Please enable JavaScript.
Coggle requires JavaScript to display documents.
Social and Behavioral Theories in Health - Coggle Diagram
Social and Behavioral Theories in Health
15-21 year olds make up a large majority of new STI cases
Need to understand how this demographic views safe sex practices in order to create effective intervention
Two models were used
Transtheoretical Model
Explain the why and how views change and what can predict these changes
Theory of Planned Behavior
Subjective norms are important factors
open convo between partners and peers appears important
No lit on behavior change in adolescents in this area, though they seem to be most impacted by these changes
need to observe change and relapse w/o intervention to create best solutions
young teens more likely to use condoms than older ones
the study
446 participants of randomized control trial of HIV prevention
surveys in order to recall activities in the last 90 days
Measured with Project LIGHT
Assessed Stage of Change for Safe Sex, Sexual Attitude, and Substance Use
Baseline is adolescents not using condoms and people sorted to inconsistent and consistent condom users
The difference between the two groups was largely seen in the way they viewed the pros and cons of condom use
How are they related?
Public Health, Social Science, and Behavior Science evolved alongside eachother
belief in understanding organization and motivation behind social forces and behaviors
Social Systems and Health?
Shape Norms
Enforcing patterns of social control
Provide opportunities for healthy behavior
Encouraging healthy behaviors as coping mechanisms
Socioecon, Culture, Religion and Health?
Socioecon is about income and edu level/professional status. Higher socioecon typically means longevity and is associated with better access to good healthcare and health decisions/conditions
Culture affects habits of daily life, it's how you see the world
Religion has a huge impact, particularly on what is praised or condemned in practice
Can indiv health behavior be changed?
Historically yes, see decline in smoking, getting mammograms etc
Some behaviors harder to change than others, but whether directly or indirectly many health outcomes come back to individual behavior
Easier to change a behavior that can be substituted or you can give large incentives for
Stages of Change model gives an outline on changing behavior effectively without experiencing relapse
Other used models
Health Belief Model
Theory of Planned Behavior
Diffusion of Innovation
Evaluated with PRECEDE PROCEED
Group Interventions compliment indiv change?
Group/population efforts made to reinforce indiv change efforts
Possible for group/population interventions at every indiv change stage
Combined efforts shown effective, ie smoking
Behavioral economics
Losses loom more than gains
Just-In-Time reminders work
Default choices retained
New habits key to behavioral change
Social Marketing
Principles of marketing (4 ps) can be applied to behavior changes
Branding is a key strategy
Education
Vaccine Acceptance
accurately communicate what is known and not known
Do not wait to communicate education
Be Credible
Be Clear
Express Empathy and show respect
Acknowledge uncertainty and manage expectations
Add motivation, obligations, innovation alongside edu to create the most effective approach