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

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 t...

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Main Authors: Antje Maria Schöps, Timothy Charles Skinner, Christina Fogtmann Fosgerau
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1070006/full
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author Antje Maria Schöps
Timothy Charles Skinner
Timothy Charles Skinner
Timothy Charles Skinner
Christina Fogtmann Fosgerau
author_facet Antje Maria Schöps
Timothy Charles Skinner
Timothy Charles Skinner
Timothy Charles Skinner
Christina Fogtmann Fosgerau
author_sort Antje Maria Schöps
collection DOAJ
description 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.
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spelling doaj.art-b55a4cf4528343a98ac74f68354eb90f2023-06-05T12:39:54ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-06-011410.3389/fpsyg.2023.10700061070006Time to move beyond monological perspectives in health behavior change communication research and practiceAntje Maria Schöps0Timothy Charles Skinner1Timothy Charles Skinner2Timothy Charles Skinner3Christina Fogtmann Fosgerau4Department of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen, DenmarkDepartment of Psychology, University of Copenhagen, Copenhagen, DenmarkDepartment of Psychology, La Trobe University, Bendigo, VIC, AustraliaCentre for Behavioural Research in Diabetes, Melbourne, VIC, AustraliaDepartment of Nordic Studies and Linguistics, University of Copenhagen, Copenhagen, DenmarkChronic 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.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1070006/fullhealth behaviorbehavior changecommunicationhealth carelanguage
spellingShingle Antje Maria Schöps
Timothy Charles Skinner
Timothy Charles Skinner
Timothy Charles Skinner
Christina Fogtmann Fosgerau
Time to move beyond monological perspectives in health behavior change communication research and practice
Frontiers in Psychology
health behavior
behavior change
communication
health care
language
title Time to move beyond monological perspectives in health behavior change communication research and practice
title_full Time to move beyond monological perspectives in health behavior change communication research and practice
title_fullStr Time to move beyond monological perspectives in health behavior change communication research and practice
title_full_unstemmed Time to move beyond monological perspectives in health behavior change communication research and practice
title_short Time to move beyond monological perspectives in health behavior change communication research and practice
title_sort time to move beyond monological perspectives in health behavior change communication research and practice
topic health behavior
behavior change
communication
health care
language
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1070006/full
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