Introduction to Behaviour Change
In Zimbabwe there is widespread awareness of HIV and AIDS. People
know it exists. But still many people have not changed their behaviour
to protect themselves from HIV. Too many people are still practising
unsafe behaviour. Also, stigma towards the infected and affected
helps the epidemic continue. For those fighting HIV, this trend
can be very frustrating. So, if education isn’t enough to
encourage widespread behaviour change, how can we successfully
convince people to practise healthier behaviour? This toolkit provides
some answers – actual tools – for moving beyond awareness
and changing behaviour.
Before you start using the tools, read on to learn more about
how behaviour change happens and how you can prepare others to
lead healthier lives. The information below provides an overview
of how we can facilitate behaviour change by asking three central
questions:
Additional resources are also provided
for further information.
Who is your audience?
The first step in changing behaviour is learning
as much as you can about the people you are trying to change. Some
questions to consider are:
- How old is your audience?
- Are they male
or female, or do you have a mixed audience?
- What behaviours might
they be engaging in?
- What risks are they likely to take in their
sexual relationships?
- What are their likely experiences with HIV/AIDS?
Learning the basic facts about your audience will
help you decide what tools and methods will and will not work.
Choose age and gender appropriate tools, and make sure you are
sensitive to their experience and knowledge level.
What stage of behaviour change
is your audience at?
Instead of making sweeping changes, most people
go through gradual stages as they change their behaviour. There
are five primary stages a person goes through:
- Stage 1: Not thinking about it yet - unaware
of the need for change
- Stage 2: Thinking about changing the behaviour
- Stage 3: Making plans for change
- Stage 4: Doing the actions required to change
the behaviour
- Stage 5: Maintaining the new behaviour until
it becomes a habit
Some people move smoothly through the stages of change. Others
make it halfway and then relapse. A few go through the steps out
of order. However, it is important to try to identify what stage
your target audience is at. Knowing your audience's stage will
help you decide what type of intervention will help them continue
to change. A person in Stage 1 may need information about why they
should consider changing their behaviour, while a Stage 3 person
might need support for putting their plan into action. Stage 5
requires positive reinforcement as new habits start to take hold
and healthier behaviour becomes a way of life.
What life factors influence
the behaviour of your audience?
People are motivated to move from stage to stage by personal,
social and environmental factors. Personal factors include a person's
belief about their ability to change or beliefs about the behaviour.
Social factors might be their friends' attitudes. Both factors
may influence the desire to change. Sometimes environmental factors,
such as limited access to HIV testing or a poor economy can make
behaviour change difficult. In these cases, simply educating people
about HIV/AIDS will not be enough to get them change! When you
have identified what factors keep your audience from changing their
behaviour, make a plan to change those factors
The tools in this toolkit can help you change many of the factors
you find are holding your audience back from changing their HIV/AIDS
related behaviour. Some of the tools are designed to help change
individual or community beliefs and attitudes, while others are
designed to change workplace policies. You may find that one tool
fits your needs perfectly, or you may need to combine tools and
add your own ideas. Some things that have been shown to help change
behaviour include:
- Providing accurate information
- Role modeling the desired behaviour
- Helping people assess their personal risk and weigh the expected
benefits and barriers to change
- Educating people in how to do healthy behaviours
- Speaking out about a cultural shift
- Providing support for people who want to change
- Changing the environment to remove barriers to behaviour change
- Providing opportunities for people to practise the new behaviour
In summary, to change behaviour you should first learn about your
audience. Then design an intervention that helps change the personal,
social and environmental factors which keep your audience from
changing. Look through the tools included on this toolkit, and
use your own creativity to design the best possible intervention
for your audience!
Additional Resources on
Behaviour Change
Click on the links below to learn more about behaviour change.
Some of these resources are documents you can read immediately,
and others are web addresses that require access to the internet.
Documents
Websites
- The Rural Center for AIDS/STD Prevention presents a fact sheet
summarizing behaviour change theories and a guide to choosing
the best model. Click on link to access: http://www.indiana.edu/~aids/fact/fact3.html
- The Centers for Disease Control and Prevention offers program
operating guidelines for STD prevention, including information
on designing a community or individual behaviour change intervention.
Clink on link to access: http://www.cdc.gov/std/program/community/TOC-PGcommunity.htm
- The Population Council’s AIDSQuest: The HIV/AIDS Survey
Library summarizes major theories used in HIV research and their
constructs. Includes survey questions for evaluating the impact
of interventions based on behaviour theory. Click on link to
access: http://www.popcouncil.org/horizons/AIDSquest/cmnbehvrtheo/
- University of California, San Francisco’s Center for
AIDS Prevention Studies explains the role of theory in HIV prevention
and how theory can be used in HIV programs at the individual,
interpersonal, community and structural and policy levels. Click
on link to access: http://www.caps.ucsf.edu/theoryrev.html
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