Changing Behavior
The Extended Parallel
Process Model
Persuasive Message Theories
Health Belief Model
Theory of Reasoned Action
Social-Cognitive Theory
Elaboration Likelihood
Model
Theories
Slide 9
Approaches
Stages of Change Model
Slide 12
The Stages
Precontemplation
Contemplation
Preparation
Action
Maintenance
Levels of Prevention (3)
Elements of Prevention (4)
Education
Treatment
Public Policy & Law
Enforcement
All the levels
&
Elements of Prevention
Where can we apply Stages
of Change Model?
Categorize the Behavior
Techniques for Stage
Placing
Take an Excellent Health
History
Understand the Difference
The 4 A’s
Be Informed!
Applying the
Stages of Change Model
"Individual
Applications"
Smoking Cessation
Tobacco Facts
Tobacco kills more people
than all of these causes of death combined:
"One in every five
deaths..."
"On average smokers
die"
"Cigarette smoke
contains 4,000 chemicals"
Why Smoke?
Nicotine is Not
Addictive?!
Commercial Break
CEO’s of Big Tobacco
Congress 1994
Smoking Cessation
Living Well . . . Tobacco
Free
Four Program Components (encompass
the elements of prevention)
Freshstart Sessions
(encompass the stages of change)
Smoking Cessation
CDC recognizes Tobacco
Cessation as one of the ten greatest public health achievements of the 20th
Century
Where have we begun to
succeed as a society?
Legislation
More legislation
Achievements
BUT
Where do providers fall
short?
Smoking Cessation Clinical
Practice Guideline, 2000
As a society, we are SLOWLY
changing our behavior
Weight Loss
Examples
Westhoefer’s Stages
Are the programs effective?
Why does this research seem
inconclusive?
Weight Loss
Levels of Prevention
Safer Sex
Abstinence
Safer Sex
ESID
ESID parameters
Why?
ESID Principles
Results at 2 months
Results after 1 Year
In conclusion
What’s in common?
What is Different?
Complementary Medical
Interventions
Changing Behavior of
Providers