Page 22 - Zero for nine: Reducing alcohol use during pregnancy via health counselling and Internet-based computer-tailored feedback

Chapter 1
to become motivated to change their behaviour. In this phase, attitudes, social influence perceptions and self-efficacy expectations are important. For instance, people who perceive social support from important others may be more motivated to change their prenatal alcohol use. Finally, in the post-motivational phase, people need to translate intentions into actions. For example, pregnant women are more successful to reduce their prenatal alcohol use when they have formulated preparatory action plans. In order to achieve behaviour change, all of these pre- motivational, motivational and post-motivational determinants differentiated by the I-Change Model are addressed in this dissertation.
Information Factors
Personal Factors Information Factors Message Factors
Channel Factors Source Factors
Figure 1.1 The I-Change Model 2.1
Cues Knowledge Risk Perception
Attitude Social Support Self-Efficacy
Self-Efficacy Action Plans Skills Barriers
Awareness
Motivation (Intention)
Behavior
Preceding Factors
Behavior Factors
Biological Factors Psychological Factors Social-Environmental Factors
The strategies of the interventions to reduce prenatal alcohol use
The two interventions described in this dissertation differed from each other in what kind of strategy was applied to change the targeted health behaviour.
Health Counselling (HC) is a strategy that has often been used for brief alcohol interventions. HC is a therapy provided by a health professional
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