0:00:05she would like to start by drawing and imaginary line on the side of the
0:00:08room and invite ever on the side please raise their hands
0:00:13that's about thirty percent of the people in this room
0:00:16there's the same proportion of d each year that heart disease is responsible for
0:00:21the t zero in the biggest colour
0:00:24now the interesting thing about heart disease
0:00:27is that the risk factors for developing hypotheses are associated with that one actions
0:00:34now if you'd asked me
0:00:35twelve months ago i do see if you were diagnosed with heart disease would you
0:00:39change anything about your lifestyle about what you eighteen about how much exercise you get
0:00:44and i will see well sure
0:00:46but actually chances a i wouldn't
0:00:50two years after experiencing have surgery only twenty five percent of patients of actually changed
0:00:56anything about their lifestyles
0:00:58so what influences how actions
0:01:01three things
0:01:03the first is personal willpower or drive
0:01:07the second
0:01:08as the physical environment
0:01:11in the for the
0:01:12as the social environment which includes all of our past experiences
0:01:17now most health interventions focus on personal willpower mainly for education
0:01:23but actually to be effective we really need to understand how all three influences interact
0:01:29a good example
0:01:31as anti smoking campaigns
0:01:33the numbers of people who smoke really started to drop
0:01:37when smoking with bandwidth places in bars restaurants and in some public spaces
0:01:42now there's a push for plain packaging on cigarettes
0:01:46these emotions as target the social in physical determinants of people's behaviour
0:01:52my study text along which should know if the graphic approach to understand how these
0:01:57three influences affect and attunement people's but high especially in relationship to developing risk factors
0:02:04for heart disease
0:02:06my study spans up to idea which is important to understand how people's actions change
0:02:11over time we'll do not change
0:02:15this the graphic means actually spend time with people in their own environments and their
0:02:19own homes observing them to the things they do on a data databases
0:02:23and that's really important
0:02:25i've chosen that's quite
0:02:27from a buddhist monk my actions are my only true belongings
0:02:32because it's out accumulated actions over a period of time that come together to external
0:02:36we are
0:02:38i n
0:02:39to contribute to develop in improved health interventions so we can healthier families communities and
0:02:46individuals
0:02:47i and to shift the outline a little bit further the flat move somebody from
0:02:50that group into the score
0:02:52the thing is we know actions influence our health
0:02:56but what influences our actions
0:02:58thank you