Integrated Theory of Health Behavior Change

Abstract

An essential characteristic of advanced practice nurses is the use of theory in practice. Clinical nurse specialists apply theory in providing or directing patient care, in their work as consultants to staff nurses, and as leaders influencing and facilitating system change. Knowledge of technology and pharmacology has far outpaced knowledge of how to facilitate health behavior change, and new theories are needed to better understand how practitioners can facilitate health behavior change. In this article, the Integrated Theory of Health Behavior Change is described, and an example of its use as foundation to intervention development is presented. The Integrated Theory of Health Behavior Change suggests that health behavior change can be enhanced by fostering knowledge and beliefs, increasing self-regulation skills and abilities, and enhancing social facilitation. Engagement in selfmanagement behaviors is seen as the proximal outcome influencing the long-term distal outcome of improved health status. Person-centered interventions are directed to increasing knowledge and beliefs, self-regulation skills and abilities, and social facilitation. Using a theoretical framework improves clinical nurse specialist practice by focusing assessments, directing the use of best-practice interventions, and improving patient outcomes. Using theory fosters improved communication with other disciplines and enhances the management of complex clinical conditions by providing holistic, comprehensive care. Keywordsclinical nurse specialists; health behavior change; Integrated Theory of Health Behavior Change; self-management Personal behavior influences one's health. 1,2 Many people can improve their health by managing their chronic condition or engaging in health promotion behaviors. Persons with chronic conditions improve their health by managing specific health behaviors, a process that requires behavior change. Healthy people, as well as persons with chronic conditions, have opportunities to improve their health by regularly engaging in health promotion activities, a behavior change process similar or identical to the process used to manage chronic conditions.

Personal Informatics, Self-Insight, and Behavior Change: A Critical Review of Current Literature

“…The TTM is well suited to application to PI and the self-improvement hypothesis because it deals with sustained behavior change: change as a long-term process of preparation, change, and subsequent maintenance of new behavior(s). In addition, many of the concepts and ideas from the TTM are shared by a variety of other behavior (change) models, like the theory of planned behavior (Ajzen, 1985), the health belief model (Rosenstock, 1974), and various others (Bagozzi, 2000;Bandura, 1977Bandura, , 1991De Vries et al, 2003;Fishbein, 2000;Hagger & Chatzisarantis, 2014;Klein, Mogles, & Van Wissen, 2011;Kluger & DeNisi, 1998;Maes & Gebhardt, 2000;Rogers, 1975;Ryan, 2009;Schwarzer, 2008;Witte, 1992). For these reasons, we use the TTM as a starting point in our discussion of existing behavior change models and how they compare to the self-improvement hypothesis.…”

“…Originally proposed by Bandura (1977), selfefficacy and similar concepts like "perceived behavioral control" and "perceived competence" are now incorporated in many theories of behavior and behavior change (e.g. Bagozzi, 2000;De Vries et al, 2003;Fishbein, 2000;Hagger & Chatzisarantis, 2014;Klein et al, 2011;Maes & Gebhardt, 2000;Rogers, 1975;Ryan, 2009;Schwarzer, 2008).…”

Stages of Change in the Trajectory of Postpartum Weight Self‐Management

“…Because many women will have no further contact with a health care provider until their 64 next yearly checkup or until they are pregnant again, women are on their own to manage their 65 weight. While providers cannot make daily choices for women, they do have an opportunity to 66 influence women's values, beliefs, knowledge, and skills by arming women with the tools they 67 need to successfully self-manage their weight (Ryan, 2009). It is essential that providers take 68 into account the circumstances affecting weight and weight management choices that are uniqueto the postpartum period of a woman's life (O'Toole, Sawicki, & Artal, 2003;Pereira et al, 70 2007) while taking advantage of the fact that, in the perinatal period, women are more aware of 71 the impact their behaviors have on their own health and the health of their child (Lewallen, 72 2004).…”

Personalized Intervention Program For Children With Special Educational Needs (Adhd)

“…Our purpose is to adapt a behavior change program based on ITHBC (Ryan, 2009) to the educational needs of the student with ADHD. In this paper, we aim to adapt a behavior change program from Health Psychology to school environment, because we consider that it is necessary to create a healthy environment that can determine not only the inclusion of the child with ADHD, but also his/ her adaptation to the challenges that arise in the school environment and, moreover, his/ her adaptation to the everyday challenges.…”