Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-02T21:07:33.204Z Has data issue: false hasContentIssue false
  • English
  • Français

Issues in Changing Behaviour to Promote Health

Published online by Cambridge University Press:  06 October 2014

Neville Owen  and
Christina Lee
Neville Owen*
Affiliation:
Foundation for Multi-Disciplinary, Education in Community Health andUniversity of Adelaide
Christina Lee
Affiliation:
University of Newcastle
*
FMECH, Level 5, Services & Teaching Building, Royal Adelaide Hospital, North Terrace, Adelaide, 5000, (08) 224 5132
Get access

Abstract

Health promotion involves the modification of behaviours which constitute risks to health, through such activities as intensive interventions with individuals, community health campaigns, and legislative and social change. Major target behaviours for health promotion include cigarette smoking, eating habits, exercising, and the management of stress. This paper outlines the range of approaches to behaviour change in health promotion, and considers the stages involved in the behaviour-change process. Theoretical frameworks for dealing with health-related behaviour change are suggested. In considering the relationship between behavioural research and health promotion activities, the process of development from basic research to programmes and policies is outlined, and the importance of maintaining conceptual and methodological rigour when working in field settings is stressed. We also argue that there is a need to take into account some relevant local contextual factors in the development and application of a behavioural approach to health promotion.

Type
Articles
Information
Behaviour Change , Volume 3 , Issue 2 , June 1986 , pp. 150 - 157
Copyright
Copyright © The Author(s) 1986

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.)

References

REFERENCES

Agras, W.S. (1982). Behavioral medicine in the 1980s: Nonrandom connections. Journal of Consulting and Clinical Psychology, 50, 797–803.Google Scholar
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122–147.Google Scholar
Brownell, K.D., Marlatt, G.A., Lichtenstein, E., & Wilson, G.T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765–782.CrossRefGoogle ScholarPubMed
Crawford, R. (1977). You are dangerous to your health: The ideology and politics of victim blaming. International Journal of Health Services, 7, 663–680.Google Scholar
DiClemente, C.C., & Prochaska, J.O. (1982). Self-change and therapy change of smoking behavior: A comparison of processes of change in cessation and maintenance. Addictive Behaviors, 7, 133–142.Google Scholar
Farquhar, J.W., Maccoby, N., & Solomon, D.S. (1984). Community applications of behavioral medicine. In Gentry, W.D. (Ed.), Handbook of behavioral medicine (pp. 437–478). New York: Guilford Press.Google Scholar
Gentry, W.D. (Ed.). (1984). Handbook of behavioral medicine. New York: Guilford Press.Google Scholar
Greenwald, P., & Cullen, J.W. (1985). The new emphasis in cancer control. Journal of the National Cancer Institute, 74, 543–55.Google Scholar
James, J.E. (1979). Behavioural ecology: Avenues for the future development of behaviour modification. Australian Psychologist, 14, 21–28.CrossRefGoogle Scholar
Judd, CM., & Kenny, D.A. (1981). Estimating the effects of social interventions. New York: Cambridge University Press.Google Scholar
Krantz, D.S., Grunberg, N.E., & Baum, A. (1985). Health psychology. Annual Review of Psychology, 36, 349–385.Google Scholar
Lee, C., & Owen, N. (1985). Behaviourally-based principles as guidelines for health promotion. Community Health Studies, 9, 131–138.Google Scholar
Lennie, I., & Owen, A. (1983). Continuing crisis in health services. Community Health Studies, 7, 227–237.Google Scholar
Lichtenstein, E. (1982). The smoking problem: A behavioral perspective. Journal of Consulting and Clinical Psychology, 50, 804–819.Google Scholar
Little, R.B., & Owen, N. (1985). Submission to the Better Health Commission on behalf of the Australian Psychological Society. Bulletin of the Australian Psychological Society, 7 (3), 3–7.Google Scholar
Maccoby, N., & Alexander, J. (1980). Use of media in lifestyle programs. In Davidson, P.O. & Davidson, S.M. (Eds.), Behavioral medicine: Changing health lifestyles (pp. 351–370). New York: Brunner/Mazel.Google Scholar
Mahoney, M.J., & Arnkoff, D.B. (1979). Self-management. In Pomerleau, O.F. & Brady, J.P. (Eds.), Behavioral medicine: Theory and practice (pp. 75–96). Baltimore, MD: Williams and Wilkins.Google Scholar
Marlatt, G.A., & Gordon, J.R. (1980). Determinants of relapse: Implications for the maintenance of behavior change. In Davidson, P.O. & Davidson, S.M. (Eds.), Behavioral medicine: Changing health lifestyles (pp. 410–452). New York: Brunner/Mazel.Google Scholar
Marlatt, G.A., & Gordon, J.R.(Eds.). (1985). Relapse prevention. New York: Guilford.Google Scholar
Matarazzo, J.D., Weiss, S.M., Herd, A.J., Miller, N.E., & Weiss, S.M.(Eds.). (1984). Behavioral health: A handbook of health promotion and disease prevention. New York: Wiley.Google Scholar
Milio, N. (1983). Commentary: Next steps in community health policy: Matching rhetoric with reality. Community Health Studies, 7, 185–192.Google Scholar
Nation, J.R., & Woods, D.J. (1980). Persistence: The role of partial reinforcement in psychotherapy. Journal of Experimental Psychology: General, 109, 175–207.Google Scholar
Owen, N. (1981). Facilitating maintenance of behavior change. In Boberg, E. (Ed.) Maintenance of fluency (pp. 31–70). New York: Elsevier.Google Scholar
Owen, N. (1983). Commentary: Behavioural medicine. Community Health Studies, 7, 85–91.CrossRefGoogle ScholarPubMed
Owen, N. (1985). Advising patients to stop smoking. Medical Journal of Australia, 142, 176–178.Google Scholar
Owen, N. (in press). Behavioural medicine: Prospects and limits. In Sheppard, J.L. (Ed.) Advances in behavioural medicine, Volume 3. Sydney: Cumberland College of Health Sciences.Google Scholar
Owen, N., & Lee, C. (1985). Why people do and do not exercise. Adelaide: Australian Council for Health, Physical Education and Recreation.Google Scholar
Owen, N., & Lee, C. (1986). Towards more rigorous evaluation of health promotion programmes. Australian Psychologist, 21, 79–91.Google Scholar
Owen, N., & Lee, C. (in press). Uses of theories of behaviour change in health promotion. In Leeder, S. & Hall, J. (Eds.), Current issues in health promotion. Sydney: ANZSERCH/APHA.Google Scholar
Puska, P., Nissinen, A., Tuomilehto, J., Salonen, J.T., Koskela, J., McAlister, A.Kottke, T.E.Maccoby, N., & Farquhar, J.W.(1985). The community-based strategy to prevent coronary heart disease: Conclusions from ten years of the North Karelia Project. Annual Review of Public Health, 6, 147–193.Google Scholar
Sanson-Fisher, R. (1985). Commentary: Behavioural science and its relation to medicine – a need for positive action. Community Health Studies, 9, 275–283.Google Scholar
Schachter, S. (1982). Recidivism and self-cure of smoking and obesity. American Psychologist, 37, 436–444.Google Scholar
Schwartz, G.E., & Weiss, S.M. (1978). Behavioral medicine revisited: An amended definition. Journal of Behavioral Medicine, 1, 249–251.Google Scholar
Stuart, R.B.(Ed.). (1982). Adherence, compliance and generalization in behavioural medicine, New York: Brunner/Mazel.Google Scholar
Suls, J.M. (1984). Levels of analysis and efforts to modify adolescent health behavior: A commentary on Lund and Kegeles. Health Psychology, 3, 371–375.Google Scholar
Wilson, G.T. (1981). Expectations and substance abuse: Does basic research benefit clinical assessment and therapy? Addictive Behaviors, 6, 221–231.CrossRefGoogle ScholarPubMed
Winkler, R.C., & Winett, R.A. (1982). Behavioural interventions in resource conservation: A systems approach based on behavioral economics. American Psychologist, 37, 421–436.Google Scholar