Please do not comment on the padlet. This learning and the tasks are for your own reflection and development only. please contact your academic tutor if you have any questions about the content of the padlet

•The model proposes that for someone to engage in a particular behaviour (B), at a given moment they must be physically and psychologically able (C) and have the social and physical opportunity (O) to do the behaviour and, in addition, want or need to do the behaviour more than any other competing behaviours at that moment (M). 

•As COM-B is an overarching framework of behaviour, it can supplement the CBT model in PWP practice, contributing to the implementation of CBT-based low intensity interventions. 

•The COM-B model is especially useful in helping with identifying goals and deciding on an appropriate low intensity intervention. 

•Many unsuccessful attempts at behaviour change could be due to lack of consideration around planning, delivery and evaluation 

•Therefore a strategic approach to behaviour change is required! 

•Do they have the psychological knowledge and/ or skills to change behaviour (e.g. Do they know the self-help intervention)? Do they have the concentration, memory at present to partake in behaviour change.

•Can they physically engage in the behaviour e.g. do they have a long term condition, learning disability to consider, will adaptions need to be made. 

•Subdivided in to: 

 - Physical Opportunity - provided by the environment (being able to go running because you can buy running shoes)

 - Social Opportunity - the social setting that states the way we think about things (clubs, church, hobbies)

• By setting (SMART) goals for treatment, patient and CWP/EMHP set out the new behaviour desired by the patient. 

•It could be as simple as a new homework task (e.g. Read an information sheet, watch a particular YouTube video, attend a follow-up session) 

•Don’t add too much to someone with an already busy schedule

- Discover this through discussion with the client

•Physical opportunity – as above

•Reflective motivation – have a discussion with client drawing out the short  and long terms pros and cons of the behaviour change

•Automatic motivation – as above, positive reinforcement from engaging in the behaviour

•Prioritise – which one needs to happen first?  

Things to consider:

 - Identify what the main problem is

 - Identify the target behaviour

 - Think about the components of the COM-B model may be barriers or facilitators to that target behaviour

 - Decide what action you might take as a WP

•Jackson, C., Eliasson, L., Barber, N. & Weinman, J. (2014). Applying COM-B to   medication   adherence: A suggested framework for research and interventions. European Health   Psychologist, 16, 7-17

•Lorencatto, F., West, R., & Michie, S. (2012). Specifying evidence-based behavior change techniques   to aid smoking cessation in pregnancy. Nicotine & Tobacco Research, 14(9), 1019-1026.

•Michie, S., Atkins, L. & West, R. (2014). The behaviour change wheel: A guide to designing   interventions. Silverback Publishing.

•Michie, S., Richardson, M., Johnston, M., Abraham, C., Franis, J., Hardeman, W., Eccles, M., Cane, J.   & Wood, C.E. (2013). The Behavior Change Technique Taxonomy (v1) of 91 hierarchically   clustered techniques: building an   international consensus for the reporting of behavior   change. Annals of Behavioral Medicine, 46, 81-95.

•Michie, S., van Stralen M.M. & West, R. (2011). The behaviour change wheel: A new method for   characterising and designing behaviour change interventions. Implementation Science, 6, 42 

••Michie, S., West, R., Campbell, R., Brown, J. & Gainforth, H. (2014). ABC of behaviour change theories: An   Essential Resource for Researchers, Policy Makers and Practitioners. Silverback Publishing.

•Michie, S., Whittington, C., Hamoudi, Z., Zarnani, F., Tober, G. & West, R. (2012). Identification of   behaviour change techniques to reduce excessive alcohol consumption. Addiction, 107, 1431-1440.

•NICE (2007). Behaviour change: The principles for effective interventions. Public health guidance, 6. NICE:   London. 

•NICE (2014). Behaviour change: Individual approaches. Public health guidance, 49. NICE: London.

•Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an   integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390-395.

•Prochaska, J. O., & DiClemente, C. C. (1984). The transtheoretical approach: Crossing traditional   boundaries of therapy. Dow Jones-Irwin.

•Prochaska, J. O., & DiClemente, C. C. (1985). Common processes of self-change in smoking, weight   control, and psychological distress. Coping and substance use, 345-363.

•UCL (2015). PWP Review Behaviour Change. Accessed at: https://www.ucl.ac.uk/pwp-review/docs/PWPREVIEW-behaviour_change 

•Reflective motivation – evaluations and plans

•Automatic motivation – emotions and impulses arising from associative learning and/or innate dispositions eg use of avoidance as a coping mechanism.