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<div class=Section1>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Hello, dear colleagues –<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>We talk a lot about if OS leads to sustained
change.<span style='mso-spacerun:yes'> </span>As many of you know I also
have a background in health education, and in health ed. (especially in
HIV/AIDS education) we talk a lot about behavior change. <span
style='mso-spacerun:yes'> </span>I thought I’d add into the
conversation a way that human behavior change is looked at by many behavioral
scientists and health educators…<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>- - - - - - - -<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Behavior change theory is a way that we
observe how and why people change (our best guess, anyway, as are all of our
theories) – it is used quite a bit in understanding and designing
community-based health education programs, from stop smoking programs to
injection drug users’ risk reduction (through their own actions) to understanding
peoples’ moving back and forth (less safe, more safe) in actions
regarding safer sex.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>The simple version is that there is a
continuum of change.<span style='mso-spacerun:yes'> </span>We go
backwards and forwards on this continuum (not just forward – gee I
stopped smoking and I never go back to smoking – v-e-r-y rare for most
people) but back and forth as things around us affect us in some way.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Here is the (again, the simple) version of the
Behavior Change Continuum:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Not Ready to Think About It <span
style='mso-spacerun:yes'> </span></span></font><font size=2
face=Wingdings><span style='font-size:10.0pt;font-family:Wingdings;mso-ascii-font-family:
"Trebuchet MS";mso-hansi-font-family:"Trebuchet MS";mso-char-type:symbol;
mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:
Wingdings'>ß</span></span></font><span class=GramE><font size=2
face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>><span
style='mso-spacerun:yes'> </span>Thinking</span></font></span><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>
About It </span></font><font size=2 face=Wingdings><span style='font-size:10.0pt;
font-family:Wingdings;mso-ascii-font-family:"Trebuchet MS";mso-hansi-font-family:
"Trebuchet MS";mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span
style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>ß</span></span></font><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>><span
style='mso-spacerun:yes'> </span>Getting Ready </span></font><font
size=2 face=Wingdings><span style='font-size:10.0pt;font-family:Wingdings;
mso-ascii-font-family:"Trebuchet MS";mso-hansi-font-family:"Trebuchet MS";
mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:
symbol;mso-symbol-font-family:Wingdings'>ß</span></span></font><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>><span
style='mso-spacerun:yes'> </span>Taking Action </span></font><font
size=2 face=Wingdings><span style='font-size:10.0pt;font-family:Wingdings;
mso-ascii-font-family:"Trebuchet MS";mso-hansi-font-family:"Trebuchet MS";
mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:
symbol;mso-symbol-font-family:Wingdings'>ß</span></span></font><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>><span
style='mso-spacerun:yes'> </span>Maintenance<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>We dance back and forth and back and forth
on this continuum. <span style='mso-spacerun:yes'> </span>The things
researchers observe that lead to peoples’ change in the “less risk”
direction (we <span class=SpellE>OSonOSers</span> can also call it ‘healthier
organizations’, perhaps) include experiencing information and knowledge
about their situation, general consciousness-raising, noting how their ‘problem’
affects their environment and/or those around them, assessing their feelings
regarding their (current and next) behavior, commitment or belief in their ability
to change, ongoing reinforcement for more healthful change, social support for
the change, alternatives for less healthy behavior, avoiding high-risk
situations that might toss them back into old patterns, a generally nutritious
environment for positive change (tools at hand, role models in their lives,
ongoing interventions / opportunities for transformation instead of single
one-shot interventions, and the other things mentioned above) and so on.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Think about this in an organizational sense –
what those things would be / how you would design events, communication,
structure and the daily workplace experience in an organization to keep it
moving towards (or staying in the “maintenance” stage of) wellness.<span
style='mso-spacerun:yes'> </span>Or conversely, what would be those
things in their environment / workplace / communication / structure that might
provide barriers to forward, healthful transformation.<span
style='mso-spacerun:yes'> </span>No matter how great the </span></font><st1:City><st1:place><span
class=SpellE><font size=2 face="Trebuchet MS"><span style='font-size:10.0pt;
font-family:"Trebuchet MS"'>OSs</span></font></span></st1:place></st1:City><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>
(or ongoing acupuncture treatments) <span class=GramE>are</span>.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Things that affect slipping back to the left
(less healthful) items on this continuum would include environmental changes such
as loss of income, health, housing, grief, scary or tragic events, hanging out
with people in the old patterns, losing role models and losing (or losing sight
of) those things above that lead to positive behavior.<span
style='mso-spacerun:yes'> </span>Or even *<b><span style='font-weight:
bold'>perceiving</span></b>* the loss of one or more of those things.<span
style='mso-spacerun:yes'> </span><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Now think about what *<b><span
style='font-weight:bold'>those</span></b>* things would be in an organization. <span
style='mso-spacerun:yes'> </span>Lose a visionary leader who was backing
change, lose budget, forget to go to your ongoing wellness appointments (or do
your ongoing Open Space)…Back you slide, picking up that cigarette again or
biting into that big piece of chocolate cake.<span
style='mso-spacerun:yes'> </span>Slipping back into what was more
damaging but also more familiar – easier to do (or let happen to you)
when you’re feeling smaller and overwhelmed.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>One more note is that behavioral scientists
and educators can find ways to measure change but have a very difficult (and
sometimes impossible) time measuring what *<b><span style='font-weight:bold'>caused</span></b>*
the change – because many <span class=SpellE>many</span> factors can
contribute together – which one was the seed?<span
style='mso-spacerun:yes'> </span>Maybe a situation, and a tool, and then
an environmental change, and then a new friend or new supervisor, and then just
one good day feeling well…hard to measure a person’s entire
environment.<span style='mso-spacerun:yes'> </span>So it is interesting
to me when we talk about how to ‘prove’ OS contributed to a change…<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'>Cheers from </span></font><st1:City><st1:place><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>Berkeley</span></font></st1:place></st1:City><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'>,<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal><st1:PersonName><font size=2 face="Trebuchet MS"><span
style='font-size:10.0pt;font-family:"Trebuchet MS"'>Lisa</span></font></st1:PersonName><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS"'><o:p></o:p></span></font></p>
<div>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'>________________________________<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b style='mso-bidi-font-weight:normal'><font size=2
color=blue face="Trebuchet MS"><span style='font-size:11.0pt;font-family:"Trebuchet MS";
color:blue;font-weight:bold;mso-bidi-font-weight:normal;mso-no-proof:yes'>L i s
a<span style='mso-spacerun:yes'> </span>H e f t<o:p></o:p></span></font></b></p>
<p class=MsoNormal><font size=2 color=blue face="Trebuchet MS"><span
style='font-size:11.0pt;font-family:"Trebuchet MS";color:blue;mso-no-proof:
yes'>Consultant, Facilitator, Educator<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face="Trebuchet MS"><span
style='font-size:11.0pt;font-family:"Trebuchet MS";color:blue;mso-no-proof:
yes'>O p e n i n g<span style='mso-spacerun:yes'> </span>S p a c e<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'>2325 </span></font><st1:State><st1:place><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS";
mso-no-proof:yes'>Oregon</span></font></st1:place></st1:State><font size=2
face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS";
mso-no-proof:yes'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place><st1:City><font size=2 face="Trebuchet MS"><span
style='font-size:10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'>Berkeley</span></font></st1:City><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS";
mso-no-proof:yes'>, </span></font><st1:State><font size=2 face="Trebuchet MS"><span
style='font-size:10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'>California</span></font></st1:State></st1:place><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS";
mso-no-proof:yes'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'>94705-1106<span
style='mso-spacerun:yes'> </span></span></font><st1:country-region><st1:place><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS";
mso-no-proof:yes'>USA</span></font></st1:place></st1:country-region><font
size=2 face="Trebuchet MS"><span style='font-size:10.0pt;font-family:"Trebuchet MS";
mso-no-proof:yes'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'>+01 510 548-8449<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'><a
href="mailto:lisaheft@openingspace.net"><font color=black><span
style='color:black'>lisaheft@openingspace.net</span></font></a></span></font><span
style='mso-no-proof:yes'><o:p></o:p></span></p>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS";mso-no-proof:yes'><a
href="http://www.openingspace.net"><font color=black><span style='color:black'>www.openingspace.net</span></font></a>
<o:p></o:p></span></font></p>
</div>
<p class=MsoNormal><font size=2 face="Trebuchet MS"><span style='font-size:
10.0pt;font-family:"Trebuchet MS"'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
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