7. Approves of family planning.

    25. Intention 8. Recognise that family planning can meet a personal need. 9. Intends to consult a provider. 10. Intends to practice family planning at some time. Practice 11. Goes to a provider of information/supplies/services. 12. Chooses a method and begins family planning use. 13. Continues family planning use. Advocacy 14. Experiences and acknowledges personal benefits of family planning. 15. Advocates practice to others. 16. Supports programmes in the community.

    26. VARIABLES UNDERLYING BEHAVIOURAL PERFORMANCE Generally speaking it appears that in order for a person to perform a given behaviour one or more of the following must be true: 1. The person must have formed a strong positive intention (or made a commitment) to perform the behaviour; 2. There are no environment constraints that make it impossible to perform the bahviour; 3. The person has the skills necessary to perform that behaviour;

    28. Audiences along a Behaviour Continuum: Possible Communication Strategies

    29. Health-related behaviour change: the examples of exercise for women

    30. PRECEDE-PROCEED PHASES

    31. PRECEDE/PROCEED MODEL (Behavioural Domains)

    32. CONCEPTUAL MODEL OF COMMUNITY EMPOWERMENT (Perceived Control)

    33. MASLOW’S HIERARCHY OF NEEDS

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