Amsterdam 2015
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| Abstract #2118 - Martin Fishbein Memorial Plenary | ||||
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Session: 1.2: Martin Fishbein Memorial Plenary (Plenary) on Tuesday @ 12.30-14.30 in C103 Chaired by Kees Rietmeijer, Barbara Hedge, Kevin Malotte Authors: Presenting Author: dr Gerjo Kok - Maastricht University, Netherlands |
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| Additional Authors: | ||||
| Aim: One theory will never explain all aspects of a real-life problem. Using a multi-theories approach encourages the planner to consider the complexity of designing behavior change interventions. As a consequence, we use various theories when planning behavior change, each of which focuses on one aspect of the behavior or the behavior change. Some theories are especially relevant in terms of identifying the determinants of behavior (e.g., Reasoned Action Approach) others are more useful with regard to choosing and applying behavior change methods. The unique skill of the well-trained behavioral scientist is to link the relevant elements of a given problem to useful theories, which emphasizes the need to include behavioral scientists and their unique expertise on an intervention planning team. | ||||
| Results / Comments: In the RAA there is a distinction between goals (for example, avoiding HIV-infection), behaviors (for example, condom use), intentions, and beliefs. Change is seen as a planned process in three phases: elicitation of the relevant beliefs, changing intentions by changing salient beliefs, and changing behavior by changing intentions and increasing skills or decreasing environmental constraints. The basic idea behind ing any potential change method is that the salient beliefs are to be changed. Fishbein & Ajzen (2010) recognize methods such as persuasive communication, use of arguments, framing, active participation, modeling, and group discussion, but indicate that these methods will only have effect when salient behavioral, normative, or control beliefs are changed. Obviously, it is important that the salient beliefs are identified and measured correctly. | ||||
| Discussion: The presentation will cover the six steps of Intervention Mapping, a protocol for planning theory- and evidence-based health promotion interventions. The main focus will be on step 2, Program objectives: Create matrices of change objectives by combining sub-behaviors with behavioral determinants, identifying which beliefs should be targeted by the intervention. Behavioral determinants are generic aggregates of beliefs, which are specific to behavior, population and context. Behavior change methods try to change behavior by trying to change determinants. The presentation will demonstrate the important role of the Reasoned Action Approach in finding the beliefs underlying the behavioral determinants that are essential for change: How to identify what to change in the first place. Examples will be given from various HIV-prevention projects. | ||||
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