What does that mean?

Overall, unconfident fatalists feel fairly negative about things, and don’t feel good about themselves. A significant proportion feel depressed.

They feel that a healthy lifestyle would not be easy or in their control. Generally, they don’t feel in control of their health anyway. They are quite fatalistic about health and think that they are more likely than other people of the same age to get ill.

Their current lifestyles are not that healthy, and their health isn’t currently as good as it could be. They know their health is bad, and that they should do something about it, but they are demotivated.

Profile

  • Segment with an older average age
  • Tend to live in most deprived areas
  • Least likely to be in paid work
  • More likely to be retired

Behaviours

  • Exhibit the most negative health behaviours
  • Hold negative perceptions of a healthy lifestyle
  • Often fatalistic about their own health

21% of adults who took this survey are Unconfident Fatalists, this compares to a predicted 18% of the general population.

For healthcare clinicians

Approach

Present change as worthwhile. Support/handhold, take small steps and tackle mental health issues.

Personal interventions

Behaviour change supporting a private one-to-one environment. Packaged support sensitive to needs: psychological interventions, e.g. IAPT (Improving Access to Psychological Therapies) Programme, then introduced to lifestyle. Structured single-issue programmes. Free health checks.

Format – multiple or single-issue approach

Co-ordinated approach to multiple issues, but considering each issue in a staged approach. Each single issue should then be delivered in a structured format.

Community/ environmental interventions

Lack of desire/ motivation to utilise.

Facilities

Lack of desire to utilise facilities.

Communications

NHS branding. Peer testimonials by others who can demonstrate how ‘people like us can change’ (Risk message must be supported by intervention offer)

Engagement

Face-to-face engagement through known/trusted channels.

Service utilisation and satisfaction

Heavy utilisation (but least satisfied service users). Highest levels of ill health/lifestyle illnesses.

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