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SDT is concerned with the "why" of behavioural regulation and, in particular, centres on the degree to which people's motivation toward behavioural engagement and behaviour change (such as increasing levels of physical activity) is self-determined or controlled by external factors or internalised contingencies (such as guilt).
These constructs, or similar ones [ 15], are also central to several other social psychological theories of behaviour change, such as the Information, Motivation, Behavioural skills Model [ 45], the AIDS Risk Reduction Model [ 46] and the Theory of Planned Behaviour [ 47], although the theories differ in how they represent the causal relationships between these constructs.
HIV incidence may peak naturally when HIV spreads in a previously uninfected population.[3] The timing and level of the peak will be related to dynamics of spread which may be mediated by behaviour change such as reductions in casual partnerships or increased condom use.[4] Few longitudinal studies of HIV infection exist from sub-Saharan Africa, so empirical estimates of incidence are scare.
42 43 Indicators of behaviour change, such as self-reported medication adherence, were ambiguous.
Enabling factors are those that help facilitate behaviour change such as availability of resources.
The aims of the studies in our exploratory review were generally focused on behaviour change, such as HIV disclosure or HIV testing, rather than information provision.
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It has also been demonstrated that PAI-1 can induce cell behaviour changes, such as proliferation of cancer cells, indirectly through cell signalling pathways [ 44].
Furthermore, competitions have also been used to encourage behaviour changes, such as weight loss (for example [ 23]) and seatbelt usage among teenagers (for example [ 24]).
Patient financial incentives ("PFIs") have been used for a range of intended health behaviour changes [ 3, 4] and there is some evidence of effect in simple behaviour changes such as attending a meeting.
These biological outcomes, however, cannot be used to infer the relative importance of STI treatment seeking behaviour versus other behaviour changes, such as increased condom use or reducing riskiness of partners.
Moreover, cancer incidence would be preventable through lifestyle choice and behaviour changes such as stopping smoking, reducing alcohol consumption, eating a balanced diet, engaging in physical activity, and reducing BMI [ 1, 5, 6].
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