The DAFNE
            plus
            programme for sustained type 1 diabetes self management: Intervention development using the Behaviour Change Wheel

Abstract Background Self-management of type 1 diabetes (T1D) is complex and can be particularly challenging for young adults. This is reflected in the high blood glucose values and rates of clinic non-attendance in this group. There is a gap for a theory-based intervention informed by key stakeholder opinions to support and improve self-management in young adults with T1D. Purpose The aim of the work was to systematically co-develop an evidence-based and stakeholder-led intervention to support self-management and clinic engagement in young adults living with T1D in Ireland. Co-development was led by the Young Adult Panel. Methods The Behaviour Change Wheel was used to guide the development. Five evidence sources were used to inform the process. An iterative co-design process was used with the Young Adult Panel. Initial intervention components were refined and feasibility tested using qualitative methods. Results Environmental restructuring, education and training were selected as appropriate intervention functions. The co-design process, along with qualitative refinement and feasibility work, led to the final intervention content which consisted of 17 behaviour change techniques. The final D1 Now intervention consists of three components: a support worker, an agenda setting tool and an interactive messaging service. Conclusions The D1 Now intervention is now at pilot evaluation stage. Its transparent and systematic development will facilitate evaluation and future replications.

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Correction: A Facilitated Web-Based Self-Management Tool for People With Type 1 Diabetes Using an Insulin Pump: Intervention Development Using the Behavior Change Wheel and Theoretical Domains Framework

Journal of Medical Internet Research ◽

10.2196/21381 ◽

2020 ◽

Vol 22 (7) ◽

pp. e21381

Author(s):

Claire Reidy ◽

Claire Foster ◽

Anne Rogers

Keyword(s):

Type 1 Diabetes ◽

Behavior Change ◽

Insulin Pump ◽

Intervention Development ◽

Theoretical Domains Framework ◽

Management Tool ◽

Self Management ◽

Web Based ◽

Behavior Change Wheel

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Development of a self-management intervention for stroke survivors with aphasia using co-production and behaviour change theory: An outline of methods and processes

PLoS ONE ◽

10.1371/journal.pone.0259103 ◽

2021 ◽

Vol 16 (11) ◽

pp. e0259103

Author(s):

Faye Wray ◽

David Clarke ◽

Madeline Cruice ◽

Anne Forster

Keyword(s):

Behaviour Change ◽

Research Team ◽

Development Process ◽

Family Members ◽

Change Theory ◽

Intervention Development ◽

Self Management ◽

Stroke Survivors ◽

Management Intervention ◽

Behaviour Change Theory

Background Self-management is a promising approach to improve quality of life after stroke. However, evidence for the appropriateness and effectiveness of self-management for stroke survivors with aphasia is limited. This article reports on the process used to develop a supported self-management intervention for stroke survivors with aphasia (SSWA) using co-production and behaviour change theory. Preparatory research included systematic reviews, and qualitative interviews and focus groups with SSWA, family members and speech and language therapists (SLTs). Materials and methods We conducted six, 2 hour long intervention development workshops with key stakeholders. The workshops were informed by principles of co-production and the intervention development process outlined by the Behaviour Change Wheel (BCW). We also incorporated the findings of our preparatory research within workshops. Each workshop included an introduction, 1–2 co-production tasks and time for feedback at the end of the session. Data were analysed on an ongoing basis so that findings could be used to feed in to subsequent workshops and intervention development. Results Workshop participants (n = 12) included; SSWA (n = 5), family members (n = 3) and SLTs (n = 4). Together, participants engaged with accessible and participatory co-production tasks which aligned with the BCW framework. Participants engaged in discussion to define self-management in behavioural terms (behavioural diagnosis) and to identify what needed to change to support self-management. Participant’s co-produced solutions for supporting self-management and discussed options to implement these in practice. Prototype materials were generated by the research team and evaluated by participants. Intervention functions and behaviour change techniques (BCTs) were mapped to the solutions generated by participants by the research team, after the final workshop. A supported self-management intervention for SSWA was developed which will be delivered by SLTs through community stroke services. Conclusions This paper reports the process we used to integrate co-production work with behaviour change theory to develop a complex self-management intervention. This is of relevance for researchers looking to harness the strengths of co-production methods and theory in intervention design. Future research will feasibility test the supported self-management intervention developed. This paper provides transparency to our intervention development process which will help others to better interpret the findings of our feasibility work.

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Correction: A Facilitated Web-Based Self-Management Tool for People With Type 1 Diabetes Using an Insulin Pump: Intervention Development Using the Behavior Change Wheel and Theoretical Domains Framework (Preprint)

10.2196/preprints.21381 ◽

2020 ◽

Author(s):

Claire Reidy ◽

Claire Foster ◽

Anne Rogers

Keyword(s):

Type 1 Diabetes ◽

Behavior Change ◽

Insulin Pump ◽

Intervention Development ◽

Theoretical Domains Framework ◽

Management Tool ◽

Self Management ◽

Web Based ◽

Behavior Change Wheel

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817-P: Financial Stress Factors, Psychological Factors, and Self-Management Outcomes in Emerging Adults with Type 1 Diabetes

Diabetes ◽

10.2337/db20-817-p ◽

2020 ◽

Vol 69 (Supplement 1) ◽

pp. 817-P

Author(s):

JULIA E. BLANCHETTE ◽

VALERIE B. TOLY ◽

JAMIE R. WOOD ◽

CAROL M. MUSIL ◽

DIANA L. MORRIS ◽

...

Keyword(s):

Type 1 Diabetes ◽

Emerging Adults ◽

Psychological Factors ◽

Financial Stress ◽

Stress Factors ◽

Self Management

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Self-management strategies for adults with type 1 diabetes mellitus

10.1002/14651858.cd002103 ◽

2000 ◽

Author(s):

M Watson ◽

E Briganti ◽

T Skinner ◽

C Manning

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Type 1 Diabetes Mellitus ◽

Management Strategies ◽

Self Management

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Habit and Routine Interventions with Emerging Adults with Diabetes: An Integrative Review

Western Journal of Nursing Research ◽

10.1177/01939459211032280 ◽

2021 ◽

pp. 019394592110322

Author(s):

Kathleen M. Hanna ◽

Jed R. Hansen ◽

Kim A. Harp ◽

Kelly J. Betts ◽

Diane Brage Hudson ◽

...

Keyword(s):

Type 1 Diabetes ◽

Health Outcomes ◽

Emerging Adults ◽

Text Messaging ◽

Integrative Review ◽

Self Management ◽

Future Research ◽

Medical Librarian

Although theoretical and empirical writings on habits and routines are a promising body of science to guide interventions, little is known about such interventions among emerging adults with type 1 diabetes. Thus, an integrative review was conducted to describe interventions in relation to habits and routines, their influence on outcomes, and users’ perspectives. A medical librarian conducted a search. Teams screened titles, abstracts, and articles based upon predefined criteria. Evidence from the final 11 articles was synthesized. A minority of investigators explicitly articulated habits and routines theoretical underpinnings as part of the interventions. However, text messaging or feedback via technology used in other interventions could be implicitly linked to habits and routines. For the most part, these interventions positively influenced diabetes self-management-related behaviors and health outcomes. In general, the interventions were perceived positively by users. Future research is advocated using habit and routine theoretical underpinnings to guide interventions.

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