LinkedIn. Improving the implementation of evidence-based practice and public health depends on behaviour change. Coherence, i.e., categories are all exemplars of the same type and specificity of entity. Next, reliability of use by practitioners was assessed by asking two policy experts (the Department of Health Policy Lead for implementation of the 2010 English government tobacco control strategy and a tobacco researcher) to independently classify the 24 components of the strategy (see Additional file 1 for coding materials). Evidence also suggests that to develop effective interventions and maintain change over time, a multi-level and sustained approach is needed which operates simultaneously and consistently at the individual, community and population level. There exists a plethora of frameworks for classifying behaviour change interventions but an informal analysis suggests that none are comprehensive and conceptually coherent. This simple, comprehensive model of behaviour in its context is called “COM-B” (Capability-Opportunity-Motivation-Behaviour). Michie S, Ashford S, Sniehotta FF, Dombroski SU, Bishop A, French DP: A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours. Capability is defined as the individual's psychological and physical capacity to engage in the activity concerned. Interview with Professor Susan Michie, Professor of Health Psychology and Director of the Centre for Behaviour Change at University College London (UCL), and a member of the UK Scientific Pandemic Influenza Group on Behavioural Science (SPI-B): 2019 Novel Coronavirus (COVID-19). Changing behaviours, a scientist’s opinion. Implement Sci. It would then consider the full range of ways in which the frequency of advice-giving could be increased. The Behaviour Change Wheel (BCW) was developed from 19 frameworks of behaviour change identified in a systematic literature review. What role can behavioural science play? The resulting framework was then compared with the existing ones in terms of the criteria of usefulness (i.e., met or not met). Google Scholar, Summerbell C, Waters E, Edmunds L, Kelly S, Brown T, Campbell K: Interventions for preventing obesity in children. One such distinction is between population-level and individual-level interventions [13]. Bringing scientists, journalists and policymakers together : communicate better sound science to all! Mook D: Motivation: The Organization of Action. Use this list to construct a framework of behaviour change interventions that meets the usefulness criteria listed above. The nature of the topic meant that this review could not be undertaken using the PRISMA guidelines [21]. [2, 3]]. The single-headed and double-headed arrows in Figure 1 represent potential influence between components in the system. None of the frameworks reviewed covered the full range of intervention functions or policies, and only a minority met the criteria of coherence or linkage to a model of behaviour. Susan Michie. Susan Michie, FMedSci ... Common tasks and principles in behaviour change intervention development frameworks: Integrative review. Source: Michie et al (2011) The Behaviour Change Wheel: a new method for characterising and designing behaviour change interventions. It is based on the Behaviour Change Wheel, a synthesis of 19 behaviour change frameworks that draw on a wide range of disciplines and approaches. COM-B Behaviour at the hub …. A second example is that raising the financial cost of a behaviour whose incidence one wishes to reduce (an example of coercion) could be enabled and supported by different policies, from fiscal measures (taxation) to legislation (fines). 2005, 14 (1): 26-33. When enough people begin routinely adopting personal protective behaviours and enough messages support these coming from a variety of trusted, high-status sources that people identify with, such as musicians, actors and athletes, then these behaviours can become a cultural and social norm. We are, as a species, highly adaptive. How can governments and health authorities achieve the desired behaviours from the public during an infectious disease outbreak? Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L: Changing provider behavior: an overview of systematic reviews of interventions. Aside from specific frameworks, there are some broad distinctions that have been widely adopted. Given that there may be frameworks described in books and non peer-reviewed articles, we acknowledged that it was unlikely that we would arrive at a complete set, but we sought to canvass enough to be able to undertake an analysis of how well as a whole they matched the criteria described earlier and to achieve sufficient coverage of the key concepts and labels. 10.1080/08870440701816728. We have seen incredible altruism, generosity and helping behaviour. Failure to do this limits the scope of the system to offer options for intervention designers that may be effective. Why do people comply or refuse to comply with responsive and preventative actions put out by authorities, such as hygienic norms, social distancing, quarantine and vaccination, and how can they be encouraged to behave accordingly? Health Psychol. Research is needed to establish how far the BCW can lead to more efficient design of effective interventions. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Susan Michie, professor of health psychology 1, Robert West, emeritus professor of health psychology 2; 1 Centre for Behaviour Change, University College London, UK; 2 Department of Behavioural Science and Health, University College London, UK; Correspondence to: S Michie s.michie{at}ucl.ac.uk Addictive Behaviors. 2010, 7 (Suppl 1): S91-8. However, the categories are very broad and within each is a mixture of different types of interventions at different conceptual levels. PubMed Central  Article  Ann Behav Med. Thus, for example, interventions that involved coercion could influence reflective motivation by changing conscious evaluations of the options or by establishing automatic associations between anticipation of the behaviour and negative feelings in the presence of particular cues. 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. CAS  10.1080/002075900399457. Thus, categories should be from a super-ordinate entity (e.g., function of the intervention), and the framework should not include some categories that are very broad and others very specific. While this is a model of behaviour, it also provides a basis for designing interventions aimed at behaviour change. Nineteen frameworks were identified covering nine intervention functions and seven policy categories that could enable those interventions. The Behaviour Change Wheel (BCW) and COM-B model was developed from 19 frameworks of behaviour change identified in a systematic literature review by UCL, Centre for Behaviour Change: Authors: Susan Michie, Maartje M van Stralen, Robert West. Other criteria can be used to evaluate its applicability, e.g., reliability, ease of use, ease of communication, ability to explain outcomes, usefulness for generating new interventions, and ability to predict effectiveness of interventions. Analysis by criteria of comprehensive coverage, coherence and link to a model of behaviour (PDF 14 KB), Additional file 8: BCW classification of the English 2010 Tobacco Control Strategy and the NICE Obesity Guidelines (2006). There are a number of possible objections to attempting to construct the kind of behavioural model described and link this to intervention types. Implement Sci. PubMed  Johnston M, Dixon D: Current issues and new directions in psychology and health: What happened to behaviour in the decade of behaviour?. 2000, 35: 153-67. The most obvious criticism is that the area is too complex and that the constructs too ill-defined to be able to establish a useful, scientifically-based framework. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Susan Michie Jobs People Learning Dismiss Dismiss. Thus, in order to improve intervention design, we need a systematic method that incorporates an understanding of the nature of the behaviour to be changed, and an appropriate system for characterising interventions and their components that can make use of this understanding. The journal of nutrition, health & aging. BCW classification of the English 2010 Tobacco Control Strategy and the NICE Obesity Guidelines (2006) (PDF 32 KB), http://creativecommons.org/licenses/by/2.0. The frameworks were coded according to the criteria for usefulness by RW and SM. ABC Guides. By using this website, you agree to our Susan Fiona Dorinthea Michie (born 19 June 1955) is a British psychologist and political activist who is professor of health psychology at University College London. Within the three components that generate behaviour, it is possible to develop further subdivisions that capture important distinctions noted in the research literature. Additional file 7 shows how existing frameworks met the criteria of usefulness. This will depend not only on the behavioral outcome but also on the ways the BCTs are delivered and the context. 2007, London NICE, Information Centre: Statistics on NHS Stop-Smoking Services 2009/10. 389k Accesses. Psychology. Interventions and policies to change behaviour can be usefully characterised by means of a BCW comprising: a 'behaviour system' at the hub, encircled by intervention functions and then by policy categories. 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