scholarly journals Undergraduate UK nutrition education might not adequately address weight management

2015 ◽  
Vol 19 (2) ◽  
pp. 371-381 ◽  
Author(s):  
David Rogerson ◽  
Hora Soltani ◽  
Robert Copeland
Keyword(s):  
Social Support ◽  
Weight Management ◽  
Nutrition Education ◽  
Behaviour Change ◽  
Weight Maintenance ◽  
Core Competency ◽  
Behaviour Change Techniques ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Psychological Constructs

AbstractObjectiveWeight management appears to be multidimensional and complex, and registered nutritionists might work to educate, promote and provide weight-management services to communities, groups and individuals. However, nutrition education might not adequately reflect the weight-management requirements of individuals and groups. The aim of the present study was to investigate if the Association for Nutrition’s undergraduate core competency framework for accredited Nutrition degrees sufficiently reflects the weight-management needs and experiences of individuals.DesignA qualitative investigation, conducted within critical realist ontology, was performed to understand the weight-management experiences of dieters and compare these with the Association for Nutrition’s accreditation criteria for undergraduate Nutrition degrees.SettingFramework analysis was used to identify and explain participants’ experiences thematically and to compare these with the Association for Nutrition’s core competency criteria.SubjectsParticipants (n 8) with weight-loss (n 4) and weight-maintenance experiences (n 4) were interviewed using semi-structured interviews to understand weight management at the agential level.ResultsParticipants described knowledge, exercise, planning, psychological constructs and behaviour-change techniques, determinants of eating and social support as features of weight management. The competency criteria provided clear guidance on all aspects discussed by the group, apart from psychological constructs and behaviour-change techniques and social support.ConclusionsAccredited Nutrition courses might not fully reflect the weight-management needs and experiences of individuals. Nutritionists might require greater knowledge of psychology and behaviour change to better understand and accommodate their clients’ weight-management needs.

scholarly journals Breaking barriers: using the Behavior Change Wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time

2019 ◽  
Author(s):  
Samson O Ojo ◽  
Daniel P. Bailey ◽  
Marsha L. Brierley ◽  
David J. Hewson ◽  
Angel M. Chater
Keyword(s):  
Behaviour Change ◽  
Theoretical Domains Framework ◽  
Office Workers ◽  
Sitting Time ◽  
Mental Wellbeing ◽  
Behaviour Change Techniques ◽  
Tailored Intervention ◽  
Structured Interviews ◽  
Behaviour Change Technique ◽  
Break Up

Abstract Background: The workplace is a prominent domain for excessive sitting. The consequences of increased sitting time include adverse health outcomes such as cardiovascular disease and poor mental wellbeing. There is evidence that breaking up sitting could improve health, however, any such intervention in the workplace would need to be informed by a theoretical evidence-based framework. The aim of this study was to use the Behaviour Change Wheel (BCW) to develop a tailored intervention to break up and reduce workplace sitting in desk-based workers. Methods: The BCW guide was followed for this qualitative, pre-intervention development study. Semi-structured interviews were conducted with 25 office workers (26-59 years, mean age 40.9 [SD=10.8] years; 68% female) who were purposively recruited from local council offices and a university in the East of England region. The interview questions were developed using the Theoretical Domains Framework (TDF). Transcripts were deductively analysed using the COM-B (Capability, Opportunity, Motivation – Behaviour) model of behaviour. The Behaviour Change Technique Taxonomy Version 1 (BCTv1) was thereafter used to identify possible strategies that could be used to facilitate change in sitting behaviour of office workers in a future intervention. Results: Qualitative analysis using COM-B identified that participants felt that they had the physical Capability to break up their sitting time, however, some lacked the psychological Capability in relation to the knowledge of both guidelines for sitting time and the consequences of excess sitting. Social and physical Opportunity was identified as important, such as a supportive organisational culture (social) and the need for environmental resources (physical). Reflective and automatic Motivation was highlighted as a core target for intervention. Seven intervention functions and three policy categories from the BCW were identified as relevant. Finally, 39 behaviour change techniques (BCTs) were identified as potential active components for an intervention to break up sitting time in the workplace. Conclusions: The TDF, COM-B model and BCW can be successfully applied through a systematic process to understand the drivers of behaviour of office workers to develop a co-created intervention that can be used to break up and decrease prolonged sitting in the workplace.

scholarly journals Breaking barriers: using the Behavior Change Wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time

2019 ◽  
Author(s):  
Samson O Ojo ◽  
Daniel P. Bailey ◽  
Marsha L. Brierley ◽  
David J. Hewson ◽  
Angel M. Chater
Keyword(s):  
Behaviour Change ◽  
Theoretical Domains Framework ◽  
Office Workers ◽  
Sitting Time ◽  
Mental Wellbeing ◽  
Behaviour Change Techniques ◽  
Tailored Intervention ◽  
Structured Interviews ◽  
Behaviour Change Technique ◽  
Break Up

Abstract Background: The workplace is a prominent domain for excessive sitting. The consequences of increased sitting time include adverse health outcomes such as cardiovascular disease and poor mental wellbeing. There is evidence that breaking up sitting could improve health, however, any such intervention in the workplace would need to be informed by a theoretical evidence-based framework. The aim of this study was to use the Behaviour Change Wheel (BCW) to develop a tailored intervention to break up and reduce workplace sitting in desk-based workers. Methods: The BCW guide was followed for this qualitative, pre-intervention development study. Semi-structured interviews were conducted with 25 office workers (26-59 years, mean age 40.9 [SD=10.8] years; 68% female) who were purposively recruited from local council offices and a university in the East of England region. The interview questions were developed using the Theoretical Domains Framework (TDF). Transcripts were deductively analysed using the COM-B (Capability, Opportunity, Motivation – Behaviour) model of behaviour. The Behaviour Change Technique Taxonomy Version 1 (BCTv1) was thereafter used to identify possible strategies that could be used to facilitate change in sitting behaviour of office workers in a future intervention. Results: Qualitative analysis using COM-B identified that participants felt that they had the physical Capability to break up their sitting time, however, some lacked the psychological Capability in relation to the knowledge of both guidelines for sitting time and the consequences of excess sitting. Social and physical Opportunity was identified as important, such as a supportive organisational culture (social) and the need for environmental resources (physical). Reflective and automatic Motivation was highlighted as a core target for intervention. Seven intervention functions and three policy categories from the BCW were identified as relevant. Finally, 39 behaviour change techniques (BCTs) were identified as potential active components for an intervention to break up sitting time in the workplace. Conclusions: The TDF, COM-B model and BCW can be successfully applied through a systematic process to understand the drivers of behaviour of office workers to develop a co-created intervention that can be used to break up and decrease prolonged sitting in the workplace.

Volition and motivations influence on weight maintenance

2019 ◽  
Vol 119 (2) ◽  
pp. 115-132
Author(s):  
Peter Elsborg ◽  
Johan Bundgaard Nielsen ◽  
Gertrud Ursula Pfister ◽  
Vivian Dümer ◽  
Anette Jacobsen ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Weight Maintenance ◽  
Self Regulation ◽  
Intervention Development ◽  
Autonomous Motivation ◽  
Structured Interviews ◽  
Content Type ◽  
Psychological Constructs ◽  
Obesity Interventions

Purpose The purpose of this paper is to explore how the psychological constructs volition and motivation influence successful and unsuccessful weight maintainers’ experiences during the difficult period following an intensive lifestyle intervention. Design/methodology/approach Post lifestyle intervention semi-structured interviews with 11 successful and four unsuccessful weight maintainers were conducted. Findings The eight themes that emerged and the differences between successful and unsuccessful maintainers were theoretically explained applying the self-determination theory (motivation) and the personal systems interaction (volition). Practical implications The study validates and coheres with previous findings on the importance of self-regulation and autonomous motivation for weight loss maintenance. Additionally, the study’s findings expand the literature by explaining both empirically and theoretically how the quality of motivation concerning an activity influences the level of volitional intensity needed when wanting to either engage in goal oriented or refrain from goal opposing activities. Originality/value Developing effective obesity interventions has become essential, as obesity is a growing health threat in most countries in the world. However, there is a gap in the literature with regards to qualitative psychological studies with a clear theoretical framework informing intervention development.

scholarly journals What features of a nutrition resource are important to adolescents of a low socioeconomic status?

2020 ◽  
Vol 23 (10) ◽  
pp. 1716-1725
Author(s):  
HC Scott ◽  
C Craddock ◽  
LCA Craig
Keyword(s):  
Social Media ◽  
Socioeconomic Status ◽  
Behaviour Change ◽  
Low Socioeconomic Status ◽  
Dietary Behaviour ◽  
Socioeconomic Background ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Low Socioeconomic ◽  
North East

AbstractObjective:To identify the key features of a nutrition resource that are important to adolescents of a low socioeconomic status (SES).Design:Structured interviews were conducted to explore participants’ preferences relating to the features of a nutrition resource. Thematic framework analysis was used to determine key themes, subthemes and concepts from the data.Setting:Streetsport activity sessions, north-east of Scotland.Participants:Eighteen adolescents aged 12–17 years from a low socioeconomic background.Results:The overarching themes identified were barriers and facilitators to engagement with a nutrition resource. Adolescents expressed a preference for an app, and this was mainly attributed to convenience and low cost. There was also an emphasis on the integral role social media has in their lives. Aesthetics was a facilitator for both male and female participants, with a particular focus on weight loss. Behaviour change support, including reminders, access to simple recipes and adopting a ‘small change approach’, were identified as possible facilitators, whereas cost, environmental influences, and existing eating habits were identified as possible barriers to engaging with a nutrition resource.Conclusions:A number of subthemes, including aesthetics, cost and convenience, which have previously been reported in adolescents with a higher SES, were prominent in our research. The present study contributes to insights relating to behaviour change tools that should be considered when developing a nutrition resource targeting disadvantaged adolescents. Further research focusing on how mobile phone technology and social media can be utilised to support dietary behaviour change in low SES adolescents is recommended.

scholarly journals Using the behaviour change technique taxonomy v1 (BCTTv1) to identify the active ingredients of pharmacist interventions to improve non-hospitalised patient health outcomes

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036500
Author(s):  
Claire Scott ◽  
Mícheál de Barra ◽  
Marie Johnston ◽  
Marijn de Bruin ◽  
Neil Scott ◽  
...  
Keyword(s):  
Social Support ◽  
Behaviour Change ◽  
Secondary Outcome ◽  
Behaviour Change Techniques ◽  
Secondary Outcome Measure ◽  
Control Groups ◽  
Data Set ◽  
Pharmacist Interventions ◽  
Hospitalised Patient ◽  
And Control

ObjectivesThe aim of this study was to identify which behaviour change techniques (BCTs) were present in intervention and control groups of randomised controlled trials (RCTs) included in a Cochrane systematic review.SettingThe RCTs included were conducted in community, primary and/or ambulatory-care settings.ParticipantsThe data set was derived from 86 RCTs from an interim update of the Cochrane review of the effectiveness of pharmacist services on non-hospitalised patient outcomes.Primary and secondary outcome measuresThe primary outcome was the identification of BCTs scheduled for delivery in intervention and control groups of the RCTs. The secondary outcome measure was to identify which BCTs are not being utilised in intervention and control groups of the RCTs.ResultsThe intervention and control groups included 31 and 12 BCTs, respectively. The number of identifiable BCTs/study ranged from 0 to 12 in the intervention groups (mean 3.01 (SD 2.4)) and 0 to 6 in the control groups (mean 0.38 (SD 0.84)). The most commonly identified BCTs in the intervention groups were: instruction on how to perform the behaviour (55%, n=47) (also the most common BCT in control groups); problem solving (29%, n=25); information about health consequences (24%, n=21); social support (practical) (24%, n=21); and social support (unspecified) (23%, n=20) (the second most common BCT in control groups). Thirteen trials had no identifiable BCTs in either group.ConclusionThe pharmacist interventions presented in this study did not use the full range of available BCTs. Furthermore, the reporting of BCTs was incomplete for both intervention and control groups, thereby limiting the utility and reproducibility of the interventions. Future interventions should be designed and reported using relevant taxonomies and checklists for example, BCT taxonomy and TIDieR (the template for intervention description and replication).

scholarly journals Group-Based Nutrition Interventions to Promote Health and Mobility in Community-Dwelling Older Adults: A Systematic Review

2021 ◽  
Author(s):  
Kylie Teggart ◽  
Rebecca Ganann ◽  
Davneet Sihota ◽  
Caroline Moore ◽  
Heather Keller ◽  
...  
Keyword(s):  
Older Adults ◽  
Nutrition Education ◽  
Behaviour Change ◽  
Food Access ◽  
Critical Appraisal ◽  
Risk Of Bias ◽  
Community Dwelling ◽  
Behaviour Change Techniques ◽  
Nutrition Interventions ◽  
Community Dwelling Older Adults

Abstract Objective: To identify the efficacy of group-based nutrition interventions to increase healthy eating, reduce nutrition risk, improve nutritional status, and improve physical mobility among community-dwelling older adults.Design: Systematic review. Electronic databases MEDLINE, CINAHL, EMBASE, PsycINFO, and Sociological Abstracts were searched on July 15, 2020, for studies published in English since January 2010. Study selection, critical appraisal (using the Joanna Briggs Institute’s critical appraisal tools), and data extraction were performed in duplicate by two independent reviewers.Setting: Nutrition interventions delivered to groups in community-based settings were eligible. Studies delivered in acute or long-term care settings were excluded.Participants: Community-dwelling older adults aged 55+ years. Studies targeting specific disease populations or promoting weight loss were excluded.Results: Thirty-one experimental and quasi-experimental studies with generally unclear-high risk of bias were included. A broad range of interventions were identified, including nutrition education with behaviour change techniques (e.g., goal setting, interactive cooking demonstrations) (n=21), didactic nutrition education (n=4), interactive nutrition education (n=2), food access (n=2), and nutrition education with behaviour change techniques and food access (n=2). Group-based nutrition education with behaviour change techniques demonstrated the most promise in improving food and fluid intake, nutritional status, and healthy eating knowledge compared to baseline or control. The impact on mobility outcomes was unclear. Conclusions: Our findings should be interpreted with caution related to generally low certainty, unclear-high risk of bias, and high heterogeneity across interventions and outcomes in this body of literature. Quality research in group-based nutrition education for older adults is needed.

Promoting health behaviour change in the preconception period: An Intervention Mapping approach (Preprint)

2021 ◽  
Author(s):  
Jodie Scott ◽  
Melissa Oxlad ◽  
Jodie Dodd ◽  
Claudia Szabo ◽  
Andrea Deussen ◽  
...  
Keyword(s):  
Weight Management ◽  
Behaviour Change ◽  
Intervention Mapping ◽  
Idea Generation ◽  
Systems Design ◽  
Behaviour Change Techniques ◽  
Healthy Weight ◽  
Weight Range ◽  
Mapping Approach ◽  
Ehealth Intervention

BACKGROUND Half of women begin pregnancy above the healthy weight range, increasing the risk of complications and adversely affecting the lifelong health of their baby. Maternal obesity remains the strongest risk factor for offspring obesity across childhood, adolescence and adulthood. Previous research suggests that women should be encouraged to be within a healthy weight range before conception in order to improve health outcomes. OBJECTIVE We outline the application of the Intervention Mapping (IM) approach in developing an evidence-informed eHealth intervention to promote weight management. The intervention, based on psychological theories and behaviour change techniques, was developed for women with overweight or obesity who intend to become pregnant. The “Begin Better” eHealth intervention is part of an integrated program being evaluated in a clinical trial to assess if weight management before pregnancy can influence clinical outcomes for mother and baby. METHODS The current study documents steps 2 to 5 of a 6-step iterative intervention mapping approach informed by the Information-Motivation-Behavioural Skills (IMB) model and the findings of a previous interview study. We defined behaviour change objectives for each of the IMB behavioural determinants as well as theory-based behaviour change techniques (BCT) and practical strategies. We also utilised Persuasive Systems Design (PSD) principles to assist in translating these strategies to a digital environment. RESULTS The resultant intervention comprises nutrition and physical activity content, along with psychological strategies, which are notably absent from mainstream weight management programs. Strategies to increase motivation, garner social support and promote self-care are integral to maintaining engagement with the intervention, which aims to improve lifestyle behaviours and enhance wellbeing. Important elements include: tracking mechanisms for percentage progress towards goals to enable feedback on behaviours and outcomes; in-app messages of praise on entry of goals or habits; strategies to prompt habit formation and action planning via small, easily achievable steps toward positive change. CONCLUSIONS Design decisions and processes for idea generation about intervention content, format and delivery are often not reported. This study we respond to this gap in the literature and outline a process that is potentially transferable to the development of other interventions.

scholarly journals Lifestyle behaviour change for preventing the progression of chronic kidney disease: a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031625 ◽  
Author(s):  
Nicole Evangelidis ◽  
Jonathan Craig ◽  
Adrian Bauman ◽  
Karine Manera ◽  
Valeria Saglimbene ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Systematic Review ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Goal Setting ◽  
Behaviour Change ◽  
Risk Of Bias ◽  
Behaviour Change Techniques ◽  
Lifestyle Behaviour

ObjectivesModifying lifestyle can prevent the progression of chronic kidney disease (CKD) but the specific elements which lead to favourable behaviour change are not well understood. We aimed to identify and evaluate behaviour change techniques and functions in lifestyle interventions for preventing the progression of CKD.DesignSystematic review.Data sourcesMEDLINE, EMBASE, CINAHL and PsycINFO.Eligibility criteriaTrials of lifestyle behaviour change interventions (including diet, physical activity, smoking and/or alcohol) published to September 2018 in adults with CKD stages 1–5.Data extraction and synthesisTrial characteristics including population, sample size, study setting, intervention, comparator, outcomes and study duration, were extracted. Study quality was independently assessed by two reviewers using the Cochrane risk of bias tool. The Behaviour Change Technique Taxonomy v1 was used to identify behaviour change techniques (eg, goal setting) and the Health Behaviour Change Wheel was used to identify intervention functions (eg, education). Both were independently assessed by three reviewers.ResultsIn total, 26 studies involving 4263 participants were included. Risk of bias was high or unclear in most studies. Interventions involved diet (11), physical activity (8) or general lifestyle (7). Education was the most frequently used function (21 interventions), followed by enablement (18), training (12), persuasion (4), environmental restructuring (4), modelling (2) and incentivisation (2). The most common behaviour change techniques were behavioural instruction (23 interventions), social support (16), behavioural demonstration (13), feedback on behaviour (12) and behavioural practice/rehearsal (12). Eighteen studies (69%) showed a significant improvement in at least one primary outcome, all of which included education, persuasion, modelling and incentivisation.ConclusionLifestyle behaviour change interventions for CKD patients frequently used education, goal setting, feedback, monitoring and social support. The most promising interventions included education and used a variety of intervention functions (persuasion, modelling and incentivisation).PROSPERO registration numberCRD42019106053.

scholarly journals “Finding my own motivation” — A Mixed Methods Study of Exercise and Behaviour Change Support During Oncological Treatment

2019 ◽  
Vol 26 (5) ◽  
pp. 499-511 ◽  
Author(s):  
Anne-Sophie Mazzoni ◽  
Maria Carlsson ◽  
Sveinung Berntsen ◽  
Karin Nordin ◽  
Ingrid Demmelmaier
Keyword(s):  
Mixed Methods ◽  
Behaviour Change ◽  
Exercise Programme ◽  
Mixed Methods Study ◽  
Behaviour Change Techniques ◽  
Detailed Knowledge ◽  
Structured Interviews ◽  
Self Monitoring ◽  
Oncological Treatment ◽  
Motivational Process

Abstract Background Exercising during oncological treatment is beneficial but challenging for persons with cancer and may require strategies to increase motivation. Behaviour change support, including specific behaviour change techniques (BCTs), have been used to facilitate exercise in persons undergoing oncological treatment, but more detailed knowledge from an individual perspective is needed to inform clinical practice. The aims were to explore the motivational experiences of exercise combined with behaviour change support, and to describe how specific BCTs were valued among persons exercising during oncological treatment. Methods A mixed-methods study was conducted using semi-structured interviews (n = 18) and a questionnaire (n = 229). Participants with breast, colorectal or prostate cancer who completed or dropped out of a six-month exercise programme during oncological treatment were included. The interviews were analysed with thematic analysis and the questionnaire with descriptive statistics (median and interquartile range). Results The participants underwent a motivational process through the exercise programme. By experiencing ‘Health gains and mastery’, ‘Learning’, ‘Affinity’, ‘Commitment’, and ‘Managing challenges’, they found incentives that fostered feelings of autonomy, competence and relatedness, leading to an increased motivation to exercise. Social support from coaches, structuring the physical environment with scheduled sessions, self-monitoring with resistance training log, and feedback based on heart rate monitor and fitness tests were the most valued BCTs. Conclusions The results indicate the importance of finding incentives and creating an environment that fosters autonomy, competence and relatedness to motivate persons to exercise during oncological treatment. Some BCTs appear particularly useful and may be used by health professionals to increase patients’ motivation to exercise.

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