# Social and Behavioural Change [[08-03-2024]] - Discouraging "bad" behaviour, encouraging "good" behaviour - *?What is "Bad" behaviour in my context? Not to be "Paternalistic" to tell patients what is "good". It does not align with our values. Patient-centred Approach* - *Can we encourage more [[Positive Psychology Index]] concepts and ideas?* - Invention needs to be simple. There is limited bandwidth in cognition. # 1. Behavioral Mapping ## Patient journey map **Mirco-steps in between** ![[Screenshot 2024-03-08 at 9.15.13 AM.png]]- Question to asking: Where do they look for info What they feel. Who they trust. ![[Screenshot 2024-03-08 at 9.16.18 AM.png]] **From there, create Problem (and Opportunity) statements** ![[Screenshot 2024-03-08 at 9.18.02 AM.png]] The clearer the problem statements, the more targeted the interventions can be # 2. Solution Developing ![[Screenshot 2024-03-08 at 9.43.00 AM.png]] *?How to evaluate and know that the intended outcome has been reached? (Intent-effect)* **"Quick and Dirty" Evaluations** - Observations -- see actual behavioural change. - e.g. count the number of tissues, and sweet wrappers found on the floor - *?In my context, how do we evaluate the effect after interventions? Mood, insights, knowledge, rates of using medication?* **Supersetting** ![[Screenshot 2024-03-08 at 9.50.09 AM.png]] ![[Screenshot 2024-03-08 at 9.51.04 AM.png]] - Reinforcement of messaging in different locations that people frequent in the community. - *If I want to increase mental well-being, that message should be consistent everywhere. (In the social-ecological map)* --- **My reflection.** My knowledge and experience in SBC are limited, as I reflect on my work as a case manager. *Communication(Listening skills) /Rapport/Therapeutic Alliance*—When working with patients, I try to understand their values, fears, and hopes. I try to understand what they are hoping for and what they are worrying about and work with those beliefs and ideas. There is a very intrinsic motivation for change that I aim to tap into. My proposed interventions need to be aligned with the patient's goal. Social context is also an important factor to consider when working with patients. This includes the behavioural circularity with their social context and family, as well as any constraints that they may be facing. There are supportive and perpetuating factors that can affect a patient's well-being. For example, a supportive school teacher can be a positive influence, while living in a one-room rental and experiencing low socio-economic status can be stressful and constraining. On reflection, patients become more aware of the forces within and around them. **Social-Ecological Map** ^a76ca6  ^ba4145 - External systems can affect the support of individual ---- "**Outside-In or/and Inside-Out**" - Outside In - Extrinsic motivation - Can motivate behavior, nudging, and vouchers. - Nudging - like social media UIUX design that triggers dopamine hits. - But can change persist without external rewards? - But how to reduce the friction.. - Inside In - Intrinsic Motivation - Fulfilling value, needs, and habits. - Can have longer change - BOTH **Environmental psychology** - color, music. priming etc. - the fly in the urinal. **Nudge theory** ---- I am thinking of - Minority Influence -social psychology concept. - **Challenging the majority:** Minority influence occurs when a small group or individual (the minority) manages to sway the beliefs or behaviours of the larger group (the majority). - **Not just compliance, but conversion:** It's a subtle but powerful process. Unlike majority influence, which often results in superficial conformity, minority influence aims to create a genuine, internal shift in the majority's opinions. - minority views tend to be adopted when they exert **informative influence**: the unusual nature or novelty of the minority’s argument means that other members of a group pay close attention to it. They consider the argument based on its merits, rather than to comply with **group norms** Need to: - **Consistency:** The minority must maintain a clear, unwavering message. Any sign of inconsistency or doubt weakens their position. - **Commitment:** The minority has to display a strong commitment to their viewpoints, sometimes even demonstrating self-sacrifice. This signals conviction and can cause the majority to reevaluate their stance. - **Flexibility:** While consistent in their core beliefs, the minority needs to show some flexibility in negotiating and adapting arguments. Rigidness can backfire.