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Who, when, where? Finding local potential for targeting automatic proceses for public health
Jim McManus, OCDS, CPsychol, CSci, AFBPsS ,FFPH, FRSPH
Director of Public Health, Hertfordshire County Council
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Applications in Hertfordshire
Current
• Do something different• Biker Safety training• Fire safety• Smoking cessation• Drug and Alcohol
recovery (adults)
Planned
• Self management in long term conditions
• Thriving Families• Adults with very complex
needs• Chaotic adults with dual
diagnosis who receive s136 place of safety
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CurrentDo something different• Targets people with long
term conditions• Messages by text on
activity• Changes behaviour, not
cognition as way of getting to automatic processes
• Reduces scores on Beck and HD inventories
Biker Safety• Targets young
motorcyclists• Looks at risk and safety• Provides heuristics for
behaviour and choices• Integrated as part of bike
safety work• Results awaited
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Areas which seem to be amenable theoretically, but what about evidence?
• 999 callouts• Diversion from A and E• Coping with acute episodes of breathlessness• Carer stress• Smoking behaviour• Eating behaviour
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Our learning
• Be pragmatic – look at opportunities which may provide best wins, to learn from
• You do need psychological skills (eg Health psychologist)
• Understand the targeting of automatic processes in context of range of interventions (hence ready reckoner below)
• One size does not fit all
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A first step at a ready reckoner for behaviour change tools and methods
A ready reckoner for behaviour change tools and methodsPopulation Level Group Level Individual Level
“Automatic”
processes
“Conscious” processes
“Automatic”
processes
“Conscious” processes
“Automatic”
processes
“Conscious” processes
Choice Architecture
Advertising e.g. change4 lifePolicy which influences behaviour (e.g. smoking ban)
Choice Architecture
Groupwork for behaviourTargeted social marketing
•Choice Architecture
Motivational interviewingBehaviourism approachesBehaviour change support e.g. Health TrainersTargeted social marketing
We still have gaps and weaknesses in science and tools across all of these (i.e. the science is still developing)
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