Health Behavior Change and Treatment Adherence: Evidence-based Guidelines for Improving Healthcare

by Leslie Martin, Kelly Haskard-Zolnierek, M. Robin DiMatteo

Overview

Relationships, jobs, and health behaviors-these are what New Year's resolutions are made of. Every year millions resolve to adopt a better diet, exercise more, become fit, or lose weight but few put into practice the health behaviors they aspire to. For those who successfully begin, the likelihood that they will maintain these habits is low. Healthcare professionals recognize the importance of these, and other, health behaviors but struggle to provide their patients with the tools necessary for successful maintenance of their medical regimens. The thousands of research papers that exist on patient adherence and health behavior change can leave professionals overwhelmed.

This book synthesizes the results from more than 50 years of empirical research, resulting in simple, powerful, and practical guidance for health professionals who want to know the most effective strategies for helping their clients to put long-term health-relevant behavior changes into practice. It advocates a straightforward 3-ingredient model: Before a person can change, they must (1) know what change is necessary (information); (2) desire the change (motivation); and then (3) have the tools to achieve and maintain the change (strategy). This book is designed to be informative and compelling, but its numerous anecdotes and examples render it engaging and entertaining, as well.

Written for a practitioners and students of medicine, chiropractic, osteopathy, nursing, health education, physician assistant programs, dentistry, clinical and health psychology, marriage and family counseling, social work, school psychology, and care administrators — and for lay persons who wish to take an active role in their health, this book brings together major empirically-based findings within the field and provides succinct, evidence-based recommendations and strategies for using these findings to make real changes.

Product Details

ISBN-13:	9780195380408
Publisher:	Oxford University Press
Publication date:	01/05/2010
Pages:	224
Product dimensions:	6.30(w) x 9.30(h) x 0.80(d)

About the Author

Leslie Martin is Professor of Psychology, LaSierra University.

Kelly Haskard-Zolnierek is Assistant Professor of Psychology, Texas State University.

M. Robin DiMatteo is Distinguished Professor of Psychology, University of California, Riverside.

Table of Contents

Chapter 1 - Understanding Behavior Change: The Theory Behind Informing, Motivating, and Planning for Health

Levels of Health Behavior
Theoretical Models of Health Behavior and Change
Health Belief Model
Theory of Reasoned Action
Theory of Planned Behavior
Transtheoretical Model of Change
Social Cognitive Models
Precaution Adoption Process Model
Information-Motivation-Strategy Model
Conclusion


Chapter 2 - Persuading and Motivating Positive Health Behaviors

Goal Setting
Social Comparisons
Persuasive Messages
Expertise
Liking
Scarcity, Reciprocity, and Consistency
Fear Induction
Teachable Moments
Message Framing
Expectations
Goal Pursuit
Beliefs about Outcomes
Optimism
Self-efficacy
Perceptions of Benefits and Costs
Social Support
Goal Framing
Targeting Goals
Conclusion


Chapter 3 - Understanding and Remembering

Information Processing, Memory, and Recall
Focusing Attention and Encoding
Memory Storage
Emotion and Memory
Chronic Stress
Self-enhancement Bias
Cultural Context
Additional Factors
Strategies for Improving Memory and Recall
Tailoring Information
Making Time
Avoiding Overload
Ordering of Information
Note-taking and Memory Aids
Mnemonics and Chunking
Conclusion


Chapter 4 - Improving Health Through the Development and Management of Habits

Forming Habits
Classical Conditioning
Operant Conditioning
Rewards for Behaviors
Maintaining Habits
Reinforcement Schedules
Behavioral Contracts and Contingency Plans
Intrinsic Motivation
Breaking Bad Habits
Self-knowledge and Personality
Choosing the Right Environments
Balancing Habits with Mindfulness
Managing Barriers to Behavior Change
Self-monitoring and Regulating
Managing Ups and Downs
The Practitioner's Role
Cultural Variations
Practitioner Expectations
Individual Behaviors and Larger Systems
Conclusion


Chapter 5 - Evaluation of Risks, Decision-Making, and Outcomes

Evaluation and Decision-making Strategies
A Crash Course in Bayesian Methods
Understanding Risks and Risk Reduction
Odds Ratios
Risk Ratios
Hazard Ratios
Straight versus Standardized Ratios
Thinking About Study Results as a Whole and the Value of Meta-Analysis

Cumulative and Interactive Effects
Patient Involvement in Decision-making
Tools for Participatory Decision-making
Conclusion


Chapter 6 - Relationships and Communication Between Caregivers and Patients

Models of Practitioner-Patient Relationships
Paternalism
Consumerism
Mutuality
Practitioner-Patient Communication
Physical Environment
Verbal Communication
Open-ended Questions
Refraining from Interruption
Providing Clear Information
Patients' Verbalizations
Nonverbal Communication
Indicators of Distress
Physical Pain and Sensitivity Cues
Desire for Information and Involvement
Medically-relevant Information
Negotiating the Relationship
Empathy
Conclusion


Chapter 7 - Effective Collaboration with Patients — On a Tight Schedule

Importance of the Health Care Team
Using Teams and Technology to Deliver Care
Planning the Medical Visit
Pre-appointment Counseling
Interactive Health Communication (IHC)
Group Consultations
Technology-based Decision-making Aids
Follow-up Management
Technology-based Adherence Aids
Digital Support Groups
Conclusion


Chapter 8 - Partnering for Adherence in the Healthcare System

Simplicity and Quality of Life
Patient-centered Interventions
Encouraging Self-efficacy
Multifaceted Interventions to Improve Adherence
Partnering and Barriers within Healthcare Systems
Access to Care
What Can Health Professionals Do?

Editorial Reviews

Reviewer: Linda L. Shanta, PhD, MSN, BS (Walden University)
Description: This important book gathers an enormous volume of research into behavior change and provides an evidence-based foundation for the guidance that it gives to healthcare providers.
Purpose: The purpose is to detangle the complexity involved in changing and maintaining health behaviors. This work provides essential assistance for healthcare providers, structured by research and illustrated through clear case studies.
Audience: The authors state that the book is designed for various healthcare professionals, as well as lay readers. However, the level at which the information is presented would require more than a foundational understanding of psychology, sociology, statistics, and healthcare for readers to use it for behavior change.
Features: Topics are presented in a logical manner, beginning with the theory of human behavior and progressing to motivational methods. The authors then discuss the educational basis for presenting information to clients and how to assist them to make important changes given family and cultural influences. Chapter five provides technical information on the interaction of risk and decision making. The final three chapters address empowerment of clients for behavior change through effective communication, collaboration, and partnerships with the healthcare professional. The book is particularly effective in illustrating application of the theory through the use of case studies.
Assessment: This would be an excellent textbook for any healthcare educator or academic educator who instructs future healthcare professionals. It not only provides an evidence-based foundation for developing effective curricula and teaching modalities, it also provides insight into the importance of communicating and collaborating with clients for health behavior change to occur.

Doody's Review Service

"This would be an excellent textbook for any healthcare educator or academic educator who instructs future healthcare professionals. It not only provides an evidence-based foundation for developing effective curricula and teaching modalities, it also provides insight into the importance of communicating and collaborating with clients for health behavior change to occur."—Doody's

"Health Behavior Change and Treatment Adherence: Evidence-Based Guidelines for
Improving Healthcare offers an overview that is clearly sculpted by the authors' working models of lead factors influencing the adoption of adherence and ways to support adherence...this book does a good job at providing readers with a comprehensive overview..." —PsycCRITIQUES

"Other books have covered similar material, but Health Behavior Change and Treatment Adherence offers examples of forms for behavior contracts, online resources for patient information, and uses of technology that can save physicians time-all with current references. This book is a gold mine of information." —JAMA

From the Publisher

Reviewer:This would be an excellent textbook for any healthcare educator or academic educator who instructs future healthcare professionals. It not only provides an evidence-based foundation for developing effective curricula and teaching modalities, it also provides insight into the importance of communicating and collaborating with clients for health behavior change to occur.
Description:
Purpose:This important book gathers an enormous volume of research into behavior change and provides an evidence-based foundation for the guidance that it gives to healthcare providers.
Audience:The purpose is to detangle the complexity involved in changing and maintaining health behaviors. This work provides essential assistance for healthcare providers, structured by research and illustrated through clear case studies.
Features:The authors state that the book is designed for various healthcare professionals, as well as lay readers. However, the level at which the information is presented would require more than a foundational understanding of psychology, sociology, statistics, and healthcare for readers to use it for behavior change.
Assessment:Topics are presented in a logical manner, beginning with the theory of human behavior and progressing to motivational methods. The authors then discuss the educational basis for presenting information to clients and how to assist them to make important changes given family and cultural influences. Chapter five provides technical information on the interaction of risk and decision making. The final three chapters address empowerment of clients for behavior change through effective communication, collaboration, and partnerships with the healthcare professional. The book is particularly effective in illustrating application of the theory through the use of case studies.