Document 6610109

Stealth Interven,ons to Promote Physical Ac,vity and Health Thomas N. Robinson, MD, MPH Solu,ons Science Lab Center for Healthy Weight Division of General Pediatrics Stanford Preven,on Research Center Strategies for Preven,on & Control Environmental
Policy -- regulatory, social, economic
Interpersonal
Individual (self-regulatory)
Changing Behavior
1
Social Cognitive Theory
key learning processes
Attention
Retention
Production
Motivation
Motivation
To adopt the new behavior (the outcome)
To participate in the intervention itself
(the process)
2
Mo,va,on Obesity Diabetes High Blood Pressure Heart Disease Cancer Choice & Control Curiosity, Goals, Challenge Fantasy, Contextualiza,on Individualiza,on Coopera,on & Compe,,on Social interac,on Feedback on performance Pride, sense of accomplishment Peer/parent approval Does a health behavior change interven,on need to look, feel, sound, smell or taste like health educa,on? Stealth Interventions
Where physical activity/reduced inactivity or diet
changes are “side effects” of the intervention
target behaviors that are motivating in themselves
3
Less screen ,me Less weight gain Less aggression Less consumerism Improved test scores Lower Cholesterol Less Pre-­‐Diabetes Greater Cultural Iden,ty Less Depression Photos: Jason Chuang
4
Social & Ideological Movements
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
Environmental Sustainability/Climate Change
Food Justice/Urban Agriculture
Food Safety
Antibiotic Resistance
Community Safety, Beautification, Traffic Reduction
Human Rights/Social Justice
Anti-Globalization/Nationalism
Animal Protection
Political Action
Anti-Consumerism
Violence and Crime Prevention
Cause-Related Fundraising
Energy Independence
National Security/Anti-Terrorism
Robinson TN. Obesity, 2010;18(suppl 1):S17-­‐S22 Iden,ty, Values, Beliefs, Emo,ons Social Interac,on, Membership Models, Social Support, Perceived Social Belonging, Collec,ve efficacy Less risk of failure Changing norms and policies 5
Stealth Interventions
A health behavior change interven,on does NOT need to look, feel, sound, smell or taste like health educa,on Physical ac,vity/inac,vity or diet changes are intended “side effects” Iden,fy target behaviors that are mo,va,ng in themselves Theory-­‐based (process mo,va,on) Knowledge of “cause” of problem is not necessary or sufficient. Applies to individual-­‐, community-­‐, social-­‐ and physical environment-­‐
level interven,ons Opportuni,es for new allies and synergies Robinson TN. Stealth interventions for obesity prevention and control:
motivating behavior change. In: Dube L, et al (Eds.) Obesity Prevention:
The Role of Brain and Society on Individual Behavior. New York: Elsevier,
Inc., 2010, pp. 319-327.
Robinson TN. Save the world, prevent obesity: piggybacking on existing
social and ideological movements. Obesity, 2010;18(suppl 1):S17-S22.
6