When the equivalent of prophylactic practice was recommended for a sample of US Senior Medical Officers on preventive care actions, there was less than 10% adherence rate. This is among the lowest adherence figures in the literature.

All these data indicate that HCPs as well as non-medical persons have considerable difficulties changing behaviour. It is important therefore, that careful adherence to principles of behaviour change be followed if behaviour change efforts are to be effective in medical practice.

The problem is, as these studies suggest, most of you will not follow my recommendations for behaviour change practice yourselves, for exactly the same reasons!!!!