she would like to start by drawing and imaginary line on the side of the

room and invite ever on the side please raise their hands

that's about thirty percent of the people in this room

there's the same proportion of d each year that heart disease is responsible for

the t zero in the biggest colour

now the interesting thing about heart disease

is that the risk factors for developing hypotheses are associated with that one actions

now if you'd asked me

twelve months ago i do see if you were diagnosed with heart disease would you

change anything about your lifestyle about what you eighteen about how much exercise you get

and i will see well sure

but actually chances a i wouldn't

two years after experiencing have surgery only twenty five percent of patients of actually changed

anything about their lifestyles

so what influences how actions

three things

the first is personal willpower or drive

the second

as the physical environment

in the for the

as the social environment which includes all of our past experiences

now most health interventions focus on personal willpower mainly for education

but actually to be effective we really need to understand how all three influences interact

a good example

as anti smoking campaigns

the numbers of people who smoke really started to drop

when smoking with bandwidth places in bars restaurants and in some public spaces

now there's a push for plain packaging on cigarettes

these emotions as target the social in physical determinants of people's behaviour

my study text along which should know if the graphic approach to understand how these

three influences affect and attunement people's but high especially in relationship to developing risk factors

for heart disease

my study spans up to idea which is important to understand how people's actions change

over time we'll do not change

this the graphic means actually spend time with people in their own environments and their

own homes observing them to the things they do on a data databases

and that's really important

i've chosen that's quite

from a buddhist monk my actions are my only true belongings

because it's out accumulated actions over a period of time that come together to external

we are

i n

to contribute to develop in improved health interventions so we can healthier families communities and

individuals

i and to shift the outline a little bit further the flat move somebody from

that group into the score

the thing is we know actions influence our health

but what influences our actions

thank you