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[2] [16] Eventually, the HBM was applied to more substantial, long-term behavior change such as diet modification, exercise, and smoking. [16] Developers of the model recognized that confidence in one's ability to effect change in outcomes (i.e., self-efficacy) was a key component of health behavior change.
Each behavioural change theory or model focuses on different factors in attempting to explain behaviour change. Of the many that exist, the most prevalent are learning theories, social cognitive theory, theories of reasoned action and planned behaviour, transtheoretical model of behavior change, the health action process approach, and the BJ Fogg model of behavior change.
The initial behavior model was an attempt to study of why a family uses health services. However, due to the heterogeneity of family members, the model focused on the individual rather than the family as the unit of analysis. Andersen also states that the model functions both to predict and explain use of health services. [3]
In psychology, the I-change model [1] [2] or the integrated model, for explaining motivational and behavioral change, derives from the Attitude – Social Influence – Self-Efficacy Model, integrates ideas of Ajzen's Theory of Planned Behavior, [3] Bandura's Social Cognitive Theory, Prochaska's Transtheoretical Model, [4] the Health Belief Model, [5] and Goal setting [6] theories.
The transtheoretical model is also known by the abbreviation "TTM" [2] and sometimes by the term "stages of change", [3] although this latter term is a synecdoche since the stages of change are only one part of the model along with processes of change, levels of change, etc. [1] [4] Several self-help books—Changing for Good (1994), [5 ...
Behavior change, in context of public health, refers to efforts put in place to change people's personal habits and attitudes, to prevent disease. [1] Behavior change in public health can take place at several levels and is known as social and behavior change (SBC). [2]
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Models that describe health behavior change can be distinguished in terms of the assumption whether they are continuum-based or stage-based. [7] A continuum (mediator) model claims that change is a continuous process that leads from lack of motivation via action readiness either to successful change or final disengagement.