Behavioural change theories

WikiDoc Resources for Behavioural change theories

Articles

Most recent articles on Behavioural change theories

Most cited articles on Behavioural change theories

Review articles on Behavioural change theories

Articles on Behavioural change theories in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Behavioural change theories

Images of Behavioural change theories

Photos of Behavioural change theories

Podcasts & MP3s on Behavioural change theories

Videos on Behavioural change theories

Evidence Based Medicine

Cochrane Collaboration on Behavioural change theories

Bandolier on Behavioural change theories

TRIP on Behavioural change theories

Clinical Trials

Ongoing Trials on Behavioural change theories at Clinical Trials.gov

Trial results on Behavioural change theories

Clinical Trials on Behavioural change theories at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Behavioural change theories

NICE Guidance on Behavioural change theories

NHS PRODIGY Guidance

FDA on Behavioural change theories

CDC on Behavioural change theories

Books

Books on Behavioural change theories

News

Behavioural change theories in the news

Be alerted to news on Behavioural change theories

News trends on Behavioural change theories

Commentary

Blogs on Behavioural change theories

Definitions

Definitions of Behavioural change theories

Patient Resources / Community

Patient resources on Behavioural change theories

Discussion groups on Behavioural change theories

Patient Handouts on Behavioural change theories

Directions to Hospitals Treating Behavioural change theories

Risk calculators and risk factors for Behavioural change theories

Healthcare Provider Resources

Symptoms of Behavioural change theories

Causes & Risk Factors for Behavioural change theories

Diagnostic studies for Behavioural change theories

Treatment of Behavioural change theories

Continuing Medical Education (CME)

CME Programs on Behavioural change theories

International

Behavioural change theories en Espanol

Behavioural change theories en Francais

Business

Behavioural change theories in the Marketplace

Patents on Behavioural change theories

Experimental / Informatics

List of terms related to Behavioural change theories

## Contents

* 1 Behavioral change theories and models
* 1.1 History
* 1.2 General theories and models
* 1.2.1 Self-Efficacy
* 1.2.2 Learning Theories/Behavior Analytic Theories of Change
* 1.2.3 Social Learning/Social Cognitive Theory
* 1.2.4 Theory of Reasoned Action
* 1.2.5 Theory of Planned Behavior
* 1.2.6 Transtheoretical/Stages of Change Model
* 1.3 Applications
* 1.3.1 Health
* 1.3.2 Education
* 1.3.3 Criminology
* 1.4 Objections
* 1.5 References

# Behavioral change theories and models

[edit | edit source]

Behavioral change theories and models are attempts to explain the reasons behind alterations in individuals' behavioral patterns. These theories cite environmental, personal, and behavioral characteristics as the major factors in behavioral determination. In recent years, there has been increased interest in the application of these theories in the areas of health, education, and criminology with the hope that understanding behavioral change will improve the services offered in these areas.

## History

[edit | edit source]

Many of the original works outlining the major theories that are the basis for current knowledge about behavioral change theories were published in the 1970s and 1980s. These include Icek Ajzen’s articles on the Theories of Reasoned Action and Planned Behavior, Albert Bandura’s writings on Social Cognitive Theory, and James Prochaska and Carlo DiClemente’s works on the Transtheoretical Model. More recently, interest in behavioral change theories has arisen due to their apparent application in areas like health, education, and criminology, leading to further research backed by institutions like the National Institutes of Health. With this renewed interest, however, there is also a shift towards research into understanding the maintenance of behavioral change in addition to broadening the research base for revising current theories that focus on initial change (NIH 2003).

## General theories and models

[edit | edit source]

Each behavioral change theory or model focuses on different factors in attempting to explain behavioral change. Of the many that exist, the most prevalent are the Learning Theories, Social Learning Theory, Theories of Reasoned Action and Planned Behavior, and Transtheoretical Model. Research has also been conducted regarding specific elements of these theories, especially elements like self-efficacy that are common to several of the theories (Ajzen 1985).

### Self-Efficacy

[edit | edit source]

Self-efficacy is an individual’s impression of their own ability to perform a task. This impression is based upon factors like the individual’s prior success in the task or in related tasks, the individual’s physiological state, and outside sources of persuasion (Bandura 1977). Self-efficacy is thought to be predictive of the amount of effort an individual will expend in initiating and maintaining a behavioral change, so although self-efficacy is not a behavioral change theory per se, it is an important element of many of the theories, including the Health Belief Model and the Theory of Planned Behavior (Bandura 1977 and USDHHS 1996).

### Learning Theories/Behavior Analytic Theories of Change

[edit | edit source]

From behaviorists like Burrhus Frederic Skinner come the Learning Theories, which state that complex behavior is learned gradually through the modification of simpler behaviors (USDHHS 1996). Imitation and reinforcement play important roles in these theories, which state that individuals learn by duplicating behaviors they observe in others and that rewards are essential to ensuring the repetition of desirable behavior (Skinner 1953). As each simple behavior is established through imitation and subsequent reinforcement, the complex behavior develops. When verbal behavior is established the organism can learn through rule governed behavior and thus not all action needs to be contingency shaped.

Skinner (1957) was one of the first psychologists to recognize the critical role of imitation (what he termed echoic behavior) in the learning of language.[1]. Behavior analytic theories of change have been quite effective in improving the human condition (see behavior modification, behavior therapy and applied behavior analysis).

### Social Learning/Social Cognitive Theory

[edit | edit source]

According to the Social Learning Theory, which is also known as the Social Cognitive Theory, behavioral change is determined by environmental, personal, and behavioral elements. Each factor affects each of the others. For example, in congruence with the principles of self-efficacy, an individual’s thoughts affect their behavior and an individual’s characteristics elicit certain responses from the social environment. Likewise, an individual’s environment affects the development of personal characteristics as well as the person’s behavior, and an individual’s behavior may change their environment as well as the way the individual thinks or feels. Social Learning Theory focuses on the reciprocal interactions between these factors, which are hypothesized to determine behavioral change (Bandura 1989).

### Theory of Reasoned Action

[edit | edit source]

The Theory of Reasoned Action assumes that individuals consider a behavior’s consequences before performing the particular behavior. As a result, intention is an important factor in determining behavior and behavioral change. According to Icek Ajzen (1985), intentions develop from an individual’s perception of a behavior as positive or negative together with the individual’s impression of the way their society perceives the same behavior. Thus, personal attitude and social pressure shape intention, which is essential to performance of a behavior and consequently behavioral change (Ajzen 1985).

### Theory of Planned Behavior

[edit | edit source]

In 1985, Ajzen expanded upon the Theory of Reasoned Action, formulating the Theory of Planned Behavior, which also emphasizes the role of intention in behavior performance but is intended to cover cases in which a person is not in control of all factors affecting the actual performance of a behavior. As a result, the new theory states that the incidence of actual behavior performance is proportional to the amount of control an individual possesses over the behavior and the strength of the individual’s intention in performing the behavior. In his article, Ajzen (1985) further hypothesizes that self-efficacy is important in determining the strength of the individual’s intention to perform a behavior.

### Transtheoretical/Stages of Change Model

[edit | edit source]

According to the Transtheoretical Model, which is also known as the Stages of Change Model, behavioral change is a five-step process. The five stages, between which individuals may oscillate before achieving complete change, are precontemplation, contemplation, preparation, action, and maintenance (USDHHS 1996). At the precontemplation stage, an individual may or may not be aware of a problem but has no thought of changing their behavior. From precontemplation to contemplation, the individual develops a desire to change a behavior. During preparation, the individual intends to change the behavior within the next month, and during the action stage, the individual begins to exhibit new behavior consistently. An individual finally enters the maintenance stage once they exhibit the new behavior consistently for over six months (“Behavior Change” 2007).

## Applications

[edit | edit source]

Behavioral change theories have potential applications in many areas. Currently, the most prominent areas of application are in healthcare, education, and criminal behavior. These issues are important to societal functionality and policy-making, resulting in recent renewed interest in these theories.

### Health

[edit | edit source]

In the interest of promoting healthy lifestyle development, behavioral change theories have gained recognition for their possible effectiveness in explaining health-related behaviors and providing insight into methods that would encourage individuals to develop and maintain healthy lifestyles. Specific health applications of behavioral change theories include the development of programs promoting active lifestyles and programs reducing the spread of diseases like AIDS (USDHHS 1996 and “Behavior Change” 2007). In addition, the National Institutes of Health has, in recent years, funded research to broaden the information base for behavioral change theories (NIH 2003).

Models specific to health applications include the Health Belief/Health Action Model and Relapse Prevention Model. The Health Belief Model, also known as the Health Action Model, states that individuals will alter health-related behavior according to the perceived severity of the threat to their health (Chen & Land 1986). The Relapse Prevention Model concentrates on promoting prolonged healthy behavior by making distinctions between lapses and relapses in an attempt to encourage individuals to maintain healthy lifestyles (USDHHS 1996).

### Education

[edit | edit source]

Behavioral change theories can be used as guides in developing effective teaching methods. Since the goal of much education is behavioral change, the understanding of behavior afforded by behavioral change theories provides insight into the formulation of effective teaching methods that tap into the mechanisms of behavioral change. In an era when education programs strive to reach large audiences with varying socioeconomic statuses, the designers of such programs increasingly strive to understand the reasons behind behavioral change in order to understand universal characteristics that may be crucial to program design (Nutbeam 2000).

In fact, some of the theories, like the Social Learning Theory and Theory of Planned Behavior, were developed as attempts to improve health education. Because these theories address the interaction between individuals and their environments, they can provide insight into the effectiveness of education programs given a specific set of predetermined conditions, like the social context in which a program will be initiated (Nutbeam 2000). Although health education is still the area in which behavioral change theories are most often applied, theories like the Stages of Change Model have begun to be applied in other areas like employee training and developing systems of higher education (Government 2007 and Elton 2003).

### Criminology

[edit | edit source]

Empirical studies in criminology support behavioral change theories. At the same time, the general theories of behavioral change suggest possible explanations to criminal behavior and methods of correcting deviant behavior (Akers 1979). Since deviant behavior correction entails behavioral change, understanding of behavioral change can facilitate the adoption of effective correctional methods in policy-making. For example, the understanding that deviant behavior like stealing may be learned behavior resulting from reinforcers like hunger satisfaction that are unrelated to criminal behavior can aid the development of social controls that address this underlying issue rather than merely the resultant behavior (Jeffery 1965).

Specific theories that have been applied to criminology include the Social Learning and Differential Association Theories. Social Learning Theory’s element of interaction between an individual and their environment explains the development of deviant behavior as a function of an individual’s exposure to a certain behavior and their acquaintances, who can reinforce either socially acceptable or socially unacceptable behavior (Akers 1979). Differential Association Theory, originally formulated by Edwin Sutherland, is a popular, related theoretical explanation of criminal behavior that applies learning theory concepts and asserts that deviant behavior is learned behavior. Jeffery’s (1965) reexamination of Sutherland’s original theory adds that because of the necessity of temporal proximity between punishment and behavior for conditioning to occur, the legal system’s application of punishment is more likely to generate law evasion rather than to correct deviant behavior.

## Objections

[edit | edit source]

Behavioral change theories are not universally accepted. Criticisms include the theories’ emphases on individual behavior and a general disregard for the influence of environmental factors on behavior. In addition, as some theories were formulated as guides to understanding behavior while others were designed as frameworks for behavioral interventions, the theories’ purposes are not consistent (USDHHS 1996). Such criticism illuminates the strengths and weaknesses of the theories, showing that there is room for further research into behavioral change theories (NIH 2003).

## References

[edit | edit source]

1. ↑ Skinner, B.F.(1957). Verbal Behavior. Knopf

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

* Template:Wikicite

Template:WikiDoc Sources

Template:WH Template:WS