Psychology at the Turn of the Millennium, Volume 1: Cognitive, Biological and Health Perspectives

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Behaviour is the outcome of behaviour change interventions

Preview this item Preview this item. Allow this favorite library to be seen by others Keep this favorite library private. Find a copy in the library Finding libraries that hold this item These two volumes represent the cutting edge of contemporary theory and research in psychological science.

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Add a review and share your thoughts with other readers. Similar Items Related Subjects: 1 Philosophy. The scientific standards demanded, and found to be successful, for biomedical interventions are often ignored when the intervention involves behaviour change. For example, pharmacological interventions require clear specification of the chemical formula of its active ingredients and a high level of competence in the personnel prescribing them, whilst behaviour change interventions are often poorly specified, preventing high-fidelity replication and, despite being complex, delivered by individuals of unreported competence.

The biopsychosocial approach to chronic pain: Scientific advances and future directions. Precise specification and descriptions are required: of the behaviours to be changed, the BCTs to be used, the competences required to deliver them, e. Health behaviour change: A comprehensive competency framework. Identifying evidence-based competences required to deliver behavioural support for smoking cessation.

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Annals of Behavioural Medicine , 59 — The behaviour change wheel: A new method for characterising and designing behaviour change interventions. This precision allows one to establish whether, and how, BCTs have been applied to change a particular behaviour and are important in evaluating efficacy, especially in systematic reviews Dombrowski et al.

The impact of theory on the effectiveness of worksite physical activity interventions: A meta-analysis and meta-regression. Health Psychology Review, 6 , 33 — Patient-oriented interventions to improve antibiotic prescribing practices in respiratory tract infections: A meta-analysis. Health Psychology Review, 6 , 92 — Precise specification of BCTs may also enhance the intervention: Taylor et al. BCTs are observable and replicable components of behaviour change interventions. They are the smallest component compatible with retaining the postulated active ingredients, that is, the proposed mechanisms of change, and can be used alone or in combination with other BCTs Michie, Abraham, et al.

Methods for strengthening evaluation and implementation: Specifying components of behaviour change interventions: A study protocol. Behaviour change techniques. Turner , Encyclopaedia of Behavioral Medicine. Springer , New York. For example, using a reliable BCT coding scheme, Dombrowski et al. Specification also enables a further step underpinning scientific investigation, systematic classification.

Both Taylor et al. Taxonomy of behavior change techniques used in interventions. Health Psychology , 27 , — Advance online publication. Development of a taxonomy of behaviour change techniques used in individual behavioural support for smoking cessation.

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Addictive Behaviors , — Behaviour change techniques used in group-based behavioural support by the English Stop-Smoking Services and preliminary assessment of association with short-term quit outcomes. Nicotine and Tobacco Research , — Behaviour change techniques to reduce excessive alcohol use and their associations with outcome. These have been constructed by identifying BCTs within written reports of the interventions, or texts describing interventions, in a bottom-up, inductive fashion.

To date, their hierarchical structures have not been investigated. This is the next step for taxonomy development, and Stavri and Michie's Stavri , Z. Classification systems in behavioural science: Current systems and lessons from the natural, medical and social sciences. Health Psychology Review , 6 , — They identified six distinct types of classification system — nomenclatures, ordered sets, hierarchical, matrices, faceted and social categorisations — and considered their usefulness in relation to behavioural science.

The further development of BCT specification and classification is being taken forward using consensus methods on an international basis Michie, Abraham, et al.

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Two of the articles in this themed issue used BCT taxonomies and meta-regression to investigate the association between theoretically coherent combinations of BCTs and intervention efficacy. Both Dombrowski et al. Dombrowski et al. Control theory: A useful conceptual framework for personality-social, clinical, and health psychology.

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Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology , — Taylor et al. Are interventions theory-based? Development of a theory coding scheme. Health Psychology , 1 — 8. Using the internet to promote health behaviour change: A systematic review and meta-analysis of the impact of theoretical basis, use of behaviour change techniques, and mode of delivery on efficacy. Ideally, theories summarise the state of cumulative knowledge. They specify key constructs and relationships and the underlying scientific explanations of the processes of change and link behaviour change to constructs in a systematic way.

They describe how, when and why change occurs. They allow investigators to understand why and how interventions succeed or fail. Rigorous testing of theoretical principles forms a basis for future interventions.


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Thus, theories are fundamental in designing behaviour change interventions. Key frameworks for designing and evaluating behaviour change interventions Collins et al. The multiphase optimization strategy for engineering effective tobacco use interventions. Annals of Behavioral Medicine , — However, they do not offer guidance as to how to link the postulated theoretical mechanisms of change with BCTs. This link is necessary both to theoretically inform intervention development and to test theory by evaluating interventions.

From theory to intervention: Mapping theoretically derived behavioural determinants to behaviour change techniques. Applied Psychology: An International Review , — For both scientific and practical reasons, it is essential that behaviour change interventions develop a sounder scientific basis.