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Behavior Change - Tools and Approaches
Doer/Non-doer Tool for Program Planning
 
This formative research tool helps program planners design a "process model" of their intervention. The tool simplifies more complex behavioral-science research methodologies to help identify the factors most influential in bringing about adoption of a particular behavior. The methodology draws on the basic premise that in order to change behavior, it is necessary to understand why people behave the way they do. An "elicitation survey" includes six open-ended questions that explore the range of determinants for a specific behavior. Analysis focuses on the ways in which "doers" of the behavior are different from "non-doers," in order to identify the key factors associated with its adoption.
 

Program managers can use the results in a number of ways:

  • developing or modifying existing activities to address the key factors that affect preventive behaviors;
  • designing messages that are relevant to an audience;
  • preparing counseling sessions to address key factors; and
  • training staff to understand some of the issues around behavior change for the various people they serve.
 
This methodology was first developed as part of a national program to prevent the sexual transmission of HIV among young Americans. Results were used to guide the development of national prevention activities geared towards heterosexual, white and African Americans, 18-25 years old. Surveys based on this approach have since been conducted in both U.S. and international settings, focusing on a number of health behaviors.
 

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CHANGE Themes

Adolescent Reproductive Health
Applying an assets-based approach to identify protective factors for at-risk adolescents

Child Health
Formative research on reducing exposure to indoor pollution; development of tools for families to improve child health; application of an integrated approach to improving child health and nutrition

Communications Capacity Building
Defining a competencies based approach to strengthen communications capacity; implementing a competencies approach in Peru

HIV/AIDS
Behavior change to reduce and prevent HIV/AIDS; Raising awareness and promoting practical actions to challenge HIV/AIDS stigma; and establishment of peer and counseling networks

Immunization
Research on barriers to immunization; improving implementation; and evaluation of community surveillance

Infectious Disease
Strategies to contain drug resistance, dengue prevention and control; integrated disease surveillance research

Maternal Health
Using a behavior change approach to improve access to skilled care; developing a framework and tools to increase the use of skilled care during delivery and post-partum

Polio
Development of a community surveillance kit; lessons from polio communications programs; and guides and checklists for routine immunization and disease surveillance

 
   
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