Behaviour Change Intervention Strategies

Behaviour Maintenance and Follow-up Encounters

• Follow-up encounters assess ongoing progress and allow for adjustments to the behaviour change plan as necessary.
• Support mechanisms are crucial for maintaining desirable behaviours post-intervention.

Stages and Purposes

• Setting the Stage: Determine readiness to discuss the intervention plan.
• Establishing an Information Base: Review how the intervention plan is being implemented.
• Obtain a Commitment: Evaluate engagement levels in the behaviour change process.
• Negotiate an Intervention Plan: Collaboratively revisit and modify the intervention strategy.

Purpose of the ABCD Approach

• The ABCD approach focuses on assessing receptiveness, implementation, engagement, and collaboration throughout the intervention process.

Behaviour Maintenance

• Defined as ongoing performance of a behaviour after an initial intentional change, differing significantly from previous baseline levels.
• Long-term behaviour change is a complex process influenced by maintenance motives, self-regulation, available resources, habit formation, and environmental/social factors.

Factors Related to Behaviour Maintenance

• Maintenance Motives: Sustained motivation is essential for long-term adherence to behaviour changes.
• Self-Regulation: Effective monitoring and self-regulation skills enhance behaviour maintenance success.
• Resources: Both psychological and physical resources are vital for sustaining behavioural changes.
• Habit: Established behaviours that become habitual are easier to maintain over time.
• Environmental and Social Influences: Supportive environments and social networks play key roles in behaviour maintenance.

Strategies for Behaviour Maintenance

• Behaviour Change Techniques (BCTs) include methods such as self-monitoring, providing feedback, using rewards, conducting goal reviews, preventing relapses, and planning contingencies.

Working with Diverse Populations

• Culturally and Linguistically Diverse (CALD) populations in Australia face unique challenges as many are born overseas and speak languages other than English at home.

Barriers to Health Services

• Common barriers include language difficulties, low health literacy, challenges in navigating health systems, and experiences of racism and discrimination.

Equity vs. Equality

• Equality involves treating everyone the same, whereas equity focuses on just treatment according to individual circumstances.

Intersectionality and Health

• Intersectionality acknowledges the complexity of overlapping social identities and the associated experiences of oppression or discrimination.

Cultural Safety

• Recognizes the importance of being aware of one's cultural identity and biases while respecting the cultural identities of others.

First Nations Cultural Safety Framework (2021)

• Aims to enhance cultural identities and promote overall well-being through culturally safe service delivery as experienced by clients.

Aspirational Model of Cultural Safety (Taylor & Thompson-Guerin, 2019)

• Self-Awareness: Identifying personal differences from others.
• Cultural Awareness: Gaining an understanding of various cultural elements.
• Cultural Sensitivity: Applying cultural awareness effectively in practice.
• Cultural Safety: Ensuring actions respect and fulfill cultural needs and expectations.

Institutional Changes for Cultural Safety (Brach & Fraser, 2000)

• Implement services such as interpreters and hire minority staff to promote cultural safety.
• Provide cultural awareness training and coordination with traditional healers.
• Engage community health workers and promote culturally relevant health tools.
• Involve families and communities in health decisions and improve clinic accessibility.

Individual Practice for Cultural Safety (Nursing Council of New Zealand, 2011)

• Reflect on practice, engage in dialogue, and minimize power imbalances.
• Undertake decolonization efforts and avoid actions that may diminish others.
• Scrutinize for potential racism and discrimination.

Driving Behaviour Change for Aboriginal and Torres Strait Islander Peoples and Communities

• Recognize the diversity, strength, and resilience inherent in Aboriginal and Torres Strait Islander peoples.
• Acknowledge the historical impacts of colonization on these communities.
• Foster an awareness of structural and systemic barriers affecting their health.
• Emphasize the necessity of cultural safety within healthcare contexts.