Time to move beyond monological perspectives in health behavior change communication research and practice

Frontiers in Psychology

Psychology

Christina Fogtmann Fosgerau¹  Antje Maria Schöps¹  Timothy Charles Skinner² 

[1] Department of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen, Denmark;Department of Psychology, University of Copenhagen, Copenhagen, Denmark;Department of Psychology, La Trobe University, Bendigo, VIC, Australia;Centre for Behavioural Research in Diabetes, Melbourne, VIC, Australia;

关键词: health behavior;    behavior change;    communication;    health care;    language;   

DOI  :  10.3389/fpsyg.2023.1070006

 received in 2022-10-14, accepted in 2023-03-06,  发布年份 2023

来源: Frontiers

【 摘 要 】

Chronic disease self-management and health behavior change programs are becoming increasingly important to health service delivery to prevent the development of chronic disease and optimize health outcomes for those who suffer from it. To train people to deliver these programs effectively, we need to understand both the what and how of program delivery. While there is an abundant literature on what, and a merging evidence about what techniques to use, such as goals setting and self-monitoring, the literature on how programs should be delivered is less well developed. This paper reviews emerging research in this area and identifies an underlying monological approach. We argue that this currently dominant model cannot address the key issues in this area. By considering the theoretical framework of Dialogism, we introduce the method of Conversation Analysis to the field of behavior change interventions. Extensive research into health communication has endeavored to show the importance of language and the organization of interactions. We demonstrate and discuss how a monological approach to interventions prevents exploration of what professionals do to deliver intervention content. In doing so, we show that techniques do not account for how successfully an intervention is delivered.

【 授权许可】

Unknown   
Copyright © 2023 Schöps, Skinner and Fosgerau.