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National Institute for Health and Care Excellence. (2014) Behaviour change: individual approaches. London: NICE. ph49.

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External website: https://www.nice.org.uk/guidance/ph49

This guidance makes recommendations on individual-level behaviour change interventions aimed at changing the behaviours that can damage people's health. It includes a range of approaches for people aged 16 and over, from single interventions delivered as the opportunity arises to planned, high intensity interventions that may take place over a number of sessions.

The guidance aims to help tackle a range of behaviours including alcohol misuse, poor eating patterns, lack of physical activity, unsafe sexual behaviour and smoking. These behaviours are linked to health problems and chronic diseases (such as cardiovascular disease, type 2 diabetes and cancer). This means interventions that help people change have considerable potential for improving health and wellbeing. This includes helping them to:
• improve their diet and become more physically active
• lose weight if they are overweight or obese
• stop smoking
• reduce their alcohol intake
• practice safe sex to prevent unwanted pregnancies and a range of infectious diseases such as HIV and chlamydia.

• Recommendation 1 Develop a local behaviour change policy and strategy - p.7
• Recommendation 2 Ensure organisation policies, strategies, resources and training all support behaviour change. - p.8
• Recommendation 3 Commission interventions from services willing to share intervention details and data - p.9
• Recommendation 4 Commission high quality, effective behaviour change interventions - p.10
• Recommendation 5 Plan behaviour change interventions and programmes taking local needs into account - p. 11
• Recommendation 6 Develop acceptable, practical and sustainable behaviour change interventions and programmes - p. 12
• Recommendation 7 Use proven behaviour change techniques when designing interventions - p. 13
• Recommendation 8 Ensure interventions meet individual needs. - p. 14
• Recommendation 9 Deliver very brief, brief, extended brief and high intensity behaviour change interventions and programmes - p. 16
• Recommendation 10 Ensure behaviour change is maintained for at least a year - p.. 17
• Recommendation 11 Commission training for all staff involved in helping to change people's behaviour - p. 17
• Recommendation 12 Provide training for behaviour change practitioners - p. 19
• Recommendation 13 Provide training for health and social care practitioners - p.. 20
• Recommendation 14 Assess behaviour change practitioners and provide feedback. - p. 21
• Recommendation 15 Monitor behaviour change interventions - p. 22
• Recommendation 16 Evaluate behaviour change interventions - p. 22
• Recommendation 17 National support for behaviour change interventions and programmes - p. 23

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