Behaviour change techniques Listed in the table below are a number of specific behaviour change techniques. This is followed by a brief outline of what each technique involves. Model Attitude (beliefs, values, knowledge, awareness) Norms (societal , family, peers) Behavioural dimension Confidence Habit Emotion in ability to change (agency, capacity) Perception of contextual factors Applied model / framework (availability, access, legislation) Specific behaviour change techniques 1.Cost-benefit analysis 2.Goal setting 3.Motivational interviewing 4.Self monitoring 5.Increasing self efficacy 6.Rewards 7.Building habits Y - - - Y - Y Y - Y Y - Y Y Y Y Y - - Y - Y - Y Y - Y - Y Y Y - - Y Y Y Y Y Y - Y Y 1. Cost-benefit analysis Involves outlining the costs and the benefits of a specific change to increase motivation 2. Goal setting Goal setting involves establishing specific, measurable, achievable, realistic and timetargeted (SMART) goals 3. Motivational interviewing This is a collaborative, person-centred form of guiding to elicit and strengthen motivation for change 4. Self monitoring Involves setting mini goals and monitoring their achievement maintains new behaviours 5. Increasing self efficacy Involves increasing confidence to change by examining levels of self belief 33 6. Rewards Involves positive reinforcement following achievement of target behaviour 7. Building habits Involves developing strategies to make the new behaviour routine Some other behaviour change theories that may be of interest Transitions This recognises that transitions in people’s lives can be a motivator for change. Key transitions include starting work, getting married, having children, or retirement. Lewin’s Three Step Change Theory Kurt Lewin proposed that there are three main stages of change. These are: Unfreezing – this acknowledges that people become comfortable in their current state and that even changes that can be beneficial can feel threatening and uncomfortable. Creating an understanding of a future state may not be enough and people may need unfreezing from their current position. A ‘push’ and ‘pull’ method may be needed to achieve this move and make people ready for change Transition – Lewin considered change as a journey rather than a single step and so transition acknowledges that a person may have to go through several stages of change before they can really accept and work with the new position Refreezing – When the change is achieved it is important to ‘put down roots’ and establish this as the new place of stability. Lewin calls this refreezing Further information on Lewin can be found at http://changingminds.org/disciplines/change_management/lewin_change/lewin_change.htm Lippitt’s Phases of Change Theory Lippitt’s theory of change extended Lewin’s theory. It is a seven step theory that focuses more on the role and responsibility of the change agent than on the change itself. The seven steps include: 1. Diagnose the problem 2. Assess the motivation and capacity for change 3. Assess the resources and motivation of the change agent. This includes the change agent’s commitment to change, power and stamina. 4. Choose progressive change objects. In this step, action plans are developed and strategies are established. 5. The role of the change agents should be selected and clearly understood by all parties so that expectations are clear. 6. Maintain the change. Communication, feedback and group coordination are essential elements in this step of the change process. 7. Gradually terminate from the helping relationship. The change agent should gradually withdraw from their role over time. This will occur when the change becomes part of the organizational culture 34 Diffusion Diffusion is a process by which change spreads through a social system. A diffusion of innovations curve proposes how innovation and change is adopted by consumers. Individuals progress through 5 stages: knowledge, persuasion, decision, implementation, and confirmation. Nudge – Architecture of Choice Based on behavioural economics, the book, ‘Nudge’ by American writers Thaler and Sunstein has received attention from the current Government as containing insight into effective ways to nudge people towards behaviour change. The Government has set up a behavioural insights team to make a reality of the Coalition Government’s intention to find ‘intelligent ways to encourage, support and enable people to make better choices for themselves’. Behavioural economics theory claims that people do not behave as easily controllable beings that are willing to do as they are instructed. Instead people respond as freethinking individuals to relatively small things, which may encourage them to act for themselves and do big things differently. Further information from the Behaviour Insight Team can be found here: http://www.cabinetoffice.gov.uk/sites/default/files/resources/Behaviour-Change-InsightTeam-Annual-Update_acc.pdf 35 CASE STUDY: Working with perpetrators of domestic violence Domestic Violence Intervention Project (DVIP): East London A programme for perpetrators of domestic violence is a complex intervention. It works to change men’s abusive behaviour, making it possible for them to address deep-rooted attitudes and responses. Our understanding is that perpetrators are fully responsible for their behaviour, and they can be helped to stop damaging themselves and their families. Our service has three core parts: expert risk assessment; a violence prevention programme (VPP) for men; and an integral women’s support service (WSS) for their women partners and ex-partners. The DVIP Further details can be found on the DVIP website, including details of how the intervention outcomes are measured: http://www.dvip.org/about-us.htm 36