Group and Macro-Social Interventions in Health-Related Behavior Change Programs: Opportunities and Limitations

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Abstract

The goal of changing health-related lifestyles and behaviors in prevention and rehabilitation does not currently have a single solution and requires a combination of different interventions and different levels of interventions. The aim of present paper was to review and discuss opportunities of group and macro-social models of health-related behavior change. Frequently rehabilitation initially starts in a group context, which requires competent facilitation of the current patients’ interactions. It was shown that social support, social comparison, identification with the group are the most important predictors of successful changes in health-related behavior in groups. Taking into account the existing experience of health psychology and rehabilitation in the development of social networks by the type of attracting "natural" helpers and facilitating the development of groups can contribute to greater efficiency of socio-psychological programs for changing health-related behavior. The importance of appraisal of current social networks and differentiating those functions that are important for effective rehabilitation, as well as the possibility of using the SHOWED model as a methodological basis for group work with health-related behavior, is discussed. Opportunities of using the priming model and prototype-readiness model in prevention and rehabilitation are considered, as they emphasize the importance of updating positive stereotypes and attitudes related to the health behavior.

General Information

Keywords: health psychology, health-related behavior change, social support, SHOWED model, prototype-readiness model, Sabido methodology

Journal rubric: Theoretical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2021100203

Funding. The reported study was funded by Russian Foundation for Basic Research (RFBR), project number 20-013-00799

For citation: Rasskazova E.I., Tkhostov A.S., Kovyazina M.S., Varako N.A. Group and Macro-Social Interventions in Health-Related Behavior Change Programs: Opportunities and Limitations [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2021. Vol. 10, no. 2, pp. 23–46. DOI: 10.17759/cpse.2021100203. (In Russ., аbstr. in Engl.)

References

  1. Varako N.A., Shilko R.S., Kovyazina M.S. et al. Mezhdunarodnaya klassifikatsiya funktsionirovaniya, ogranichenii zhiznedeyatel'nosti i zdorov'ya (MKF) i kul'turno-deyatel'nostnaya paradigma L.S. Vygotskogo – A.N. Leont'eva – A.R. Lurii kak osnova otechestvennoi kliniko-psikhologicheskoi reabilitologii [International Classification of Functioning, Disability and Health (ICFDH) and Cultural-Activity Approach of L.S. Vygotsky – A.N. Leontiev – A.R. Luria as The Methodological Basis of Russian Clinical Psychological Rehabilitation]. Klinicheskaya i spetsial'naya psikhologiya=Clinical Psychology and Special Education, 2019, vol. 8, no. 3, pp. 143–159. DOI: 10.17759/psyclin.2019080308. (In Russ., abstr. in Engl.).
  2. Vasserman L.I., Trifonova E.A., Shchelkova O.Yu. Psikhologicheskaya diagnostika
    i korrektsiya v somaticheskoi klinike [Psychological diagnostics and correction in the somatic clinics]. Saint-Petersburg: Rech', 2011. 271 p. (In Russ.).
  3. Gurovich I.Ya., Shmukler A.B., Storozhakova Ya.A. Psikhosotsial'naya terapiya
    i psikhosotsial'naya reabilitatsiya v psikhiatrii [Psychosocial therapy and psychosocial rehabilitation of patients with mental disorders]. Moscow: Medpraktika-M., 2004. 492 p. (In Russ.).
  4. Klinicheskie i organizatsionnye osnovy reabilitatsii psikhicheski bol'nykh [Clinical and organizational basis of rehabilitation of patients with mental disorders. In
    M.M. Kabanov, K. Vaize (eds.). Moscow: Meditsina, 1980. 372 p. (In Russ.).
  5. Rasskazova E.I. Teoreticheskie modeli ponimaniya, ob"yasneniya i izmeneniya povedeniya v psikhologii zdorov'ya: vidy i tseli [Theoretical models of understanding, explaining and changing behavior in health psychology: types and goals]. In A.Sh. Tkhostov, E.I. Rasskazova (eds.), Rukovodstvo po psikhologii zdorov'ya=Manual in Health Psychology. Moscow: Izdatel'stvo MGU, 2019. P. 153–236. (In Russian).
  6. Barker K. Sex, soap, and social change: the Sabido methodology. In M. Haider (ed.), Global Public Health Communication: Challenges, Perspectives, and Strategies. Boston: Jones and Bartlett Publishers, 2005, pp. 113–153.
  7. Fishbein M., Yzer M.C. Using theory to design effective health behavior interventions. Communication Theory. 2003. 13(2). Pp. 164–183. DOI: 10.1111/j.1468-​2885.2003. tb00287.x.
  8. Gibbons F.X., Gerrard M., Lane D.J. A social reaction model of adolescent health risk. In J.M. Suls, K.A. Wallston (eds.), Social Psychological Foundations of Health and Illness. Oxford, UK: Blackwell, 2003, pp. 107–136.
  9. Hagger M. Self-regulation: an important construct in health psychology research and practice. Health Psychology Review, 2010, vol. 4, no. 2, pp. 57–65. DOI: 10.1080/ 17437199.2010.503594.
  10. Hall P.A., Fong G.Y. Temporal self-regulation theory: a model for individual health behavior. Health Psychology Review, 2007, vol. 1, no. 1, pp. 6–52. DOI: 10.1080/ 17437190701492437
  11. Heaney C.A., Israel B. Social networks and social support. In K. Glanz, B.K. Rimer, F.M. Lewis (eds.), Health Behavior and Health Education. San Francisco: Jossey-Bass, 2002, pp. 185–209.
  12. Kaplan R., Sallis J., Patterson T. Health and Human Behaviour. NY: McGrow-Hill, 1993. 576 p.
  13. Kennedy P. Rehabilitation psychology: Introduction, review, and background. In
    P. Kennedy (Ed.), Oxford Handbook of Rehabilitation Psychology. Oxford: Oxford University Press, 2012, pp. 3–9.
  14. Kirk S., Beatty S., Callery P. et al. Perception of effective self-care support for children and young people with long-term conditions. Journal of Clinical Nursing, 2012,
    vol. 21, no. 13-14, pp. 1974–1987. DOI: 10.1111/j.1365-2702.2011.04027
  15. Lewis M.A., DeVellis B.M., Sleath B. Social influence and interpersonal communication in health behavior. In K. Glanz, B.K. Rimer, F.M. Lewis (eds.), Health Behavior and Health Education. San Francisco: Jossey-Bass, 2002, pp. 240–264.
  16. Lippke S., Nigg C.R., Maddock J.E. Health-promoting and health-risk behaviors: theory-driven analysis of multiple health behavior change in three international samples. International Journal of Behavioral Medicine, 2012, 19, pp. 1–13, vol. 19, no. 1, pp. 1–13. DOI: 10.1007/s12529-010-9135-​4.
  17. Mann T., de Ridder D., Fujita K. Self-regulation of health behavior: social psychological approaches to the goal setting and goal striving. Health Psychology, 2013,
    vol. 32, no. 5, pp. 487–498. DOI: 10.1037/​a0028533.
  18. Michie S., Ashford S., Sniehotta F.F. et al. A refined taxonomy of behavior change techniques to help people change their physical activity and healthy eating behavior. Psychology and Health, 2011, vol. 26, no. 11, pp. 1479–1498. DOI: 10.1080/ 08870446.2010.540664.
  19. Minkler M., Wallerstein N.B. Improving health through community organization and community building. In M. Minkler (ed.), Community Organizing and Community Building for Health. New Brunswick, New Jersey, London: Rutgers University Press, 2006, pp. 26–50.
  20. Pechmann C. A comparison of Health Communication Models: Risk learning versus stereotype priming. Mediapsychology, 2001, vol. 3, no. 2, pp. 189–210. DOI: 10.1207/ S1532785XMEP0302_04.
  21. Stall S., Stoecker R. Toward a gender analysis of community organizing models: liminality and the intersection of spheres. In M. Minkler (ed.), Community Organizing and Community Building for Health. New Brunswick, New Jersey, London: Rutgers University Press, 2006, pp. 196–217.
  22. Straub R.O. Health psychology: a biopsychosocial approach. NY: Worth Publishers, 2019. 656 p.
  23. Taylor S., Stanton A.L. Health psychology. NY: McGraw-Hill Education, 2020. 496 p.
  24. Wallerstein N., Sanchez V., Velarde L. Freirian praxis in health education and community organizing: A case study of an Adolescent Prevention Program. In M. Minkler (ed.), Community Organizing and Community Building for Health. New Brunswick, New Jersey, London: Rutgers University Press, 2006, pp. 218–236.
  25. Walter C.L. Community building practice: conceptual framework. In M. Minkler (ed.), Community Organizing and Community Building for Health. New Brunswick, New Jersey, London: Rutgers University Press, 2006, pp. 66–78.
  26. Webb T.L., Sheeran P. A viable, integrative framework for contemporary research in health psychology: Commentary on Hall and Fong's temporal self-regulation theory. Health Psychology Review, 2010, vol. 4, no. 2, pp. 79–82. DOI: 10.1080/ 17437191003717497.
  27. Webb T.L., Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 2006,
    vol. 132, no. 2, pp. 249–268. DOI: 10.1037/0033-2909.132.2.249.
  28. Weinstein N.D. Testing four competing theories of health-protective behavior. Health Psychology, 1993, vol. 12, no. 4, pp. 324–333. DOI: 10.1037//0278-6133.12.4.324

Information About the Authors

Elena I. Rasskazova, PhD in Psychology, Associate Professor, Department of Neuro- and Patopsychology, Lomonosov Moscow State University, Senior Researcher,Mental Health Research Center, Senior Researcher, International Laboratory of Positive Psychology of Personality and Motivation, Higher School of Economics, Moscow, Russia, ORCID: https://orcid.org/0000-0002-9648-5238, e-mail: e.i.rasskazova@gmail.com

Aleksandr S. Tkhostov, Doctor of Psychology, Professor, Professor, Head of Department of Clinical Psychology, Faculty of Psychology, Moscow State University Lomonosov, Moscow, Russia, ORCID: https://orcid.org/0000-0001-9676-4096, e-mail: tkhostov@gmail.com

Maria S. Kovyazina, Doctor of Psychology, Associate Professor, Professor of the Chair of Neuropsychology and Abnormal Psychology of the Department of Psychology, Lomonosov Moscow State University, Corresponding Member of Russian Education Academy; Senior Scientist, Research Center of Neurology, Moscow, Russia, ORCID: https://orcid.org/0000-0002-1795-6645, e-mail: kms130766@mail.ru

Natalia A. Varako, PhD in Psychology, Senior Researcher of the Department of Psychological Methodology of the Faculty of Psychology, Lomonosov Moscow State University, Senior Scientist, Research Center of Neurology, Moscow, Russia, ORCID: https://orcid.org/0000-0002-8310-8169, e-mail: nvarako@mail.ru

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