Working with groupsSupporting Behaviour Change in a group format.

Where theory meets practice

Helen Tite Ben Jane

As a profession we need to work on sustained behaviour change.

Existing Training

Potential

This Workshop

Context

Teaching

Counselling

Leadership

Instruction

Support

Advocacy

This SessionAn overview of some considerations: Intro to theory and real-life examples.

Self-Determination Theory Social Cognitive Theory Self-efficacy Theory Transtheoretical Model of Change Social Ecological Model Social Learning theory Health Action Process Approach Theory of Planned Behaviour

Behaviour Change Theories

Image from @ekkekaki

Intervention effectiveness improved by use of well established BCTs

(Greaves et al, 2011)

Minimal difference between theories (Gourlan et al, 2015)

Minimal impact of using a theory…(Prestwich et al , 2014)

Why use BCTs?

NICE PH 54 Exercise Referral schemes to promote physical activity Incorporates the core techniques outlined in recommendations 7–10 of

'Behaviour change: individual approaches' NICE PH49 This includes: recognising when people may or may not be more open to change agreeing goals and developing action plans to help change behaviour advising on and arranging social support tailoring behaviour change techniques and interventions to individual

need monitoring progress and providing feedback developing coping plans to prevent relapse

NICE PH49 Behaviour Change: Individual Approaches REPs L3 ExRef criteria

Understand the importance of long term behaviour change for exercise referral patients

Explain how to encourage patients to commit themselves to long-term change

Why use BCTs?

In small groups, spend no more than 5 minutes creating a list of the different activities and techniques that we could use to support behaviour change E.g. Advise to keep the kid’s snacks in the top

cupboard…out of sight, hard to reachRestructure the physical environment

Once listed, pick 3 See Michie handout & next slide, then map across

How can we support behaviour change? Group Task

Goals and planning Feedback and monitoring Social Support Shaping Knowledge Natural consequences Comparison of behaviour Associations Repetition and substitution

Comparison of outcomes Reward and threat Regulation Antecedents Identity Scheduled consequences Self-belief Covert Learning

How can we support behaviour change?

A Taxonomy of 93 BCTs (Michie et al, 2013 v1)

Psychoanalysis, Alcohol, Drugs, Weight management, Cardiac Rehab

Marjon Back Pain & Cancer Programmes The Core, Falmouth The Eden Project Football Fans in training (www.FFIT.org)

Working with groups

Case Study: You have been asked to lead a group at a large manufacturing site that is looking for more lifestyle support for a population of male employees.

Working in groups

Good Not so Good

You (the leader)

The participants

Group Task

Working in small groups… Discuss the role of the group leader

Skills, Knowledge, Abilities

The Role of a Group LeaderGroup Task

Examples might include: Building a delivery team Coping with disruptive individuals Coping with difference (age, fitness, illness) Delivering content Extending the points of contact Building sustainability

Group Leadership in Practice

Make time to talk Participant driven content Be reflective Seek out good practice Multi-disciplinary training Innovative team working

Final Thoughts

Michie, S. F., West, R., Campbell, R., Brown, J., & Gainforth, H. (2014). ABC of behaviour change theories. Wagner, C. C., & Ingersoll, K. S. (2012). Motivational interviewing in groups. Guilford Press [amazon] Prendiville, P. (2008) Developing Facilitation Skills: A Handbook for Group Facilitators [full text] Smith, Mark K. (2001; 2009) ‘Facilitating learning and change in groups’ The encyclopaedia of informal education.[

full text] Bolitho, S., Lawrence, D., & McNish, E. (2013). The Complete Guide to Behavioural Change for Sport and Fitness

Professionals. A&C Black. Gray, C. M., Hunt, K., Mutrie, N., Anderson, A. S., Leishman, J., Dalgarno, L., & Wyke, S. (2013). Football Fans in

Training: the development and optimization of an intervention delivered through professional sports clubs to help men lose weight, become more active and adopt healthier eating habits. BMC public health, 13(1), 232. [full text]

Greaves, C. J., Sheppard, K. E., Abraham, C., Hardeman, W., Roden, M., Evans, P. H., & Schwarz, P. (2011). Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC public health, 11(1), 119. [full text]

Prestwich, A., Sniehotta, F. F., Whittington, C., Dombrowski, S. U., Rogers, L., & Michie, S. (2014). Does theory influence the effectiveness of health behavior interventions? Meta-analysis. Health Psychology, 33(5), 465.

Gourlan, M., Bernard, P., Bortholon, C., Romain, A., Lareyre, O., Carayol, M., ... & Boiché, J. (2014). Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomised controlled trials. Health psychology review, 1-74.

American College of Sports Medicine. (2013). ACSM's Behavioral Aspects of Physical Activity and Exercise. Lippincott Williams & Wilkins.

www.benjanefitness.com

Further Resources

Thanks,

Ben@benjanefitness

Helen@helentite