Medicine: Mind the Gap is a seminar series that explores issues at the intersection of research, evidence, and clinical practice—areas in which conventional wisdom may be contradicted by recent evidence. From the role of advocacy organizations in medical research and policy, to off-label drug use, to the effectiveness of continuing medical education, the seminar series will aim to engage the National Institutes of Health community in thought-provoking discussions to challenge what we think we know and to think critically about our role in today’s research environment.
Dr. Susan Michie
Professor of Health Psychology
Director, The Centre for Behaviour Change
University College London
Co-Director, UK's National Centre for Smoking Cessation and Training
March 7, 2016
11:00 a.m. – 12:00 noon Eastern Time
Registration although not required, is encouraged for planning purposes.
*This seminar will be presented as a webinar.
Interventions to change behaviour have great potential to improve health and well-being. Despite some notable successes, interventions continue to have variable and modest effects, and we do not make maximum use of research evidence. We need better answers to "The Big Question": What interventions are effective in changing what behaviours, for whom, in what circumstances, and how? This will be helped by more systematic, reliable, and shared frameworks for (i) specifying intervention details and (ii) organising, and thus efficiently accumulating, research evidence.
This presentation will describe a method for specifying the "active ingredients" of interventions. Such a method allows data pooling to identify effective component techniques. It will also present a systematic method for developing interventions, linking a "behavioural diagnosis" of the behaviour that needs to be changed with general strategies and specific techniques.
Finally, the presentation will introduce work building on this method to create an "ontology" of behaviour change interventions that links interventions (content and delivery), usage (extent and type), context (target population, other behaviours, setting), mechanisms of action (modifiable factors mediating behaviour change), and behavioural outcomes. To this end, we are currently developing taxonomies of modes of delivery, mechanisms of action, and behaviours.
(Please see Dr. Michie's article in the journal Health Technology Assessment entitled Behaviour Change Techniques: The Development and Evaluation of a Taxonomic Method for Reporting and Describing Behaviour Change Interventions (A Suite of Five Studies Involving Consensus Methods, Randomised Controlled Trials and Analysis Of Qualitative Data , as well as her book The Behavior Change Wheel ).
Susan Michie, BA, MPhil, DPhil, CPsychol, AcSS, FEHPsS, FBPsS, is Professor of Health Psychology, Director of the Centre for Behaviour Change at University College London, and Co-Director of UK's National Centre for Smoking Cessation and Training.
She studied Experimental Psychology and completed a DPhil in Developmental Psychology at Oxford University and clinical psychology training at the Institute of Psychiatry, London University. She is a chartered clinical and health psychologist, and Fellow of the Academy of Social Sciences, the European Health Psychology Society (EHPS), and the British Psychological Society (BPS). She is Past President of the EHPS and Past Chair of the BPS's Division of Health Psychology. She is a National Institute for Health Research Senior Investigator and leads part of UK's School for Public Health Research. Current editorial responsibilities include Associate Editor of Annals of Behavioral Medicine and of Implementation Science.
Susan Michie's research focuses on behaviour change in relation to health: how to understand it theoretically and apply theory to intervention development, evaluation, and implementation, and to evidence synthesis. Her research investigating innovative methods for developing, evaluating, and implementing behavioural interventions is conducted in two main health domains: professional practice (e.g., the implementation of evidence-based guidelines), and risk factors amongst the general population.
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