Skip to main content Accessibility help
×
Hostname: page-component-669899f699-vbsjw Total loading time: 0 Render date: 2025-05-04T09:07:03.721Z Has data issue: false hasContentIssue false

Chapter 15 - Behaviour Change

from Section 4 - Clinical Skills in Lifestyle Medicine

Published online by Cambridge University Press:  01 May 2025

Richard Pinder
Affiliation:
Imperial College of Science, Technology and Medicine, London
Christopher-James Harvey
Affiliation:
Imperial College of Science, Technology and Medicine, London
Ellen Fallows
Affiliation:
British Society of Lifestyle Medicine
Get access

Summary

Behaviour change science is a central concept in Lifestyle Medicine. It focuses on modifying lifestyle risk factors through evidence-based interventions. The COM-B model provides a framework that considers Capability, Opportunity, and Motivation as key components influencing health behaviours. In clinical settings, understanding and modifying patient behaviours are crucial for better health outcomes. Identifying internal and external factors that influence behaviour is essential for effective intervention. Various approaches, such as education, persuasion, and enablement, are used to target different aspects of behaviour change. Behaviour Change Techniques (BCTs) play a vital role in creating specific strategies for behaviour modification. Contextual understanding recognises the importance of considering the patient’s environment and circumstances. Additionally, addressing health inequalities acknowledges the role of wider determinants of health and emphasises the need for interventions that do not exacerbate disparities. Using behaviour change science in the practice of Lifestyle Medicine enhances patient-centred care and health outcomes.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Michie, S., van Stralen, M. M., and West, R., The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(1):42. https://doi.org/10.1186/1748-5908-6-42.CrossRefGoogle ScholarPubMed
Coates, E., Amiel, S., Baird, W., et al., Protocol for a cluster randomised controlled trial of the DAFNE plus (Dose Adjustment for Normal Eating) intervention compared with 5x1 DAFNE: A lifelong approach to promote effective self-management in adults with type 1 diabetes. BMJ Open. 2021;11(1):111. https://doi.org/10.1136/bmjopen-2020-040438.CrossRefGoogle Scholar
Begum, S., Povey, R., Ellis, N., Gidlow, C. and Chadwick, P., Influences of decisions to attend a national diabetes prevention programme from people living in a socioeconomically deprived area. Diabet Med. 2022; 39(7): e14804. https://doi.org/10.1111/DME.14804.CrossRefGoogle Scholar
Johnson, M. J. and May, C. R., Promoting professional behaviour change in healthcare: What interventions work, and why? A theory-led overview of systematic reviews. Open. 2015;5:8592. https://doi.org/10.1136/bmjopen-2015.Google Scholar
Pinder, R., Sallis, A., Berry, D. and Chadborn, T., Behaviour change and antibiotic prescribing in healthcare settings Literature review and behavioural analysis about Public Health England about the Department of Health. Public Health England, 2015. www.gov.uk/phe.Google Scholar
Michie, S., Richardson, M., Johnston, M., et al., The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Ann Behav Med: A Publication of the Society of Behavioral Medicine. 2013;46(1):8195. https://doi.org/10.1007/S12160-013-9486-6.Google ScholarPubMed
Walburn, J., Sainsbury, K., Foster, L., et al., Why? What? How? Using an Intervention Mapping approach to develop a personalised intervention to improve adherence to photoprotection in patients with Xeroderma Pigmentosum. Health Psychol Behav Med. 2020;8(1):475500. https://doi.org/10.1080/21642850.2020.1819287.Google ScholarPubMed
West, R., Michie, S., Atkins, L., Chadwick, P. and Lorencatto, F., Achieving behaviour change, a guide for local government and partners. Public Health England, 2019. https://assets.publishing.service.gov.uk/media/5e7b4e85d3bf7f133c923435/PHEBI_Achieving_Behaviour_Change_Local_Government.pdf.Google Scholar
West, R., Michie, S., Atkins, L., Chadwick, P. and Lorencatto, F., Achieving behaviour change, a guide for national government: Public Health England, 2020. https://assets.publishing.service.gov.uk/media/5fa537c7d3bf7f03b249aa12/UFG_National_Guide_v04.00__1___1_.pdf.Google Scholar
Michie, S., Atkins, L. and West, R., The Behaviour Change Wheel – A Guide to Designing Interventions. London: Silverback, 2014. www.behaviourchangewheel.com/.Google Scholar
Kelly, M. P. and Barker, M., Why is changing health-related behaviour so difficult? Public Health. 2016;136:109116. https://doi.org/10.1016/J.PUHE.2016.03.030.Google ScholarPubMed
Lorencatto, F., West, R., Christopherson, C. and Michie, S., Assessing fidelity of delivery of smoking cessation behavioural support in practice. Implement Sci. 2013;8(1):110. https://doi.org/10.1186/1748-5908-8-40.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×