Pathways to Change: Game and Moderator's Handbook

Pathways to Change is a multipurpose tool designed to support health behaviour change. Employed by Pathfinder International, it responds to the need for behaviour change interventions to go beyond provision of information or instruction by actively engaging people in the identification of factors that encourage and discourage change for them and their communities.

According to Pathfinder International, this game can be used in several ways. Groups of community health workers and peer educators can play Pathways to Change to gain a better understanding of the complex process of behaviour change, thereby contributing to improved work with the populations they serve. Used in another way, members of a particular population can play the game to identify what makes it easier or harder for them to adopt and maintain healthy behaviours themselves, and can stimulate thinking about individual and group actions to support behaviour change. The game can also work as a method of informal qualitative data collection when programme implementers need to better understand reasons for current behaviours. Finally, the game can be used to create realistic fictional stories about behaviour change that can be shared with a wider audience to promote discussion and reflection.

The game and Moderator's Handbook have been produced in English and French. In addition, a Ugandan version of the game was also developed which has a glossary of key terms with translations in Acholi, Lango, Iteso, Lukonzo, Luganda, and Swahili.