Brief behaviour change strategies for distressed patients in primary care

BMJ ◽  
2019 ◽  
pp. l5360 ◽  
Author(s):  
Amber M Gum ◽  
Gary P Epstein-Lubow ◽  
Brandon A Gaudiano ◽  
Marsha Wittink ◽  
Carol Horvath
Keyword(s):  
Primary Care ◽  
Behaviour Change ◽  
Change Strategies

A Review of the Processes By Which School Psychologists and Counsellors Can Use Taxonomies to Evaluate Health-Related Apps

2018 ◽  
Vol 28 (2) ◽  
pp. 212-233 ◽  
Author(s):  
Marko Ostojic ◽  
Jasmine Chung ◽  
Michael DiMattia ◽  
Brett Furlonger ◽  
Margherita Busacca ◽  
...  
Keyword(s):  
School Psychologists ◽  
Behaviour Change ◽  
Health Conditions ◽  
Change Strategies ◽  
Clinical Use ◽  
Inclusion Criteria ◽  
School Students ◽  
Behaviour Change Technique ◽  
Change Technique ◽  
Health Related

School students are increasingly using apps for health-related purposes, either on their own or when recommended by psychologists or counsellors, as apps offer a way to assist students to change their behaviour. However, there is a growing need for psychologists and counsellors to be able to evaluate the quality and usefulness of such apps to effect behaviour change. This study was therefore undertaken to identify methods by which school psychologists and counsellors could evaluate health-related apps for clinical use or research purposes. After examining 15 studies of apps that met the inclusion criteria, it was clear that researchers used a number of taxonomies to evaluate the apps. There were seven taxonomies identified, of which five were generalisable to all health conditions, with the behaviour change technique (BCT) taxonomy being the most comprehensive, containing 13 key behaviour strategies. Despite the utility of the taxonomies to identify the amount of behaviour change content within the apps, it was difficult to determine how the behaviour change strategies were measured, thus reducing the ability to predict app effectiveness. Approaches to improving methods by which apps can be developed and evaluated are proposed.

scholarly journals Understanding the Relationship between Intention and Cat Containment Behaviour: A Case Study of Kitten and Cat Adopters from RSPCA Queensland

Animals ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. 1214
Author(s):  
Lynette J. McLeod ◽  
Di Evans ◽  
Bidda Jones ◽  
Mandy Paterson ◽  
Sarah Zito
Keyword(s):  
Behaviour Change ◽  
Motivational Factors ◽  
Change Strategies ◽  
Animal Shelter ◽  
Factors Influencing ◽  
The Relationship

In Australia, cat owners are encouraged to keep their pet cats contained on their property at all times. This study explores the relationship between the intentions and behaviours of 72 kitten and cat adopters from a RSPCA Queensland animal shelter, to provide a more in-depth understanding of the factors influencing the adoption of cat containment behaviours. At the time of adoption, 64 participants (89%) indicated they were intending to keep their cat fully contained. Eight weeks after adoption, 63 participants (87%) reported they were doing so (59 who had stated their intention at the time of adoption, and 4 who had not). We found cat owner containment behaviour was moderately correlated with containment intentions. For some of the participants when it came to enacting this behaviour, their intentions and the provided education information was not enough to overcome the more compelling capability, opportunity and motivational factors which presented themselves once they got home. We were able to identify these factors and suggest additional behaviour change strategies that would assist. Although it is important to provide cat adopters with advice about how to contain their cats properly, these results also highlight the importance of focusing attention on other behaviour change strategies that address the particular barriers faced by some cat-owners who are unsuccessful in keeping their cat contained on their property.

A patient-centredness improvement study for efficacy of behaviour change for healthy lifestyle and weight loss in a student-run free clinic

2020 ◽  
Author(s):  
Spencer Lessans ◽  
Xamil Vega ◽  
Brandon Foley ◽  
Alexia Bossan ◽  
Alexandra Baker ◽  
...  
Keyword(s):  
Primary Care ◽  
Needs Assessment ◽  
Weight Management ◽  
Behaviour Change ◽  
Response Rate ◽  
Healthy Lifestyle ◽  
Clinic Visit ◽  
Free Clinic ◽  
Behaviour Change Interventions ◽  
Patient Responsiveness

Abstract Background Primary care is the ideal place to implement behaviour change interventions for weight management. However, most primary care physicians are not managing patient weight as a standard of care due to lack of knowledge, skills and reimbursement. Generating more physicians who are familiar and comfortable with providing weight management is essential in leveraging a global change. In our university free clinic, medical students provide healthy lifestyle counselling using shared decision making to each patient at every clinic visit. Objective Improve the efficacy of behaviour change interventions via increased patient responsiveness and adherence. Methods The needs assessment demonstrated a subpar patient response rate to check-ins regarding behavioural change goals. In the first and second interventions, check-in message structure and contact schedule were varied to maximize patient responsiveness and goal achievement. Results In the needs assessment, 58% of patients responded to follow-ups and 58% of patients accomplished their goal. The first intervention cycle resulted in an improvement of responsiveness to 70% and accomplishment of goals to 59%. The second intervention cycle resulted in an improvement of responsiveness to 78% and accomplishment of goals to 74%. Conclusions Messages that were frequent, unique, succinct and delivered within 4 weeks after the clinic visit resulted in the highest response rate and goal attainment. Other primary care clinics can use these interventions to increase patient completion of implemented behaviour changes for a healthier lifestyle.

scholarly journals Using a group medical visit model to promote healthy behaviour change with an underserved population

2020 ◽  
Vol 37 (4) ◽  
pp. 507-512
Author(s):  
Holly Ann Russell ◽  
Mechelle Sanders ◽  
Lynn Moll ◽  
Melanie Murphy ◽  
Angela M Lanigan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Weight Loss ◽  
Behaviour Change ◽  
Underserved Populations ◽  
Preliminary Evidence ◽  
Models Of Care ◽  
Underserved Population ◽  
Medical Visit ◽  
Post Intervention

Abstract Background Models of care are needed to address physical activity, nutrition promotion and weight loss in primary care settings, especially with underserved populations who are disproportionately affected by chronic illness. Group medical visits (GMVs) are one approach that can help overcome some of the barriers to behaviour change in underserved populations, including the amount of time required to care for these patients due to socio-economic stressors and psychosocial complexities (1). GMVs have been shown to improve care in coronary artery disease and diabetes, but more evidence is needed in underserved settings. Objective This project sought to evaluate a GMV incorporating a physical activity component in an underserved patient population, measuring biometric and motivation outcome measures. Methods This project used a pre–post intervention study design through patient surveys at baseline and 12 weeks. We included validated motivational measures along with self-reported demographic information. A GMV intervention promoting physical activity and nutrition to promote weight loss was delivered by an interdisciplinary primary care team and community partners in a Federally Qualified Health Center in Rochester, NY. The intervention consisted of six, 2-hour sessions that occurred every other week at the clinic site. Results Participants lost a significant amount of weight and maintained the weight loss at 6 months. In addition, there was a significant improvement in motivation measures. Conclusion This study provides preliminary evidence that our GMV model can improve weight loss and autonomous motivation in an underserved population. This project has potential for scalability and sustainability.

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