Health Behaviour Change competencies:

what are they and have we got what it takes?

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Eleanor Bull, Trainee Health Psychologist

The Health Promoting Health Service Changeable health behaviours

‘every healthcare contact is a health improvement opportunity’ 1, 2

health

The Science of Behaviour Change

What are the active ingredients?3,4

• Formulating an initial list• Developing expert consensus• Testing the taxonomy

Which competencies are needed to deliver?5

• Examining professional competency frameworks• Gathering systematic reviews of interventions & manuals• Improving with stakeholder feedback

89 Behaviour Change 89 Behaviour Change TechniquesTechniques

24 topics containing 24 topics containing competenciescompetencies

The HBCC Framework

Foundation Competences:examples

capacity to adapt interventions to client need

ability to foster and maintain a good intervention alliance

knowledge of professional and ethical guidelines

Behaviour Change Competences:

examples

capacity to implement models in a flexible manner

capacity to select and apply the most appropriate intervention method

ability to take a generic assessment

Behaviour Change Techniques:number for each route

M = 7 BTCs A = 11 BCTs P = 39 BCTs

M = 9 BTCs A = 13 BCTs P = 5 BCTs

M = 5 BTCs A = 6 BCTs P = 3 BCTs Low IntensityInterventions

Medium IntensityInterventions

High IntensityInterventions

Communication skills to develop

an alliance

professional and ethical guidelines

Knowledge, assessment and

intervention skills for theory-based behaviour

change interventions

89 techniques in three routes to

behaviour change:

Motivation Action

Prompts/cuesIncreasing flexibility,

complexity and intervention

duration http://www.healthscotland.com/learning/index.aspx

Not just a pretty framework…?

• Training

• Recruitment

• CPD

• Policy

Over to you…what do you make of this?!

References1. 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 University of AberdeenDr Diane Dixon University of StrathclydeDr Linda Leighton-Beck NHS GrampianDorothy Ross-Archer NHS Grampian

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