Healthy lifestyle and change

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HEALTHY LIFESTYLEand

CHANGE

Rosemarie Boyle

October 2009



Aim of the session

To introduce the student to relevant theories underpinning health promotion

and lifestyle change:-

�Social Marketing

�Change Cycle



Content� Recap Health , Wellbeing and Lifestyles and Health

Inequalities.

� Health of the Nation ± Where are we now?

� Behavioural Change

� Social Marketing

� Cycle of change



Health� A resource for everyday life

� Positive concept emphasising social and personal resources

as well as physical capabilities.

(WHO 1984)

Allows people to - ³be all they can be´



People¶s perceptions of:

�Role and function

�Social functioning

�Physical activity

�Pain

�Mental health

�Vitality



What is a lifestyle?

A pattern of individual practices and personal behaviouralchoices relating to increased or reduced health risk.

Many influences

� Childhood

� Personality

� Environment: cultural, physical, economic, political



What is a healthy lifestyle?

A way of living that reduces the risk of disease and ill healthencouraging physical, emotional and social well being .



OurHealthie

rNation 1999

Reduction in:

� Cancer

� Coronary heart disease

� Accidents

� Serious injury

� Mental health death and suicides

Tackling inequalities allowing healthier choices and lifestyle.



Health of the popu

lation 2007IMPR OVEMENTS

� Cancer

� Circulatory disease

� Suicides

� Life Expectancy

� Infant Mortality

INCREASING LEVELS

DIABETES

OBESITY

CHR ONIC LIVER DISEASE ANDCIRRHOSIS

SEXUAL DISEASE

TEENAGE PREGNANCY



Five choices:

�Not smoking

�Regular physical activity

�Healthy diet

�Weight control

�Alcohol awareness

Is it that simple?



Does everyone have the f reedom to

make the choices?

�Environment

�Education

�Employment

�Social networks�Culture

�Genetics�Age�Disability

�Attitudes

�Personality�Fears





Hu

man Behaviour

³The product of individual or collective humanactions, seen within and influenced by theirstructural, social and economic context´.

³These actions produce observable social, cultural

and economic patterns which limit ± or enable ±what individuals can do´

(NICE,2007)



Levels of Influence

Community

InstitutionalFactors

Rules

Regulations

SocialNetworks

Norms

Groups

Organisations

InterpersonalFamily

Friends

Peers

SocialIdentity

RoleDefinition

IntrapersonalAttitudes

Beliefs

Knowledge

Personality

Public PolicyRegulations and support guidelines



Choosing Health : Making healthy

choices easier (DOH, 2005).� Accurate Information ± Relevant to reality

� Inequalities -

» Access

» Facilities

» Presentation

� Expectations of Government ± Not to dictate!

» Safety

» Protecting Children



Maximising the numbers of peoplemaking healthy choices

INFLUENCEConsumerDemand

MarketProvision



Health-related Social Marketing

³The systematic application of marketing, alongside other

concepts and techniques, to achieve specific behaviouralgoals to improve health and reduce inequalities´.

(Blair- Stevens, 2006)



Key features of Social Marketing

(nsmcentre.org.uk)



Key Stages of Social Marketing

SCOPE

DEVELOP

IMPLEMENT

EVALUATE

FOLLOW UP



Interventions that MOTIVATE and

SUPPORT people to: -� Understand the consequences - Short, Medium, Long term

� Feel positive about the benefits

� Plan ± easy steps over time

� Recognise influences on success and plan to cope withthese situations. Relationships/social context

� Coping strategies

� Personal commitment - setting and recording goals andtime limits.

� Share their goals with others



Cycle of change

Thinkingabout Change

Preparing tochange

Makingchanges

Maintainingchange

Relapsing

Not interested

Permanent changein lifestyle



Helping people to make a change

Understanding

Non ± judgmental

Motivating

Honesty

Communication skills



Lifestyle and changes.

� Complex.

� Small changes can make a difference.

� Involvement

� Assumptions





Documents

Healthy lifestyle and change