NICE – Interventions to change behaviour
Changing people's health-related behaviour involves:
- Helping them to understand the short, medium and longer-term consequences of health-related behaviour.
- Helping them to feel positive about the benefits and value of health-enhancing behaviours and changing their behaviours.
- Building the person's confidence in their ability to make and sustain changes.
- Recognising how people's social contexts and relationships may affect their behaviour.
- Helping people plan changes in terms of easy sustainable steps over time.
- Identifying and planning for situations that might undermine the changes people are trying to make, and planning explicit 'if-then' coping strategies to maintain changes in behaviour.
- Encouraging people to make a personal commitment to adopt health-enhancing behaviours by setting (and recording) achievable goals in particular contexts, over a specified time
- Helping people to use self-regulation techniques (such as self-monitoring, progress review, relapse management and goal revision) to encourage learning from experience
- Encouraging people to engage the support of others to help them to achieve their behaviour-change goals.
Deliver any behavioural intervention with the support of an appropriately trained professional, and include the following strategies in behavioural interventions for adults, as appropriate:
- self-monitoring of behaviour and progress
- stimulus control
- goal setting
- slowing rate of eating
- ensuring social support
- problem solving
- assertiveness
- cognitive restructuring (modifying thoughts)
- reinforcement of changes
- relapse prevention
- strategies for dealing with weight regain.
Include the following strategies in behavioural interventions for children, as appropriate:
- stimulus control
- self-monitoring
- goal setting
- rewards for reaching goals
- problem solving.
Give praise to successes and encourage parents to role-model desired behaviours.