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. 2023 Sep 21;10(2):20551029231198938.
doi: 10.1177/20551029231198938. eCollection 2023 Jul-Dec.

Behaviour change, the itchy spot of healthcare quality improvement: How can psychology theory and skills help to scratch the itch?

Charlotte Emma Hilton  1
Affiliations

Behaviour change, the itchy spot of healthcare quality improvement: How can psychology theory and skills help to scratch the itch?

Charlotte Emma Hilton. Health Psychol Open. .

Abstract

Despite the clear utility and transferability, National Health Service (NHS) quality improvement initiatives have yet to benefit fully from what is already known within health psychology. Thus far, evidence from established, seminal behaviour change theory and practice have been ignored in favour of newly developed models and frameworks. Further, whilst there is a growing interest in what is commonly referred to as 'human factors' of change and improvement, there is scant transferability of known psychologically informed implementation skills into routine NHS Improvement practice. The science and practice of healthcare improvement is growing, and the behaviour change aspect is critical to sustainable outcomes. Therefore, this paper offers practical guidance on how seminal psychological behaviour change theory and motivational interviewing (a person-centred skills-based approach specifically developed to support people through change) can be combined to better address individual and organisational change within a healthcare improvement context.

Keywords: NHS; behaviour change; healthcare; motivational interviewing; psychology; quality improvement.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Applications of The Health Belief Model to Quality Improvement.
Figure 2.
Figure 2.
Applications of the Theory of Planned Behaviour to Quality Improvement.
Figure 3.
Figure 3.
Applications of the Transtheoretical Model to Quality Improvement.
Figure 4.
Figure 4.
Applications of Self Determination Theory to Quality Improvement.
Figure 5.
Figure 5.
Conceptual diagram of the motivational interviewing four tasks and spirit.
Figure 6.
Figure 6.
Agenda Setting/Choosing a Path Strategy.
Figure 7.
Figure 7.
The Four Tasks and Conceptual Links with the GROW Model of Coaching.
See this image and copyright information in PMC

References

    1. Abraham C, Michie S. (2008) A taxonomy of behavior change techniques used in interventions. Health Psychology 27(3): 379–387. - PubMed
    1. Ajzen I. (1991) The theory of planned behavior. Organizational Behavior and Human Decision Processes 50(2): 179–211.
    1. Amrhein PC, Miller WR, Yahne CE, et al. (2003) Client commitment language during motivational interviewing predicts drug use outcomes. Journal of Consulting and Clinical Psychology 71(5): 862–878. - PubMed
    1. Andersson AC, Olheden A. (2012) Patient participation in quality improvement: managers’ opinions of patients as resources. Journal of Clinical Nursing 21(23–24): 3590–3593. - PubMed
    1. Appelbaum SH, Habashy S, Malo J, et al. (2012) Back to the future: revisiting Kotter’s 1996 change model. The Journal of Management Development 31(8): 764–782.