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      The INHERIT Model: A Tool to Jointly Improve Health, Environmental Sustainability and Health Equity through Behavior and Lifestyle Change


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          The need for analysis and action across the interrelated domains of human behaviors and lifestyles, environmental sustainability, health and inequality is increasingly apparent. Currently, these areas are often not considered in conjunction when developing policies or interventions, introducing the potential for suboptimal or conflicting outcomes. The INHERIT model has been developed within the EU-funded project INHERIT as a tool to guide thinking and intersectoral action towards changing the behaviors and lifestyles that play such an important role in today’s multidisciplinary challenges. The model integrates ecological public health and behavioral change models, emphasizing inequalities and those parts of the causal process that are influenced by human behaviors and lifestyles. The model was developed through web-based and live discussions with experts and policy stakeholders. To test the model’s usability, the model was applied to aspects of food consumption. This paper shows that the INHERIT model can serve as a tool to identify opportunities for change in important −food-related behaviors and lifestyles and to examine how they impact on health, health inequalities, and the environment in Europe and beyond. The INHERIT model helps clarify these interrelated domains, creating new opportunities to improve environmental health and health inequality, while taking our planetary boundaries into consideration.

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          The behaviour change wheel: A new method for characterising and designing behaviour change interventions

          Background Improving the design and implementation of evidence-based practice depends on successful behaviour change interventions. This requires an appropriate method for characterising interventions and linking them to an analysis of the targeted behaviour. There exists a plethora of frameworks of behaviour change interventions, but it is not clear how well they serve this purpose. This paper evaluates these frameworks, and develops and evaluates a new framework aimed at overcoming their limitations. Methods A systematic search of electronic databases and consultation with behaviour change experts were used to identify frameworks of behaviour change interventions. These were evaluated according to three criteria: comprehensiveness, coherence, and a clear link to an overarching model of behaviour. A new framework was developed to meet these criteria. The reliability with which it could be applied was examined in two domains of behaviour change: tobacco control and obesity. Results Nineteen frameworks were identified covering nine intervention functions and seven policy categories that could enable those interventions. None of the frameworks reviewed covered the full range of intervention functions or policies, and only a minority met the criteria of coherence or linkage to a model of behaviour. At the centre of a proposed new framework is a 'behaviour system' involving three essential conditions: capability, opportunity, and motivation (what we term the 'COM-B system'). This forms the hub of a 'behaviour change wheel' (BCW) around which are positioned the nine intervention functions aimed at addressing deficits in one or more of these conditions; around this are placed seven categories of policy that could enable those interventions to occur. The BCW was used reliably to characterise interventions within the English Department of Health's 2010 tobacco control strategy and the National Institute of Health and Clinical Excellence's guidance on reducing obesity. Conclusions Interventions and policies to change behaviour can be usefully characterised by means of a BCW comprising: a 'behaviour system' at the hub, encircled by intervention functions and then by policy categories. Research is needed to establish how far the BCW can lead to more efficient design of effective interventions.
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            Encouraging pro-environmental behaviour: An integrative review and research agenda

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              Mind the Gap: Why do people act environmentally and what are the barriers to pro-environmental behavior?


                Author and article information

                Int J Environ Res Public Health
                Int J Environ Res Public Health
                International Journal of Environmental Research and Public Health
                07 July 2018
                July 2018
                : 15
                : 7
                : 1435
                [1 ]National Institute for Public Health and the Environment (RIVM), Centre for Sustainability, Environment and Health, 3720 BA Bilthoven, The Netherlands; brigit.staatsen@ 123456rivm.nl (B.S.); hanneke.kruize@ 123456rivm.nl (H.K.)
                [2 ]Tilburg School of Social and Behavioral Sciences, University of Tilburg, 5000 Tilburg, The Netherlands; a.j.schuit@ 123456uvt.nl
                [3 ]European Centre for Environment and Human Health, University of Exeter Medical School, Truro TR1 3HD, UK; geomorris55@ 123456hotmail.co.uk (G.M.); timothy.j.taylor@ 123456exeter.ac.uk (T.T.)
                [4 ]EuroHealthNet, 1040 Brussels, Belgium; c.costongs@ 123456eurohealthnet.eu
                [5 ]Institute of Health Equity, UCL, London WC1E 7HB, UK; r.bell@ 123456ucl.ac.uk
                [6 ]Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, 1649-026 Lisboa, Portugal; sibila.marques@ 123456iscte-iul.pt
                [7 ]Department of Economics, Universidad de Alcalá, 28801 Alcalá, Spain; sonia.quiroga@ 123456uah.es (S.Q.); pablo.martinezj@ 123456uah.es (P.M.J.)
                [8 ]Charles University, Environment Centre (CUNI), 162 00 Prague, Czech Republic; vojtech.maca@ 123456czp.cuni.cz (V.M.); milan.scasny@ 123456czp.cuni.cz (M.Š.); iva.zverinova@ 123456czp.cuni.cz (I.Z.)
                [9 ]The Institute of Public Health of the Republic of Macedonia (IJZRM), 1000 Skopje, Macedonia; ftozija@ 123456t.mk (F.T.); dgjorgjev@ 123456gmail.com (D.G.)
                [10 ]NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, 7030 Trondheim, Norway; geir.arild.espnes@ 123456ntnu.no
                Author notes
                [* ]Correspondence: nina.van.der.vliet@ 123456rivm.nl ; Tel.: +31-615-082-380
                Author information
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                : 09 May 2018
                : 24 June 2018

                Public health
                integrated models,environmental health,behavior,behavioral change,equality,sustainability,food


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