THU0741-HPR Mapping the behaviour change techniques used in a practice-based fibromyalgia self-management programme: a qualitative study

Background: Effective interventions and commercial programmes for weight loss (WL) are widely available, but most people regain weight. Few effective WL maintenance (WLM) solutions exist. The most promising evidence-based behaviour change techniques for WLM are self-monitoring, goal setting, action planning and control, building self-efficacy, and techniques that promote autonomous motivation (e.g., provide choice). Stress management and emotion regulation techniques show potential for prevention of relapse and weight regain. Digital technologies (including networked-wireless tracking technologies, online tools and smartphone apps, multimedia resources, and internet-based support) offer attractive tools for teaching and supporting long-term behaviour change techniques. However, many digital offerings for weight management tend not to include evidence-based content and the evidence base is still limited. The Project: First, the project examined why, when, and how many European citizens make WL and WLM attempts and how successful they are. Second, the project employed the most up-to-date behavioural science research to develop a digital toolkit for WLM based on 2 key conditions, i.e., self-management (self-regulation and motivation) of behaviour and self-management of emotional responses for WLM. Then, the NoHoW trial tested the efficacy of this digital toolkit in adults who achieved clinically significant (≥5%) WL in the previous 12 months (initial BMI ≥25). The primary outcome was change in weight (kg) at 12 months from baseline. Secondary outcomes included biological, psychological, and behavioural moderators and mediators of long-term energy balance (EB) behaviours, and user experience, acceptability, and cost-effectiveness. Impact: The project will directly feed results from studies on European consumer behaviour, design and evaluation of digital toolkits self-management of EB behaviours into development of new products and services for WLM and digital health. The project has developed a framework and digital architecture for interventions in the context of EB tracking and will generate results that will help inform the next generation of personalised interventions for effective self-management of weight and health.

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Behaviour change techniques to change the postnatal eating and physical activity behaviours of women who are obese: a qualitative study

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/1471-0528.13751 ◽

2015 ◽

Vol 123 (2) ◽

pp. 279-284 ◽

Cited By ~ 5

Author(s):

DM Smith ◽

W Taylor ◽

T Lavender

Keyword(s):

Physical Activity ◽

Qualitative Study ◽

Behaviour Change ◽

Behaviour Change Techniques

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Physiotherapists’ Experiences with and Perspectives on Implementing an Evidence-Based, Chronic Pain Self-Management Programme in Primary Health Care: A Qualitative Study

Physiotherapy Canada ◽

10.3138/ptc-2019-0062 ◽

2020 ◽

pp. e20190062

Author(s):

Emily Brewer ◽

Nicole Carnevale ◽

Melissa Ducsharm ◽

Nicole Ellis ◽

Mohammed Khan ◽

...

Keyword(s):

Health Care ◽

Chronic Pain ◽

Primary Health Care ◽

Qualitative Study ◽

Management Programme ◽

Self Management ◽

Evidence Based ◽

Primary Health

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Views and experiences of behaviour change techniques to encourage walking to work: a qualitative study

BMC Public Health ◽

10.1186/1471-2458-14-868 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 15

Author(s):

Sunita Procter ◽

Nanette Mutrie ◽

Adrian Davis ◽

Suzanne Audrey

Keyword(s):

Qualitative Study ◽

Behaviour Change ◽

Behaviour Change Techniques

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Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

BMC Medical Education ◽

10.1186/s12909-021-02720-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mara Pereira Guerreiro ◽

Judith Strawbridge ◽

Afonso Miguel Cavaco ◽

Isa Brito Félix ◽

Marta Moreira Marques ◽

...

Keyword(s):

Chronic Disease ◽

Chronic Diseases ◽

Behaviour Change ◽

Competency Framework ◽

Strategic Partnership ◽

Self Management ◽

Delphi Panel ◽

Behaviour Change Techniques ◽

Core Set ◽

Preparatory Work

Abstract Background Healthcare and other professionals are expected to support behaviour change in people living with chronic disease. However, effective behaviour change interventions are largely absent in routine encounters. The Train4Health project, a European strategic partnership for higher education, sought to address this problem. The primary aim of this study, which is part of an early work package, was to develop an interprofessional competency framework for health and other professions to support behaviour change for the self-management of chronic disease at a European level. A secondary aim was to derive a set of behaviour change techniques (BCTs) from an established taxonomy to link with framework competencies. Methods The study comprised two interlinked parts. Part 1 involved a two-round e-Delphi study with an interprofessional panel of 48 experts across 12 European countries to develop the behaviour change competency framework. Preparatory work included drafting a list of competency statements based on seven existing frameworks. Part 2 involved an expert panel of six behavioural psychologists deriving a set of BCTs to link with framework competencies. Their feedback was based on preparatory work, which focused on seven high priority chronic diseases for self-management, identified through European projects on self-management and identifying five relevant target behaviours from key clinical guidelines. A literature search yielded 29 effective BCTs for the target behaviours in the selected chronic diseases. Results Twenty-seven competency statements, were presented in Round 1 to the Delphi panel. Consensus was achieved for all statements. Based on comments, two statements were removed, one was added, and 14 were modified. All 15 statements subjected to Round 2 were consensus-approved, yielding a total of 12 foundational competencies for behaviour change in self-management of chronic disease and 14 behaviour change competencies. Four behaviour change competencies related to BCTs. Behavioural psychologists’ feedback led to a core set of 21 BCTs deemed applicable to the five target behaviours across the seven chronic diseases. Conclusions A behaviour change competency framework comprising 26 statements for European health and other professionals to support self-management of chronic disease was developed, linked with a core set of 21 BCTs from an established taxonomy.

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Evaluation of nurses’ changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2016-013122 ◽

2016 ◽

Vol 6 (11) ◽

pp. e013122 ◽

Cited By ~ 5

Author(s):

Lieve M Roets-Merken ◽

Myrra J F J Vernooij-Dassen ◽

Sytse U Zuidema ◽

Marianne K Dees ◽

Pieter G J M Hermsen ◽

...

Keyword(s):

Older Adults ◽

Qualitative Study ◽

Long Term Care ◽

Management Programme ◽

Self Management ◽

Term Care

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A feasibility randomised controlled trial of a fibromyalgia self‐management programme in a community setting with a nested qualitative study (FALCON): Study protocol

Musculoskeletal Care ◽

10.1002/msc.1509 ◽

2020 ◽

Author(s):

Jennifer Pearson ◽

Jessica Coggins ◽

Erik Lenguerrand ◽

Sandi Derham ◽

Julie Russell ◽

...

Keyword(s):

Randomised Controlled Trial ◽

Qualitative Study ◽

Study Protocol ◽

Controlled Trial ◽

Community Setting ◽

Management Programme ◽

Self Management ◽

Feasibility Randomised Controlled Trial ◽

Randomised Controlled

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A Framework to Assist School Psychologists and Counsellors in Recommending Quality Apps for Supporting Diabetes Self-Management: An Illustrative Assessment Using Content Analysis

Journal of Psychologists and Counsellors in Schools ◽

10.1017/jgc.2018.15 ◽

2018 ◽

Vol 29 (01) ◽

pp. 82-97

Author(s):

Brett Furlonger ◽

Marko Ostojic ◽

Jasmine Chung ◽

Katrina Philips ◽

Margherita Busacca ◽

...

Keyword(s):

Type 2 Diabetes ◽

Content Analysis ◽

School Psychologists ◽

Behaviour Change ◽

Mental Health Professionals ◽

The Self ◽

Self Management ◽

Behaviour Change Techniques ◽

Change Strategies

A framework was examined to assist school psychologists and counsellors in recommending quality apps for supporting diabetes self-management. A content analysis was undertaken to assess behaviour change strategies in Apple and Android smartphone apps for the self-management of type 2 diabetes. The Behaviour Change Technique Taxonomy was used to assess the presence of behaviour change strategies, while the Mobile App Rating Scale was used to assess overall app quality. Raters found, on average, 7.13 behaviour change techniques out of a possible 93, indicating few behaviour change techniques in apps for the self-management of Type 2 diabetes. Analysis indicated that apps of a higher overall quality tended to incorporate more behaviour change strategies. It was concluded that mental-health professionals are advantaged if they are able to assess and refine selection tools for matching apps with the needs of students with diabetes.

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