Systematic review of behaviour change techniques to promote participation in physical activity among people with dementia

Abstract BackgroundThe benefits of increased physical activity for stroke survivors include improved walking ability, balance and mood. However, less than 30% achieve recommended levels of physical activity, and high levels of sedentary behaviour are reported. We engaged stroke survivors, informal carers and healthcare professionals (HCPs) in a co-design process to develop an evidence-informed behavioural intervention targeting physical activity and sedentary behaviour for use by stroke rehabilitation teams. MethodsIntervention Mapping was used as a framework for intervention development. Step 1 involved a systematic review, focus group discussions and a review of existing care pathways. Step 2 involved identification of social cognitive determinants of behavioural change and behavioural outcomes of the intervention. Step 3 involved linking the determinants of behavioural outcomes with specific behaviour change techniques to target the behaviours of interest. Step 4 involved the development of the intervention informed by steps 1 to 3. Subsequently, an implementation plan was developed (Step 5) followed by an evaluation plan (Step 6). ResultsSystematic review findings informed selection of nine ‘promising’ behaviour change techniques (e.g. goal setting-behaviour; problem-solving). Focus groups with stroke survivors (n=18) and HCPs (n=24) identified the need for an intervention that could be delivered at different time points within the rehabilitation pathway, tailored to individual needs and circumstances with training for HCPs delivering the intervention. Intervention delivery was considered feasible within local community stroke services. The target behaviours for the intervention were physical activity and sedentary behaviour of stroke survivors. Assessment of acceptability and usability with 11 HCPs and 21 stroke survivors/relatives identified issues around self-monitoring tools; the need for a repository of local services for physical activity; and the need for face-to-face feedback provision to HCPs following delivery of the intervention for optimisation purposes. Face-to-face training for HCPs was delivered to support faithful delivery of the intervention within community settings. A feasibility study protocol was designed to evaluate the intervention.ConclusionsA systematic development process using intervention mapping resulted in a multi-faceted evidence- and theory-informed intervention (Physical Activity Routines After Stroke - PARAS) for delivery by community stroke rehabilitation teams. Trial registration: Trial identifier: ISRCTN35516780, date of registration: 24/10/2018, URL http://www.isrctn.com/ISRCTN35516780

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Behaviour change techniques in physical activity interventions for men with prostate cancer: A systematic review

Journal of Health Psychology ◽

10.1177/1359105318756501 ◽

2018 ◽

Vol 25 (1) ◽

pp. 105-122 ◽

Cited By ~ 9

Author(s):

Laura Hallward ◽

Nisha Patel ◽

Lindsay R Duncan

Keyword(s):

Physical Activity ◽

Prostate Cancer ◽

Systematic Review ◽

Cancer Survivors ◽

Behaviour Change ◽

Behaviour Change Techniques ◽

Prostate Cancer Survivors ◽

Physical Activity Interventions ◽

Improve Prostate Cancer

Physical activity interventions can improve prostate cancer survivors’ health. Determining the behaviour change techniques used in physical activity interventions can help elucidate the mechanisms by which an intervention successfully changes behaviour. The purpose of this systematic review was to identify and evaluate behaviour change techniques in physical activity interventions for prostate cancer survivors. A total of 7 databases were searched and 15 studies were retained. The studies included a mean 6.87 behaviour change techniques (range = 3–10), and similar behaviour change techniques were implemented in all studies. Consideration of how behaviour change techniques are implemented may help identify how behaviour change techniques enhance physical activity interventions for prostate cancer survivors.

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What are the most effective behaviour change techniques to promote physical activity and/or reduce sedentary behaviour in inactive adults? A systematic review protocol: Table 1

BMJ Open ◽

10.1136/bmjopen-2015-008573 ◽

2015 ◽

Vol 5 (8) ◽

pp. e008573 ◽

Cited By ~ 4

Author(s):

Neil Howlett ◽

Daksha Trivedi ◽

Nicholas A Troop ◽

Angel Marie Chater

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Sedentary Behaviour ◽

Behaviour Change ◽

Behaviour Change Techniques ◽

Systematic Review Protocol ◽

Review Protocol

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

BMJ Open ◽

10.1136/bmjopen-2019-031625 ◽

2019 ◽

Vol 9 (10) ◽

pp. e031625 ◽

Cited By ~ 3

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.

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