pqcnc learning session keynote: creating sustainable change using the six sources of influence

8/11/2019 PQCNC Learning Session Keynote: Creating Sustainable Change Using the Six Sources of Influence

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Creating Sustainable Change

Using the Six Sources of Influence

Alison Stuebe, FACOG, MD, MSc

[email protected]


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Why do we do the things we do?

What changes behavior?


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Conventional wisdom

Behavior change

If we give people

information, they will do

the right thing


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Social Cognitive Theory

Can I do

it?

Is it worth

it?

Bandura A (2004). "Health promotion by social cognitive means."

Health Education & Behavior31(2): 143-64.

Albert

Bandura


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MOTIVATION ABILITY

P

ERSONAL

Make the

Undesirable

Desirable

Surpass

Your Limits

SOCIAL

Harness

Peer Pressure

Find Strength

in Numbers

ST

RUCTURAL

Design

Rewards and

Demand

Accountability

Change the

Environment

Can I

do it?

Is it

worth

it?


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MOTIVATION

PERSONAL

Make the

Undesirable

Desirable

Intrinsic Satisfaction

Help people to extract intrinsic satisfaction fromthe right behavior or feel displeasure with the

wrong behavior

Try it immerse people in the activity

Focus on a sense of accomplishment Reconnect the vital behavior to a persons sense

of values

Fight moral disengagement

Help resistant people discover linksbetween vital behaviors and their

own values


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If we are willing to dismiss ourprejudices, listen to these parents,

and truly attempt to partner with

them in the care of their child, I

believe we can dramaticallyimprove the care we deliver NAS

infants.


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Focus on a sense of accomplishment


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ABILITY

PERSONAL

Surpass

Your Limits

Personal ability

Devote attention to clear, specific andrepeatable actions

Insist on feedback

Break tasks into discrete actions and practice in

a low-risk environment Build in recovery strategiestell the right stories

about setbacks

Regain emotional control


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Insist on Feedback


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Break tasks into discrete actions


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Practice in a low-risk environment


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Build in recovery strategiestell the

right stories about setbacks


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Build in recovery strategiestell the

right stories about setbacks

Despite QI efforts, there will be CABSI events

Framing these events as opportunities to learn and

improve reduces the change that setbacks are evidence of

futility


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MOTIVATION

SOCIAL

Harness

Peer Pressure

Harness peer pressure

Respected and connected people can exertenormous influence

Identify and work with opinion leaders

Make it safe to talk about high stakes,

controversial topics Create a new social network to support the

behavior


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Identify and work with opinion leaders


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controversial topics


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controversial topics


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Create a new social network to support the behavior


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ABILITY

SOCIAL

Find Strength

in Numbers

Find strength in numbers

Build social capital Include those who are creating the problem in

solving the problem

Turn disablers into enablers

Create and support teams Ensure solidarity


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Turn disablers into enablers


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Create and support teams


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Create and support teams


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Reward Good Behavior


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Celebrate wins


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ABILITY

STRUCTURAL

Change the

Environment

Structural ability

Look for the influence of things Clues from the environment profoundly influence

behavior

Make the invisible visible

Pay attention to physical space Create opportunities for informal contact and

communication

Make the behavior unavoidable


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Clues from the environment

profoundly influence behavior

Standardized order sets for screening and treatment

NAS

MOP

Educational materials Written at appropriate reading level

Easily accessed in routine clinical care

Professionally produced


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Create opportunities for informal

contact and communication

Breastfeeding at The Beach

weekly team meeting


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MOTIVATION ABILITY

PERSONAL

Make the

Undesirable

Desirable

Surpass

Your Limits

SOCIAL

Harness

Peer Pressure

Find Strength

in Numbers

STRUCTURAL

Design

Rewards and

Demand

Accountability

Change the

Environment

Can I

do it?

Is it

worth

it?


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Over-determine Vital Behaviors
http://www.youtube.com/watch?v=osUwukXSd0k&list=PL114AB9079C66B3C9&index=40&feature=plpp_video


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Are you maximizing your influence?


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