Health Behaviour Change
competencies:
what are they and have we got what it takes?
Eleanor Bull, Trainee Health Psychologist
www.tinyurl.com/3jld7hj
The Health Promoting Health Service
Changeable
health behaviours
health
‘every healthcare contact is a health improvement opportunity’ 1, 2
The Science of Behaviour Change
What are the active ingredients?3,4
• Formulating an initial list
• Developing expert consensus
• Testing the taxonomy
89 Behaviour Change
Techniques
Which competencies are needed to deliver?5
• Examining professional competency frameworks
• Gathering systematic reviews of interventions & manuals
• Improving with stakeholder feedback
24 topics containing
competencies
The HBCC Framework
Foundation Competences:
examples
Low Intensity
Interventions
Medium Intensity
Interventions
High Intensity
Interventions
knowledge of professional and
Communication
ethical guidelines
skills to develop
anto foster
alliance
and maintain
ability
a good intervention alliance
professional
capacity to adapt
and ethical
interventions to client need
guidelines
Increasing flexibility,
complexity and
intervention
duration
Behaviour Change
Competences:
examples
ability to take a generic
assessment
Knowledge,
assessment and
to select and apply the
capacity
intervention
most appropriate intervention
method for theoryskills
based
behaviour
capacity to implement models
manner
in a flexible
change
interventions
Behaviour Change Techniques:
number for each route
M = 5 BTCs A = 6 BCTs P = 3 BCTs
89
techniques
in three routes
A = 13 BCTs P = 5 BCTs
= 9 BTCs
Mto
behaviour
change:
M = 7 BTCs A = 11 BCTs P = 39 BCTs
Motivation
Action
Prompts/cues
http://www.healthscotland.com/learning/index.aspx
Not just a pretty framework…?
•
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Training
Recruitment
CPD
Policy
Over to you…what do you make of this?!
References
1.
Scottish Government (2008). CEL14: Health promoting health service: Action in acute settings.
Available at http://www.sehd.scot.nhs.uk/mels/CEL2008_14.pdf
2.
National Institute for Health and Clinical Excellence (2007). Public Health Guidance 6: Behaviour
change at population, community and individual levels. Available at: www.nice.org.uk/PH6
3.
Michie, S., Abraham, C., Eccles, M., Francis, J., Hardeman, W., and Johnston, M. (2011). Strengthening
evaluation and implementation by specifying components of behaviour change interventions: a study
protocol. Implementation Science, 6:10.
4.
Abraham, C. and Michie, S. (2008). A taxonomy of behaviour change techniques used in
interventions. Health Psychology, 27 (3): 379-387.
5.
Dixon, D., and Johnston, M. (2010). The Health Behaviour Change Competency Framework. Available
at http://www.healthscotland.com/learning/index.aspx
Contributors
Professor Marie Johnston
Dr Diane Dixon
Dr Linda Leighton-Beck
Dorothy Ross-Archer
University of Aberdeen
University of Strathclyde
NHS Grampian
NHS Grampian
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