Inspiring Behaviour Change 8 March 2018
Who is SWM? We are the sustainability adviser for the leaders of the West Midlands. – We were created in 2002 as a not-for-profit company. – Our Board is private sector led and has cross-sector representation. – Our role is to act as a catalyst for change through helping leadership in strategy, delivery and innovation. We catalyse this change by: – Running several events a year for our nine good practice networks, including the – Working closely with our ~60 members, who come from a variety of sectors (from large corporates to small community groups). – Undertaking independent reports, research and consultancy to numerous clients that align with our sustainability priorities. – Monitoring progress against our 2020 vision: “by 2020 businesses and communities are thriving in a West Midlands that is environmentally sustainable and socially just.”
Today’s workshop is run in partnership with:
Aims of today • Provide delegates with tools to integrate in behaviour change programmes aimed at sustainable practice. • Provide good practice case studies to demonstrate the impact of behaviour change programmes. • Provide an opportunity for peer-to-peer networking .
Agenda
Tweet us during today’s event: @SWMtweet
Inspiring Behaviour Change - How do people transform? ‘ Inspiring Behaviour Change ’
Presentation structure Introduction The integral framework The vertical map Tools and applications
The integral map Stages States Quadrants Lines Types
The systemic change iceberg System: a collection of parts in dynamic relationship with each other Events Patterns Structures Mental models Life conditions - Nature
Mental models emerge as people adapt to life conditions Life conditions Mental models A to I N to V Ref: Graves 1974, Beck and Cowan, 1996.
100,000 years ago – BEIGE – Instinctive – birth to 2 years
50,000 years ago – PURPLE – Safety and security – aged 2 to 4
10,000 years ago – RED – Power, action and will – aged 4 to 7
5,000 years ago – BLUE – Structure, stability and order – 7 to adolescence
300 years ago – ORANGE – Achievement and rationality – begins in adolescence
60 years ago – GREEN – Diversity and community – begins in adulthood
Emerging from level to level … The subject to object move (Professor Robert Kegan, Harvard) Subject Life conditions Ref: Kegan (Harvard) 1998
Emerging from level to level.. subject to object Object Subject Life conditions
The momentous leap from first to second tier – what ’ s the shadow of green? Yellow - Second Tier Green Orange Blue Red Purple
First tier levels exclude each other – ‘ the culture wars ’ No awareness they are part of the same pathway Green Orange Blue Red Purple
Green is actually the most exclusive to people with different worldviews People and systems run out of money Deconstructs the foundations of its own structure Green Orange – generates money Blue – holds structure Red Purple
Needs to integrate and translate messages into other value systems.. ...to meet people where they are at. Green Orange Blue Red Purple
Second tier - from sustainable to regenerative development Flexible flow and functionality Healthy worldview diversity and translation Yellow - Second Tier Green Orange Blue Red Purple
Tools for personal and organisational assessment
Integral organisational analysis – aligned with Reinventing Organisations Self-management Wholeness Evolutionary purpose
Thanks for listening. Facebook group: Integral View. E-mail: jonathan@integralview.co.uk www.integralview.co.uk Thanks for listening.
The Application of Behaviour Change models to self care Presentation delivered by Alison Trout Chartered Psychologist and Senior Specialist in Public Health
What is self care? The actions people take for themselves, their children and their families to stay fit and maintain good physical and mental health; meet social and psychological needs; prevent illness or accidents; care for minor ailments and long- term conditions; and maintain health and wellbeing after an acute illness or discharge from hospital
The Self Care Continuum
Supporting people to self manage using Behaviour Change Example 1 - EAST
Supporting people to Self Manage using EAST
Example 2 - COM-B The COM-B Model COM-B All changes in behaviour are underpinned by Capability, Motivation and Opportunity which form the basis of the Model. These elements can be applied to all aspects within the system e.g. At Strategic Level; through Commissioning; Social Marketing (Public Health Campaigns); Service Delivery (Direct communications with the patient & carers).
The Behaviour Change Wheel • For addressing systems based change, the process of using the Behaviour Change Wheel (BCW) is likely to provide the best tool for behavioural analysis. It can however be used in conjunction with other tools (e.g. Mindspace and EAST) • The BCW provides a structured approach to designing or updating behaviour change interventions and strategies. • Its purpose is to promote a systematic and comprehensive analysis of the available options using behaviour change theory and available evidence. It facilitates application of behavioural science to ensure the component parts of an intervention or strategy act synergistically. Michie et al (2011)
Considerations • Where are we likely to get the best ROI? • What are the strategic priorities? Inequalities / Target Groups / Disease Specific? • Once we have chosen an area to focus upon, which part of the system should we focus on first (perhaps focus upon the quickest wins).
Self Care and Prevention within a system of behaviours – the example of Falls prevention Communication and behaviour change skills of Falls Team Behaviour of other relevant health and Materials , marketing care professionals in and resources primary / secondary available to support and social care self care and requiring cultural prevention change across the system Behaviour Conducive with Falls avoidance
Capability: - The Falls Team are trained in behavioural change competencies including communication skills and Motivational Interviewing and use of models such as EAST and COM . Specific Behaviour Change Techniques might include:- i) Visual demonstration of desired behaviour / opportunity to model; ii) Feedback on own practice ; iii) Traing in use of all necessary resources and equipment which available to assist / enable practice iv) Standardised Manulisation of practice. Behaviour:- Motivation:- Practitioner The Falls Team understand and are bought into the benefits of Behaviour their Behaviour Change training and see it as a core part of their • Personalised role. Behaviour Change Techniques include:- i) Senior Staff and • Assets based Managers lead by example; ii) Regular feedback to practitioners on • Holistic the effectiveness of their practice; iii) Specifics of practice built • Collaborative into JD; iv) Regular comparisons on effectiveness made between teams or teams from other areas Opportunity:- The Falls team are given the necessary time as part of their role to utilise the skills and competencies fully from the Behaviour Change training. Behaviour Change techniques could include:- i) The Commissioner clearly stating in the service Spec the requirements for skills and competencies and allowing time commitments to undertake; ii) As part of manualised practice, prompts to practice are available throughout the interaction e.g. as part of assessment
Any Questions?
March 2018 Bex Bolland, Head of Air Quality Bex.Bolland@Globalactionplan.org.uk @BexBolland
I believe it is time for policy makers to take seriously the threat to health posed by pollution, and therefore to understand that addressing pollution is disease prevention. Professor Dame Sally Davies, The Chief Medical Officer
Breathing polluted air should not be a fact of life At the moment: • Air pollution has the equivalent impact on health as 29,000 early deaths in the UK every year. • The costs to society (including the NHS) of air pollution are on a par with those from smoking and obesity. • Air pollution increases our risk of heart disease, stroke, cancer, and asthma attacks. Children are especially vulnerable. But, there is plenty we can do: • Health professionals are trusted advisors and could help equip millions of people to understand how to improve the air we breathe and reduce our exposure to air pollution.
BAR ARTS TS HEAL ALTH TH NH NHS TR TRUST ST CLEANE ANER R AI AIR R PROJ ROJECT CT 20 2013-20 2016 16
AM AMBITION: ION: IMPROV ROVE E THE HE HE HEAL ALTH H OF T F THO HOSE E WHO HO WO WORK K AN AND L D LIVE VE IN EA N EAST LOND NDON ON BY R Y REDU DUCI CING NG EMISSIONS SIONS AN AND E D EXP XPOSURE URE TO THE HE HA HARMFU FUL L AI AIR POLL LLUTION UTION THA HAT THE HEY CA Y CAUS USE .
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