Of the many that exist, the most prevalent are learning theoriessocial cognitive theorytheories of reasoned action and planned behaviourtranstheoretical model of behavior change, the health action process approach and the BJ Fogg model of behavior change. Research has also been conducted regarding specific elements of these theories, especially elements like self-efficacy that are common to several of the theories. Self-efficacy is thought to be predictive of the amount of effort an individual will expend in initiating and maintaining a behavioural change, so although self-efficacy is not a behavioural change theory per se, it is an important element of many of the theories, including the health belief modelthe theory of planned behaviour and the health action process approach.
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This article has been cited by other articles in PMC. Abstract Researchers have begun to apply cognitive neuroscience concepts and methods to study behavior change mechanisms in alcohol use disorder AUD treatments.
This review begins with an examination of the current state of treatment mechanisms research using clinical and social psychological approaches.
It then summarizes what is currently understood about the pathophysiology of addiction from a cognitive neuroscience perspective.
Finally, it reviews recent efforts to use cognitive neuroscience approaches to understand the neural mechanisms of behavior change in AUD, including studies that use neural functioning to predict relapse and abstinence; studies examining neural mechanisms that operate in current evidence-based behavioral interventions for AUD; as well as research on novel behavioral interventions that are being derived from our emerging understanding of the neural and cognitive mechanisms of behavior change in AUD.
The article highlights how the regulation of sub-cortical regions involved in alcohol incentive motivation by prefrontal cortical regions involved in cognitive control may be a core mechanism that plays a role in these varied forms of behavior change in AUD.
We also lay out a multilevel framework for integrating cognitive neuroscience approaches with more traditional methods for examining AUD treatment mechanisms. Alcohol use, abuse, and dependence; alcohol use disorder; neuroscience; cognitive neuroscience; brain; cognition; neural mechanisms; pathophysiology; behavior change; behavioral intervention; relapse; abstinence; treatment Understanding the mechanisms that underlie recovery from alcohol use disorder AUD is critical to advancing AUD treatment science Huebner and Tonigan ; National Institute on Alcohol Abuse and Alcoholism [NIAAA] Scientific progress over the last three decades has led to the development of a number of effective behavioral and pharmacological AUD interventions Dutra et al.
However, even evidence-based treatments are only modestly effective. For example, reported rates of nonresponse to treatment interventions in major AUD treatment studies have ranged from 30 percent to 85 percent Anton ; Johnson et al. There is a general consensus that improving AUD behavioral intervention outcomes requires an understanding of the mechanisms that underlie behavior change in effective treatments Magill and Longabaugh ; Morgenstern and McKay Thus, building a strong foundation for AUD treatment science includes answering the question of how, not just whether, a treatment is effective Kazdin To date, research on the mechanisms of effective AUD treatments that underlie behavior change have made limited progress, suggesting the need for major revisions in the theory and methods used for this work.
Cognitive neuroscience may provide the tools for those revisions. Indeed, the pathophysiological processes that maintain AUD, such as craving, relapse, and withdrawal, are increasingly being understood in terms of the functioning of specific neural systems.
As such, any psychosocial treatment for AUD that effectively changes behavior must interact at some level with these processes and, therefore, must influence these same neural systems. This article will review what cognitive neuroscience can tell us about the neural bases of AUD and the mechanisms by which psychosocial treatments may function to elicit behavior change in AUD patients.
This research largely represents an extension of assumptions and methods used to test treatment efficacy Kazdin and Nock ; Morgenstern and McKay ; Wampold It has tested the treatment theories that guide evidence-based treatments using a set of mediation analysis procedures embedded within a clinical trials framework Nock Stated succinctly, treatment theories postulate that the treatments work via some unique ingredient, often referred to as a specific effect—that is not present in other treatments Morgenstern and McKay Unfortunately, reviews of this literature generally conclude that there is limited support for most AUD treatment theories Apodaca and Longabaugh ; Morgenstern and McKay ; Longabaugh et al.
Indeed, most effective evidence-based AUD behavioral interventions yield equivalent outcomes even among subgroups where one would expect to find a difference. Even in instances where tests do not involve comparing treatments, it has often been difficult to establish seemingly straightforward links between treatment mediators and outcome.
For example, Kelly and colleagues examined whether changes in peer networks mediated improved outcomes in step treatment for young adults.Understanding Behavior is a national professional organization of providers that specializes in individuals with developmental disabilities.
Understanding Behavior provides behavior services throughout the . As many of the families we work with are subject to relocation, Understanding Behavior is continually developing services in new locations.
If we are not currently providing services in your area, please contact us and tell us about your support needs.
Understanding behavior change for women experiencing intimate partner violence: Mapping the ups and downs using the stages of change Author links open overlay panel Judy C. Chang a Diane Dado b Susan Ashton c Lynn Hawker d Patricia A. Cluss e Raquel Buranosky f Sarah Hudson Scholle g.
Understanding behavior to understand behavior change: a literature review. Joe E. Heimlich The Ohio State University and the Institute for Learning Innovation, Columbus, US Correspondence [email protected] & Nicole M. Ardoin School of Education and Woods Institute for the Environment, Stanford University, Palo Alto, US.
behavior is best done with an understanding of behavior change theories and an ability to use them in practice (, p. 19). the goal of this Gravitas, therefore, is to introduce three major theories of behav-. Personal behavior influences one's health.
1, 2 Many people can improve their health by managing their chronic condition or engaging in health promotion behaviors. Persons with chronic conditions improve their health by managing specific health behaviors, a process that requires behavior change.
Understanding the Determinants of Behavior Change. end of the dialogues, both groups commit to specific actions they will take to improve relationships. Based on their understanding of key behavioral determinants, the project developed IPC and training materials, radio to inform clients of their rights, songs, community outreach, and. Whereas models of behavior are more diagnostic and geared towards understanding the psychological factors that explain or predict a specific behavior, theories of change are more process-oriented and generally aimed at changing a given behavior. As many of the families we work with are subject to relocation, Understanding Behavior is continually developing services in new locations. If we are not currently providing services in your area, please contact us and tell us about your support needs.