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.

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