scholarly journals The application of psychological theory to nutrition behaviour change

2009 ◽  
Vol 68 (2) ◽  
pp. 205-209 ◽  
Author(s):  
M. Barker ◽  
J. A. Swift
Keyword(s):  
Behaviour Change ◽  
Health Behaviour ◽  
Eating Behaviour ◽  
Health Behaviours ◽  
Psychological Theory ◽  
Theory And Practice ◽  
Behaviour Change Techniques ◽  
Attitudes And Beliefs ◽  
Psychological Determinants ◽  
Integrated Research

Changing individuals' health behaviour seems to be the key to solving many of the world's health problems. Although there is a multitude of potential influences, many interventions to improve health seek to change intrinsic psychological determinants of health behaviour. To date, most attention has been paid to cognitions, such as attitudes and beliefs, and a number of social cognition models (SCM) are in current use. SCM all describe cognitions as determinants of behaviour, thereby implying that changes in cognitions will lead to changes in behaviour. Although SCM are widely used to predict a range of health behaviours, they are associated with a number of important limitations, including poor levels of predictive power, particularly in relation to eating behaviour, and limited guidance about the operationalisation of theoretical constructs. These limitations may explain why very few interventions to change behaviour are explicitly theory-based, despite the widely-held view that having a clear theoretical underpinning will improve effectiveness. Ultimately, advances in understanding and changing health behaviour will come about only if psychological theory and practice are integrated. The recently-published taxonomy of behaviour-change techniques used in interventions is a good example of integrated research, but more work of this type is essential and will require respectful collaboration between researchers and practitioners working from a range of different disciplines such as health psychology, public health nutrition and health promotion.

Family medicine physicians’ confidence and perceived effectiveness in delivering health behaviour change interventions

2020 ◽  
Vol 37 (4) ◽  
pp. 493-498
Author(s):  
Michelle D Sherman ◽  
Stephanie A Hooker
Keyword(s):  
Family Medicine ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Health Behaviours ◽  
Well Being ◽  
Behaviour Change Techniques ◽  
Evidence Based ◽  
Perceived Effectiveness ◽  
Behaviour Change Interventions ◽  
Health Behaviour Change

Abstract Background Approximately 40% of deaths in the USA are attributable to modifiable health behaviours. Despite clear recommendations and practice guidelines, primary care physicians (PCPs) generally do not dedicate much time to addressing health behaviours, thereby missing opportunities to improve patient well-being. Objective(s) To examine what health behaviour change techniques PCPs use with their patients, including frequency of use, confidence in and perceived effectiveness of those interventions. Methods Using a cross-sectional study design, family medicine resident and faculty physicians (n = 68) from three residency training programs completed an anonymous online survey. Questions explored their use of, confidence in and perceived effectiveness of health behaviour change interventions for six domains: physical activity, healthy eating, medication adherence, smoking cessation, sleep and alcohol reduction. Qualitative responses to open-ended questions were double coded by two independent raters. PCPs’ open-ended responses to questions regarding specific intervention techniques were coded using an evidence-based behaviour change taxonomy. Results Although PCPs indicated that they address health behaviour topics quite frequently with their patients, they reported only moderate confidence and low-to-moderate perceived effectiveness with their interventions. The most frequently cited technique was providing instruction (telling patients what to do). PCPs reported lowest frequency of addressing, lowest confidence and lowest effectiveness regarding helping patients decrease their use of alcohol. Insufficient time and perceived low patient motivation were commonly cited barriers. Conclusion These findings highlight the need for the development and evaluation of educational curricula to teach physicians brief, evidence-based approaches to helping patients make these changes in their health-related behaviours.

scholarly journals The Promotion of Eating Behaviour Change through Digital Interventions

2020 ◽  
Vol 17 (20) ◽  
pp. 7488
Author(s):  
Yang Chen ◽  
Federico J. A. Perez-Cueto ◽  
Agnès Giboreau ◽  
Ioannis Mavridis ◽  
Heather Hartwell
Keyword(s):  
Chronic Disease ◽  
Behaviour Change ◽  
Behavioural Change ◽  
Eating Behaviour ◽  
Dietary Behaviour ◽  
Cochrane Library ◽  
Personal Digital Assistants ◽  
Behaviour Change Techniques ◽  
Digital Interventions ◽  
Dietary Behaviour Change

Diet-related chronic disease is a global health epidemic giving rise to a high incidence of morbidity and mortality. With the rise of the digital revolution, there has been increased interest in using digital technology for eating behavioural change as a mean of diet-related chronic disease prevention. However, evidence on digital dietary behaviour change is relatively scarce. To address this problem, this review considers the digital interventions currently being used in dietary behaviour change studies. A literature search was conducted in databases like PubMed, Cochrane Library, CINAHL, Medline, and PsycInfo. Among 119 articles screened, 15 were selected for the study as they met all the inclusion criteria according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) search strategy. Four primary digital intervention methods were noted: use of personal digital assistants, use of the internet as an educational tool, use of video games and use of mobile phone applications. The efficiency of all the interventions increased when coupled with tailored feedback and counselling. It was established that the scalable and sustainable properties of digital interventions have the potential to bring about adequate changes in the eating behaviour of individuals. Further research should concentrate on the appropriate personalisation of the interventions, according to the requirements of the individuals, and proper integration of behaviour change techniques to motivate long-term adherence.

scholarly journals The impact of nature-based interventions on public health: a review using pathways, mechanisms and behaviour change techniques from environmental social science and health behaviour change

2021 ◽  
Vol 9s7 ◽  
pp. 33-61
Author(s):  
Stephanie Wilkie ◽  
Nicola Davinson
Keyword(s):  
Public Health ◽  
Social Science ◽  
Health Outcomes ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Behaviour Change Techniques ◽  
Change Models ◽  
Health Behaviour Change ◽  
The Impact ◽  
Environmental Social Science

The aim of this narrative review is to explore whether nature-based interventions improved individual public health outcomes and health behaviours, using a conceptual framework that included pathways and pathway domains, mechanisms, and behaviour change techniques derived from environmental social science theory and health behaviour change models. A two-stage scoping methodology was used to identified studies published between 2000 and 2021. Peer reviewed, English-language reports of nature-based interventions with adults (N = 9) were included if the study met the definition of a health�behaviour change intervention and reported at least one measured physical/mental health outcome. Interventions focused on the restoring or building capacities pathway domains as part of the nature contact/experience pathway; varied health behaviour change mechanisms and techniques were present but environmental social-science-derived mechanisms to influence health outcomes were used less. Practical recommendations for future interventions include explicit statement of the targeted level of causation, as well as utilisation of both environmental social science and health behaviour change theories and varied public health outcomes to allow simultaneously testing of theoretical predictions.

scholarly journals Systematic Review on the Effect of Training Interventions to Improve the Skills of Health Professionals in Promoting Health Behaviour Change, with Meta-Analysis of Behavioural Outcomes.

2020 ◽  
Author(s):  
Tom G Hatfield ◽  
Thomas Michael Withers ◽  
Colin J Greaves
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Healthcare Professional ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Meta Analysis ◽  
Health Behaviours ◽  
Health Behaviour Change ◽  
Patient Health

Abstract Background We aimed to identify, synthesise and evaluate randomised control trial evidence on the effects of healthcare professional training on the delivery quality of health behaviour change interventions and, subsequently, on patient health behaviours.Methods Systematic review with narrative synthesis of effects on delivery quality and meta-analysis of health behaviour outcomes. We searched: Medline, EMBASE, PsychInfo, AMED, CINAHL Plus and the Cochrane Central Register of Control Trials up to March 2019. Studies were included if they were in English and included intervention delivery quality as an outcome. The systematic review was registered on PROSPERO (registration: CRD42019124502).Results Twelve-studies were identified as suitable for inclusion. All studies were judged as being high risk of bias with respect to training quality outcomes. However with respect to behavioural outcomes, only two of the six studies included in the meta-analysis had a high risk and four had some concerns. Educational elements (e.g. presentations) were used in all studies and nine included additional practical learning tasks. In eight studies reporting delivery quality, 54% of healthcare professional communication outcomes and 55% of content delivery outcomes improved in the intervention arm compared to controls. Training that included both educational and practical elements tended to be more effective. Meta-analysis of patient health behavioural outcomes in six-studies found significant improvements (Standardised mean difference (SMD): 0.20, 95% confidence interval: 0.11 to 0.28, P<0.0001, I 2 = 0%). No significant difference was found between short (≤6-months) and long-term (>6-months) outcomes (SMD: 0.25 vs 0.15; P=0.31).Conclusions Delivery quality of health behaviour change interventions appears to improve following training and consequently to improve health behaviours. Future studies should develop more concise /integrated measures of delivery quality and develop optimal methods of training delivery.

Gamification as Upper Limb Rehabilitation Process

2021 ◽  
pp. 243-257
Author(s):  
Vitor Simões-Silva ◽  
Ana Filipa Duarte Mesquita ◽  
Karla Lígia Santos Da Silva ◽  
Vanessa Solange Arouca Quental ◽  
António Marques
Keyword(s):  
Behaviour Change ◽  
Health Behaviour ◽  
Positive Impact ◽  
Health Behaviours ◽  
Well Being ◽  
User Participation ◽  
World Health ◽  
Upper Limb Rehabilitation ◽  
Health Behaviour Change ◽  
Limb Rehabilitation

In our modern life world, health and well-being strongly depend on the individual's health behaviours. Motivation is a major factor of health behaviour change, and intrinsically motivated behaviour change is desirable as it is both sustained and directly contributes to well-being. This raises the immediate question what kind of interventions are best positioned to intrinsically motivate health behaviour change. The current state of evidence supports that gamification can have a positive impact in health and wellbeing. In recent years, games and game technology have been used quite widely to investigate if they can help make rehabilitation more engaging for users. The underlying hypothesis is that the motivating qualities of games may be harnessed and embedded into a game-based rehabilitation system to improve the quality of user participation.

scholarly journals SUSTAINING BEHAVIOUR CHANGE THROUGH IMMERSIVE TECHNOLOGIES: TRENDS, PERSPECTIVES, AND APPROACHES

2021 ◽  
Vol 1 ◽  
pp. 2891-2900
Author(s):  
Maximilian Wittmann ◽  
Philip Cash ◽  
Milton Mariani ◽  
Anja Maier ◽  
John Paulin Hansen
Keyword(s):  
Behaviour Change ◽  
Game Design ◽  
Design Theory ◽  
Research Question ◽  
Human Robot Interaction ◽  
Theory And Practice ◽  
Behaviour Change Techniques ◽  
Surrounding Areas ◽  
Immersive Technologies

AbstractLong-term behaviour changes are critical to answering societal and individual challenges surrounding areas such as sustainability and health. Current understanding of how to bring about sustained behaviour is focused on the identification of Behaviour Change Techniques (BCTs) without explicit guidance on how these should be matched with technological solutions. Based on this gap we set out to answer the research question: What is the relationship between BCTs and interactive immersive technologies with respect to long-term, sustainable behaviour? To this end, we report a literature review on technology trends in the fields of human computer interaction, human robot interaction, and game design. Based on this review we develop three main contributions with implications for design theory and practice. First, we propose a number of characteristics and mechanisms in emerging immersive technologies. Second, we highlight technological pathways connected to specific BCT clusters likely to be disrupted: technology as a conveyor of information, an augmenter of feedback, and as an embodiment of empathy. Third, we explore these connections between BCT clusters and the actual technological interventions.

scholarly journals Digital technology to support lifestyle and health behaviour changes in surgical patients: systematic review

BJS Open ◽  
2020 ◽  
Vol 5 (2) ◽  
Author(s):  
A Robinson ◽  
A K Husband ◽  
R D Slight ◽  
S P Slight
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Digital Technology ◽  
Elective Surgery ◽  
Digital Technologies ◽  
Health Behaviours ◽  
Surgical Patients ◽  
Long Term Conditions

Abstract Background Digital technologies (such as smartphone applications, activity trackers, and e-learning platforms) have supported patients with long-term conditions to change their lifestyle health behaviours. The aim of this study was to examine the effectiveness of digital technologies in supporting patients undergoing elective surgery to change their health behaviours. Methods A systematic review was conducted of articles reporting a digital intervention supporting behaviour change in adult patients who underwent elective bariatric, oncological or orthopaedic surgery. MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, and Scopus were searched from inception to March 2019 for quantitative intervention studies with a specific focus on physical activity, dietary intake, and weight loss in patients before and after surgery (PROSPERO: CRD42019127972). The Joanna Briggs Institute critical appraisal checklist was used to assess study quality. Results Of 3021 citations screened, 17 studies were included comprising 4923 surgical patients; these included experimental (pre–post design, feasibility studies, and RCTs) and observational studies. Three factors were identified as effective for supporting health behaviour change in elective surgical populations: digital technology delivery, implementation, and theoretical underpinning. Six of eight studies that referred to behaviour change theories observed significant improvements in health behaviour relating to reduced weight regain, and improved lifestyle choices for physical activity and diet. Meta-analysis was not possible because of heterogeneous outcome measures. Conclusion Digital technologies may effectively support behavioural change in patients undergoing elective surgery.

scholarly journals Understanding behaviour change to promote regular dental attendance

2021 ◽  
Vol 10 (3) ◽  
pp. 55-61
Author(s):  
Jessica Holloway
Keyword(s):  
Oral Health ◽  
Behaviour Change ◽  
Systematic Approach ◽  
Health Behaviours ◽  
Behaviour Change Techniques ◽  
Behaviour Change Intervention ◽  
Behaviour Change Interventions ◽  
Dental Attendance ◽  
Behaviour Change Wheel ◽  
Oral Health Behaviours

Regular dental attendance is a key oral health behaviour. Behaviour change interventions are increasingly being used to promote positive oral health behaviours. A systematic approach to understanding behaviour has led to the development of frameworks which aim to guide the process of designing behaviour change interventions. One such framework is the Behaviour Change Wheel (BCW). This article aims to explore and identify barriers to regular dental attendance which may be targeted using behaviour change interventions based on the Capability, Opportunity and Motivation Behaviour model (COM-B) and the BCW, and suggests potential behaviour change techniques which could be utilised into a behaviour change intervention with the aim to promote regular dental attendance.

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