scholarly journals Readiness to use physical activity as a smoking cessation aid: A multiple behaviour change application of the Transtheoretical Model among quitters attending Stop Smoking Clinics

2010 ◽  
Vol 79 (2) ◽  
pp. 156-159 ◽  
Author(s):  
Emma S. Everson-Hock ◽  
Adrian H. Taylor ◽  
Michael Ussher
Keyword(s):  
Physical Activity ◽  
Smoking Cessation ◽  
Behaviour Change ◽  
Transtheoretical Model ◽  
Stop Smoking

scholarly journals Perioperative digital behaviour change interventions for reducing alcohol consumption, improving dietary intake, increasing physical activity and smoking cessation: a scoping review

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Katarina Åsberg ◽  
Marcus Bendtsen
Keyword(s):  
Physical Activity ◽  
Smoking Cessation ◽  
Behaviour Change ◽  
Scoping Review ◽  
Text Messaging ◽  
Text Message ◽  
Feasibility Studies ◽  
Small Sample ◽  
Small Sample Sizes ◽  
Randomised Controlled

Abstract Background Evidence suggests that unhealthy lifestyle behaviours are modifiable risk factors for postoperative complications. Digital behaviour change interventions (DBCIs), for instance text messaging programs and smartphone apps, have shown promise in achieving lifestyle behaviour change in a wide range of clinical populations, and it may therefore be possible to reduce postoperative complications by supporting behaviour change perioperatively using digital interventions. This scoping review was conducted in order to identify existing research done in the area of perioperative DBCIs for reducing alcohol consumption, improving dietary intake, increasing physical activity and smoking cessation. Main text This scoping review included eleven studies covering a range of surgeries: bariatric, orthopaedic, cancer, transplantation and elective surgery. The studies were both randomised controlled trials and feasibility studies and investigated a diverse set of interventions: one game, three smartphone apps, one web-based program and five text message interventions. Feasibility studies reported user acceptability and satisfaction with the behaviour change support. Engagement data showed participation rates ranged from 40 to 90%, with more participants being actively engaged early in the intervention period. In conclusion, the only full-scale randomised controlled trial (RCT), text messaging ahead of bariatric surgery did not reveal any benefits with respect to adherence to preoperative exercise advice when compared to a control group. Two of the pilot studies, one text message intervention, one game, indicated change in a positive direction with respect to alcohol and tobacco outcomes, but between group comparisons were not done due to small sample sizes. The third pilot-study, a smartphone app, found between group changes for physical activity and alcohol, but not with respect to smoking cessation outcomes. Conclusion This review found high participant satisfaction, but shows recruitment and timing-delivery issues, as well as low retention to interventions post-surgery. Small sample sizes and the use of a variety of feasibility outcome measures prevent the synthesis of results and makes generalisation difficult. Future research should focus on defining standardised outcome measures, enhancing patient engagement and improving adherence to behaviour change prior to scheduled surgery.

scholarly journals Insights Into Physical Activity Adoption in Diabetes Patients: When Cultural Materialism Met the Transtheoretical Model

2021 ◽  
Author(s):  
Guillem Jabardo-Camprubí ◽  
Judit Bort-Roig ◽  
Rafel Donat-Roca ◽  
Montserrat Martín-Horcajo ◽  
Anna Puig-Ribera ◽  
...  
Keyword(s):  
Physical Activity ◽  
Behaviour Change ◽  
Transtheoretical Model ◽  
Cultural Context ◽  
Real Life ◽  
Social Psychological ◽  
Structured Interviews ◽  
Cultural Materialism ◽  
Social Structural ◽  
Changes Over Time

Abstract Background Although physical activity (PA) is a key behaviour for preventing and controlling diabetes (T2DM), low adoption-adherence continues to impair patient progress. Importantly, for many patients, intentional PA may have never been central to their wider cultural context. Therefore, progress in behaviour change may be more about collective than individual processes. The aim of this study was to identify barriers to undertake and maintain PA overtime and describe the relationship and the influence between these barriers in T2D patients’ real-life. Methods Twenty-two T2D patients contributed either to focus groups (n = 5) or to semi-structured interviews (n = 4). We explored adoption-adherence using an established behaviour change model (Transtheoretical) and an anthropological research method (Cultural Materialism) throughout a qualitative analysis. Results Findings suggested patients responded to PA promoted through medicalised services, using two basic, yet inter-related, social processes. To consider adopting PA a Basic Social Psychological Process was used. In contrast, patients willing to sustain PA focused on prominent ‘infrastructural’ barriers, using a Basic Social Structural Process. Conclusion This interpretation simplifies in two processes the change of behaviour related to PA. At the same time, defines the barriers’ relationship between the different levels and the influence that each level has in patients’ real-life. These insights support using phased, ecological frameworks to design and promote PA to patients with T2D, so they maintain changes over time.

scholarly journals A Qualitative Perspective on Multiple Health Behaviour Change: Views of Smoking Cessation Advisors Who Promote Physical Activity

2010 ◽  
Vol 5 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Emma S. Everson-Hock ◽  
Adrian H. Taylor ◽  
Michael Ussher ◽  
Guy Faulkner
Keyword(s):  
Physical Activity ◽  
Smoking Cessation ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Structured Interviews ◽  
Health Behaviour Change ◽  
Quitting Smoking ◽  
Qualitative Data Analysis Software ◽  
Behaviour Changes ◽  
Multiple Health

AbstractThere are mixed views on whether smoking cessation advisors should focus only on quitting smoking or also promote simultaneous health behaviour changes (e.g., diet, physical activity), but no studies have qualitatively examined the views and vicarious experiences of such health professionals. Semi-structured interviews were conducted with 11 trained smoking cessation advisors who promote physical activity to their clients. The data were categorised into themes using thematic analysis supported by qualitative data analysis software. We report themes that were related to why advisors promote multiple health behaviour change and issues in timing. Physical activity could be promoted as a cessation aid and also as part of a holistic lifestyle change consistent with a nonsmoker identity, thereby increasing feelings of control and addressing fear of weight gain. Multiple changes were promoted pre-quit, simultaneously and post-quit, and advisors asserted that it is important to focus on the needs and capabilities of individual clients when deciding how to time multiple changes. Also, suggesting that PA was a useful and easily performed cessation aid rather than a new behaviour (i.e., structured exercise that may seem irrelevant) may help some clients to avoid a sense of overload.

scholarly journals Creating Standardized Tools for the Pharmacist-Led Assessment and Pharmacologic Management of Adult Canadians Wishing to Quit Smoking: A Consensus-Based Approach

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 80
Author(s):  
Kristi Butt ◽  
Nardine Nakhla
Keyword(s):  
Smoking Cessation ◽  
Assessment Tool ◽  
Treatment Plan ◽  
Treatment Algorithm ◽  
Vital Role ◽  
Patient Assessment ◽  
Stop Smoking ◽  
Patient Consent ◽  
Pharmacologic Management ◽  
Documentation Form

Tobacco use continues to be recognized as the single most preventable cause of death worldwide. As the gatekeepers of and experts on pharmacotherapy, pharmacists play a vital role in facilitating smoking cessation. While existing frameworks have enabled pharmacists to provide smoking cessation services in Canada for many years, the way in which they are delivered vary considerably across the nation. The purpose of this initiative was to create standardized tools for the pharmacists providing cessation services to ensure all Canadians wishing to stop smoking have equal access to consistent, evidence-based care. An iterative process using repeated rounds of voting was employed to establish consensus among key opinion leaders on the most important items to include in tools for the pharmacist-led assessment and pharmacologic management of Canadian adults wishing to stop smoking. The results were used to create eight standardized documents for national use by pharmacists: a readiness to quit assessment tool, a patient consent form, a patient assessment form for past users of tobacco and/or tobacco-like products, a patient assessment form for current users of tobacco and/or tobacco-like products, a treatment algorithm, a treatment plan summary form, a prescribing documentation form, and a follow-up & monitoring documentation form. Although not described in detail in these documents, other strategies for smoking cessation (e.g., non-pharmacologic strategies (including quitting “cold turkey” and behavioural interventions), harm reduction strategies, etc.) should be considered when pharmacotherapy is inappropriate or undesired; care should be individualized based on a patient’s previous experiences and current motivation. No single approach to treatment is endorsed by the authors. The consensus-based approach described here provides a suggested framework for harmonizing the pharmacist-led management of other ailments to optimize patient care.

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