Working with individuals

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Using individual approaches

Each time health professionals interact with a client in the course of their work they have an opportunity to find out more about that person and share information. Interacting with individuals on a one-to-one basis "allows better possibilities for success than perhaps any other communication medium" (Egger et al 1990:31).

Remember it is possible to assist individuals to make healthier choices by making the healthier choices the easy choices (Egger et al 1990:98). For example, providing quality fresh fruit and vegetables at prices which compare favourably with less healthy food choices means that people are more likely to buy fresh fruit and vegetables - the choice becomes easier. These wider influences are looked at in the section 'Changing the Wider Environment'.

Models of individual health behaviour change

Both psychological (internal) and environmental (external) factors motivate people's behaviour which, in turn, may affect health. These factors are also influenced by thoughts, feelings and values. A variety of models and theories have been developed to explain how these factors interact.

point.gif (93 bytes)   Find information on these models in Health Promotion Strategies and Methods (Egger et al 1990) and other health promotion texts listed in the Bibliography

Two important models for understanding the basis for brief interventions with individuals are the 'Health Belief Model' which is illustrated on the next page and 'The Stages of Behaviour Change Model'.

point.gif (93 bytes)   See the section on 'Brief Interventions'

The Health Belief Model

model.gif (8862 bytes)

Rosenstock in Egger et al 1990:24
(click here to view PDF version)

The Health Belief Model

This model… is one of the oldest attempts to explain health behaviour… [It is based on the premise that] for a behavioural change to succeed, individuals must have the incentive to change, feel threatened by their current behaviour, and feel that a change will be beneficial and be at acceptable cost. They must also feel competent to implement that change.

Egger et al 1990:24-25

The model in action: an example

A parent will organise immunisation for a child if he/she:

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