A remote behaviour change service for increasing physical activity in people with chronic lung conditions: intervention development using the Behaviour Change Wheel

Objective: Despite its importance for mental and physical health, many adults fail to meet current physical activity recommendations. Furthermore, most adults who begin a physical activity programme revert to being less active or even inactive within the first 6 months. Fitness bootcamps represent a potential intervention for improving physical activity in healthy adults. However, no study to date has examined the influences on long-term participation in fitness bootcamps, which is the first step to developing an effective intervention. Using the Behaviour Change Wheel (BCW) framework, this study identified the facilitators and barriers to long-term (1 year or more) fitness bootcamp participation, which were then linked to behaviour change techniques (BCTs) to facilitate intervention development. Design: Qualitative research design. Setting: Data collection occurred in England. Method: Interviews were conducted with 15 long-term fitness bootcamp participants. Results: Thematic analysis revealed 17 facilitators and 6 barriers to long-term fitness bootcamp participation. Participants highlighted the importance of facilitators such as convenience, being outdoors and enjoyment. The social environment, including having a positive instructor and supportive group members, was further noted as a key influence on participation. While long-term participants faced occasional barriers to their routine such as physical injury, bad weather and competing events, the impact of these could be minimised through appropriate BCTs such as ‘demonstration of the behaviour’ and ‘restructuring the social/physical environment’. Conclusion: Findings from this study highlight the importance of social and environmental factors to promoting long-term fitness bootcamp participation and the inclusion of social and physical environmental restructuring as key intervention components.

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‘No one ever asked us’: a feasibility study assessing the co-creation of a physical activity programme with adolescent girls

Global Health Promotion ◽

10.1177/1757975919853784 ◽

2019 ◽

Vol 27 (3) ◽

pp. 34-43

Author(s):

Méabh Corr ◽

Elaine Murtagh

Keyword(s):

Physical Activity ◽

Data Collection ◽

Behaviour Change ◽

Adolescent Girls ◽

Retention Rate ◽

Controlled Trial ◽

Activity Level ◽

Health Concern ◽

Post Intervention ◽

Behaviour Change Wheel

Background: Globally, the poor activity level of adolescent girls is a public health concern. Little research has involved adolescents in the design of interventions. This study assessed the feasibility of involving girls in the co-creation of an activity programme. Methods: Thirty-one students (15–17 years old) were recruited from a post-primary school. The Behaviour Change Wheel guided intervention design, providing insights into participants’ capability, opportunity and motivation for change. Step counts and self-reported physical activity levels were recorded pre- and post-intervention. Feasibility benchmarks assessed recruitment, data collection, acceptability and adherence. Results: Activity and educational sessions were delivered for six weeks during physical education class. Average attendance was 87% (benchmark = 80%). Eligibility was 61% (benchmark = 60%). There was a 100% retention rate (benchmark = 90%). All participants ( n = 31) completed baseline measures and 71% ( n = 22) completed post-measures. 54% ( n = 17) of students completed pedometer measurements, with 32% ( n = 10) having complete data. Average daily steps were 13,121 pre-intervention and 14,128 post-intervention ( p > 0.05). Data collection was feasible, receiving a mean score > 4/5 (benchmark > 3.5/5). Conclusions: The Behaviour Change Wheel can be used to co-create an activity programme with adolescent girls. Predetermined benchmarks, except for pedometer recordings, were reached or exceeded, providing evidence for the need of a randomised controlled trial to test effectiveness.

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A co-production approach guided by the Behaviour Change Wheel to develop an intervention for reducing sedentary behaviour after stroke

10.21203/rs.3.rs-17919/v2 ◽

2020 ◽

Author(s):

Jennifer Hall ◽

Sarah Morton ◽

Jessica Hall ◽

David J Clarke ◽

Claire F Fitzsimons ◽

...

Keyword(s):

Sedentary Behaviour ◽

Behaviour Change ◽

Intervention Development ◽

Inpatient Setting ◽

Stroke Survivors ◽

Behaviour Change Wheel ◽

Target Behaviour ◽

Service Staff ◽

Stroke Services ◽

Production Approach

Abstract Background: Stroke survivors are highly sedentary; thus, breaking up long uninterrupted bouts of sedentary behaviour could have substantial health benefit. However, there are no intervention strategies specifically aimed at reducing sedentary behaviour tailored for stroke survivors. The purpose of this study was to use co-production approaches to develop an intervention to reduce sedentary behaviour after stroke.Methods: A series of five co-production workshops with stroke survivors, their caregivers, stroke service staff, exercise professionals, and researchers were conducted in parallel in two stroke services (England and Scotland). Workshop format was informed by the Behaviour Change Wheel (BCW) framework for developing interventions and incorporated systematic review and empirical evidence. Taking an iterative approach, data from activities and audio recordings were analysed following each workshop and findings used to inform subsequent workshops, to inform both the activities of the next workshop and ongoing intervention development.Findings: Co-production workshop participants (n = 43) included 17 staff, 14 stroke survivors, six caregivers, and six researchers. The target behaviour for stroke survivors is to increase standing and moving, and the target behaviour for caregivers and staff is to support and encourage stroke survivors to increase standing and moving. The developed intervention is primarily based on co-produced solutions to barriers to achieving the target behaviour. The developed intervention includes 34 behaviour change techniques. The intervention is to be delivered through stroke services, commencing in the inpatient setting and following through discharge into the community. Participants reported that taking part in intervention development was a positive experience. Conclusions: To our knowledge, this is the first study that has combined the use of co-production and the BCW to develop an intervention for use in stroke care. In-depth reporting of how a co-production approach was combined with the BCW framework, including the design of bespoke materials for workshop activities, should prove useful to other researchers and practitioners involved in intervention development in stroke.

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The development of a theory informed behaviour change intervention to improve adherence to dietary and physical activity treatment guidelines in individuals with familial hypercholesterolaemia (FH)

BMC Health Services Research ◽

10.1186/s12913-019-4869-4 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 2

Author(s):

F. J. Kinnear ◽

E. Wainwright ◽

J. E. Bourne ◽

F. E. Lithander ◽

J. Hamilton-Shield ◽

...

Keyword(s):

Physical Activity ◽

Behaviour Change ◽

Familial Hypercholesterolaemia ◽

Evaluation Criteria ◽

Intervention Development ◽

Feasibility Trial ◽

Behaviour Change Intervention ◽

Physical Activity Guidelines ◽

Factors Influencing ◽

Guide Intervention

Abstract Background Familial hypercholesterolaemia (FH) is a genetic condition characterised by elevated levels of low-density lipoprotein cholesterol (LDL-C) and an increased risk of cardiovascular disease (CVD). Following dietary and physical activity guidelines could help minimise this risk but adherence is low. Interventions to target these behaviours are therefore required. A comprehensive understanding of the target behaviours and behaviour change theory should drive the process of intervention development to increase intervention effectiveness and scalability. This paper describes the application of a theoretical framework to the findings of a qualitative evidence synthesis (QES) to inform the content and delivery of an intervention to improve adherence to dietary and physical activity guidelines in individuals with FH. Methods The Behaviour Change Wheel (BCW) was used to guide intervention development. Factors influencing dietary and physical activity behaviours were identified from an earlier QES and mapped onto factors within the BCW. A comprehensive behavioural diagnosis of these factors was conducted through application of the theoretical domains framework (TDF). Using these data, the most appropriate intervention functions and behaviour change techniques (BCTs) for inclusion in the intervention were identified. Decision making was guided by evaluation criteria recommended by BCW guidance and feedback from individuals with FH. Results Factors influencing dietary and physical activity behaviours mapped onto twelve of the fourteen TDF domains, with seven intervention functions deemed suitable to target the domains’ theoretical constructs. Twenty-six BCTs were identified as being appropriate for delivery within these functions and were included in the intervention. For instance, within the enablement intervention function, the BCT problem solving was incorporated by inclusion of a ‘barriers and solutions’ section. Guided by evaluation criteria and feedback from individuals with FH, the intervention will be delivered as an hour-long family-based appointment, followed up with four telephone calls. Conclusions The novel application of the BCW and TDF to the results of a QES has enabled the development of a theory and evidence informed behaviour change intervention. This systematic approach facilitates evaluation of the intervention as part of an ongoing feasibility trial. The transparent approach taken can be used to guide intervention development by researchers in other fields.

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Behaviour Change for Open Science

10.31234/osf.io/tch4w ◽

2019 ◽

Author(s):

Emma Norris ◽

Daryl Brian O'Connor

Keyword(s):

Behaviour Change ◽

Intervention Development ◽

Open Science ◽

Barriers And Facilitators ◽

Change Strategies ◽

Behaviour Change Wheel ◽

Change Principles

This Editorial presents a discussion of behaviour change strategies that could be used to increase uptake of Open Science behaviours. It explores what we mean by behaviour in Open Science, barriers and facilitators of Open Science behaviours and the potential for intervention development using behaviour change principles using a case-study of the Behaviour Change Wheel.

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Perceived barriers to, and benefits of physical activity among British military veterans that are wounded, injured, and/or sick: a Behaviour Change Wheel perspective

Disability and Rehabilitation ◽

10.1080/09638288.2020.1781940 ◽

2020 ◽

pp. 1-9

Author(s):

Robert A. J. Walker ◽

Martin Colclough ◽

Caroline Limbert ◽

Paul M. Smith

Keyword(s):

Physical Activity ◽

Behaviour Change ◽

Military Veterans ◽

Perceived Barriers ◽

Behaviour Change Wheel ◽

British Military

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Mothers and teenage daughters walking to health: using the behaviour change wheel to develop an intervention to improve adolescent girls' physical activity

Public Health ◽

10.1016/j.puhe.2018.01.012 ◽

2018 ◽

Vol 158 ◽

pp. 37-46 ◽

Cited By ~ 5

Author(s):

E.M. Murtagh ◽

A.T. Barnes ◽

J. McMullen ◽

P.J. Morgan

Keyword(s):

Physical Activity ◽

Behaviour Change ◽

Adolescent Girls ◽

Behaviour Change Wheel

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Breaking Free from Smoking: A Novel Digital Smoking Cessation Intervention for Offenders in UK Prisons

The Journal of Smoking Cessation ◽

10.1017/jsc.2018.3 ◽

2018 ◽

Vol 13 (4) ◽

pp. 189-200 ◽

Cited By ~ 2

Author(s):

Stephanie Dugdale ◽

Jonathan Ward ◽

Sarah Elison-Davies ◽

Glyn Davies ◽

Emma Brown

Keyword(s):

Smoking Cessation ◽

Behaviour Change ◽

Behavioural Change ◽

Intervention Development ◽

Clinical Effectiveness ◽

Smoking Cessation Intervention ◽

Balance Model ◽

Smoking Ban ◽

Cessation Intervention ◽

Behaviour Change Wheel

Introduction: The level of smoking cessation support across UK prisons is variable, with most offering pharmacological support, such as nicotine replacement therapy. However, with a complete smoking ban in prisons in England now imminent, additional standardised behavioural support is necessary to help offenders go smoke-free.Aims: This study used the Behaviour Change Wheel to aim to develop the content of an online smoking cessation intervention for offenders, with consideration of their capability, motivation and opportunity for behaviour change.Methods: This was an intervention development study. The Behaviour Change Wheel was used to map cognitive, behavioural, physiological and social targets for the intervention, onto appropriate intervention techniques for inclusion in the smoking cessation programme for offenders.Results: Psychological capability, social opportunity and reflective and automatic motivation were identified through deductive thematic analysis as areas of change required to achieve smoking cessation. A total of 27 behavioural change techniques were chosen for this smoking cessation intervention and were mapped onto the Lifestyle Balance Model which provided the theoretical basis on which the components of the programme are conceptualised. This included strategies around increasing motivation to quit, anticipating smoking triggers, modifying smoking-related thoughts, regulating emotions, managing cravings, replacing smoking and rewarding nicotine abstinence and adopting a healthier lifestyle.Conclusions: Through the utilisation of the Behaviour Change Wheel, the development process of this digital smoking cessation intervention was achieved. Further research is planned to evaluate the clinical effectiveness of this intervention and to explore how the programme is implemented in practice within prison settings.

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