scholarly journals Selecting behaviour change techniques to reduce sedentary behaviour in people with stroke using the Behaviour Change Wheel

2020 ◽  
Author(s):  
Roderick Wondergem ◽  
Wendy Hendrickx ◽  
Eveline Wouters ◽  
Rob de Bie ◽  
Johanna Visser ◽  
...  
Keyword(s):  
Social Support ◽  
Sedentary Behaviour ◽  
Goal Setting ◽  
Behaviour Change ◽  
Cognitive Impairments ◽  
Behavioural Change ◽  
Action Planning ◽  
Community Dwelling ◽  
Behaviour Change Wheel ◽  
The Social

Abstract Background: Research has shown that sedentary behaviour increases the risk of stroke, cardiovascular disease and mortality. People with stroke are highly sedentary. Therefore, reducing sedentary behaviour might reduce the risk of secondary events and death. Personalized strategies using behavioural change techniques (BCTs) directed at reducing sedentary behaviour in people with stroke are currently lacking. Therefore, the aim of this study is to systematically determine the BCTs for a behavioural change intervention, directed at reducing sedentary behaviour in community-dwelling people with stroke,.Method: To complete the stages of the Behaviour Change Wheel , information on understanding the behaviour, identifying intervention functions, identifying BCTs and modes of delivery were needed. Per stage a literature search was conducted and nominal group technique (NGT) sessions were conducted to identify BCTs. The NGT sessions were conducted with professionals working with people with stroke and international researchers working in the stroke or sedentary behaviour field. Four different patients symptom profiles, as frequently seen in clinical practice, were used by participants during the NGT sessions: : 1. no physical or cognitive impairments; profile 2. mainly cognitive impairments; profile 3. mainly physical impairments; and profile 4. both physical and cognitive impairments. Per profile participants made their choice by rating the BCTs.Results: Five BCTs should always be included: ‘goal setting’, ‘action planning’, ‘social support’, ‘problem solving’ and ‘restructuring of the social environment’. For patients without cognitive impairments, ‘self-monitoring’, ‘feedback on behaviour’, ‘information about health consequences’ and ‘goal setting on outcome’ were advised to be included, while for patients with cognitive impairments, ‘prompts/cues’, ‘graded tasks’, ‘restructuring the physical environment’ and ‘social support practical’ should be considered. Conclusion: BCTs were identified for a behavioural change intervention aiming to reduce sedentary behaviour in community-dwelling people with first-ever stroke. BCTs recommendations depend on the presence of physical and cognitive impairments, although ‘goal setting’, ‘action planning’, ‘social support’, ‘problem solving’ and ‘restructuring of the social environment’ are recommended in all people with first-ever stroke. The identified BCTs serve as the basis for further development of a personalized blended care intervention to reduce sedentary behaviour in people with stroke.

scholarly journals Selecting behaviour change techniques to reduce sedentary behaviour in people with stroke using the Behaviour Change Wheel

2019 ◽  
Author(s):  
Roderick Wondergem ◽  
Wendy Hendrickx ◽  
Eveline Wouters ◽  
Rob de Bie ◽  
Johanna Visser ◽  
...  
Keyword(s):  
Social Support ◽  
Sedentary Behaviour ◽  
Goal Setting ◽  
Behaviour Change ◽  
Cognitive Impairments ◽  
Behavioural Change ◽  
Action Planning ◽  
Community Dwelling ◽  
Behaviour Change Techniques ◽  
The Social

Abstract Background Research has shown that sedentary behaviour increases the risk of stroke, cardiovascular disease and mortality. People with stroke are highly sedentary. Therefore, reducing sedentary behaviour might reduce the risk of secondary events and death. Personalized strategies using behavioural change techniques directed at reducing sedentary behaviour in people with stroke are currently lacking. Purpose To systematically determine the behaviour change techniques (BCTs) for a behavioural change intervention, directed at reducing sedentary behaviour in community-dwelling people with stroke, using the Behaviour Change Wheel (BCW). Method To complete the stages of the BCW, information on understanding the behaviour, identifying intervention functions, identifying BCTs and modes of delivery were needed. To acquire this information, per stage a literature search was conducted and nominal group technique (NGT) sessions were conducted to identify BCTs. The NGT sessions were conducted with professionals working with people with stroke and with international researchers working in the stroke or sedentary behaviour field. Participants made their choice by rating the BCTs, starting from most important (eight points) down to zero points. Results In total, 75 eligible BCTs were identified. Five BCTs should always be included: ‘goal setting’, ‘action planning’, ‘social support’, ‘problem solving’ and ‘restructuring of the social environment’. For patients without cognitive impairments, ‘self-monitoring’, ‘feedback on behaviour’, ‘information about health consequences’ and ‘goal setting on outcome’ were advised to be included, while for patients with cognitive impairments, ‘prompts/cues’, ‘graded tasks’, ‘restructuring the physical environment’ and ‘social support practical’ should be considered. Conclusion Behaviour change techniques were identified for a behavioural change intervention aiming to reduce sedentary behaviour in community-dwelling people with first-ever stroke. BCTs recommendations depend on the presence of physical and cognitive impairments, although ‘goal setting’, ‘action planning’, ‘social support’, ‘problem solving’ and ‘restructuring of the social environment’ are recommended in all people with first-ever stroke. The identified BCTs serve as the basis for further development of a personalized blended care intervention to reduce sedentary behaviour in people with stroke.

scholarly journals Move More: Combining gamification and physical nudges to promote walking breaks and reduce sedentary behaviour of office workers. A randomized controlled trial. (Preprint)

2020 ◽  
Author(s):  
André Mamede Soares Braga ◽  
Gera Noordzij ◽  
Joran Jongerling ◽  
Merlijn Snijders ◽  
Astrid Schop-Etman ◽  
...  
Keyword(s):  
Social Support ◽  
Sedentary Behaviour ◽  
Active Control ◽  
Goal Setting ◽  
Behaviour Change ◽  
Step Count ◽  
Office Workers ◽  
Secondary Outcome ◽  
Self Monitoring ◽  
Digital Intervention

BACKGROUND Sedentary behaviour (SB) and lack of physical activity (PA) have been associated with poorer health outcomes and are increasingly prevalent in individuals working in sedentary occupations, such as office jobs. Gamification and nudges have attracted attention as promising strategies to promote health behaviour change. However, most studies of effectiveness so far lacked active controls, and few studies have tested interventions combining these two strategies. OBJECTIVE This study investigated the effectiveness of an intervention combining a gamified digital intervention with physical nudges to increase PA and reduce SB in Dutch office workers. METHODS Employees of the municipality of Rotterdam (N = 298) from two office locations were randomized at the location-level to either a 10-week intervention, combining a five-week gamification phase encompassing a gamified digital intervention with social support features and a five-week physical nudges phase, or to an active control (i.e. limited digital application with self-monitoring and goal-setting). The primary outcome was daily step count objectively measured via accelerometers. Secondary outcomes were self-reported PA and SB. Mixed-effects models were used to analyse the effects of the intervention on the primary and secondary outcome measures of participants up to one month after the intervention. RESULTS Results: A total of 234 participants completed the study and provided accelerometer data. During the gamification phase, participants in the intervention condition significantly increased their number of daily steps (from 10138 to 10901; 763.5 increase) compared to those in the active control (from 10403 to 10619; 215.6 increase) (p = 0.01). These improvements were not sustained during the physical nudges phase (p = 0.76) or follow-up (p = 0.88). CONCLUSIONS Conclusions: A digital intervention with gamification and social support features significantly increased the step count of office workers, compared to an active control encompassing self-monitoring and goal-setting. Physical nudges in the workplace were insufficient to promote maintanence of behaviour change achieved in the gamification phase. Future research should explore how to improve the long-term effectiveness of gamified digital interventions.

scholarly journals Improving centre-based group exercise participation of older adults using the behaviour change wheel

2021 ◽  
Vol 10 (1) ◽  
pp. e001078
Author(s):  
Boon Chong Kwok ◽  
Wai Pong Wong ◽  
Louisa Remedios
Keyword(s):  
Older Adults ◽  
Behaviour Change ◽  
Participation Rate ◽  
Community Dwelling ◽  
Participation Rates ◽  
Group Exercise ◽  
Exercise Participation ◽  
Behaviour Change Wheel ◽  
Wheel Model ◽  
Community Dwelling Older Adults

An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Based on a needs analysis from a prior project, this paper reports on strategies implemented to improve the daily centre-based group exercise participation rate among community-dwelling older adults. Using the behaviour change wheel model, participant motivation domains were identified as primary gaps, while the psychological capability and physical opportunity were categorised as secondary gaps. A logic model was used to design a project to respond to these identified gaps and guide the evaluation approach. Three strategies were implemented over a 4-week period and reviewed at 6 months: (1) promotion of the exercise classes, (2) delayed rewards for participation and (3) health ambassadors. Evaluation findings highlighted that more resources were needed for the training of community-dwelling older adult healthcare ambassadors in the use of motivational interviewing. The interventions were found to be efficacious in increasing daily group exercise participation rate at the centre, from an average of three to nine participants per day over the 4 weeks. Furthermore, more than 60% of these participants achieved the WHO’s weekly minimum exercise recommendation for older adults (150 min moderate-intensity physical activity). To increase the engagement of older adults in physical activity or exercise participation, we recommend the use of behaviour change wheel model and the use of community-based health ambassadors. In conclusion, the project found improved daily centre-based group physical exercise participation rates when all the domains in the behaviour change wheel model were addressed.

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

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.

scholarly journals A co-production approach guided by the behaviour change wheel to develop an intervention for reducing sedentary behaviour after stroke

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Jennifer Hall ◽  
Sarah Morton ◽  
Jessica Hall ◽  
David J. Clarke ◽  
Claire F. Fitzsimons ◽  
...  
Keyword(s):  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Behaviour Change Wheel ◽  
Production Approach

scholarly journals Design of Individual Educational Trajectories for Preschool Children as a Factor in their Social and Personality Development

2021 ◽  
Vol 13 (2) ◽  
pp. 822-830
Author(s):  
Elena Borisovna Bystray ◽  
Boris Alexandrovich Artemenko ◽  
Albina Ramazanovna Isaichkina ◽  
Irina Viktorovna Kolosova ◽  
Irina Nikolaevna Evtushenko ◽  
...  
Keyword(s):  
Preschool Children ◽  
Goal Setting ◽  
Personality Development ◽  
Preschool Education ◽  
Action Planning ◽  
Educational Process ◽  
Emotional States ◽  
Educational Trajectories ◽  
Conflict Situations ◽  
The Social

The article reports the results of introducing individual educational trajectories for preschool children into the educational process of preschool education organizations as a factor of children’s social and personality development. In conjunction with collective forms of work, these trajectories allow expanding the range of children’s ideas about different emotional states promoting feelings of empathy and sympathy. The introduction of individual educational trajectories explicated in trajectory maps of social and personality development contributes to improved communicability with peers and adults and reduces conflict in this process. The number of conflict situations in children’s communication with others is lowered. The introduction of individual educational trajectories promotes the development of each child’s readiness for independent goal-setting, action planning, and communication with children and adults. Children learn to evaluate the actions of peers and adults establishing themselves as social subjects and accounting for the social norms and regulations adopted in society, i.e. the norms of the human community.

scholarly journals Which behaviour change techniques are effective to promote physical activity and reduce sedentary behaviour in adults: a factorial randomized trial of an e- and m-health intervention

2020 ◽  
Author(s):  
Helene Schroé ◽  
Delfien Van Dyck ◽  
Annick De Paepe ◽  
Louise Poppe ◽  
Wen Wei Loh ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Action Planning ◽  
Health Intervention ◽  
Health Interventions ◽  
Behaviour Change Techniques ◽  
Self Monitoring ◽  
Coping Planning ◽  
The Impact

Abstract BackgroundE- and m-health interventions are promising to change health behaviour. Many of these interventions use a large variety of behaviour change techniques (BCTs), but it’s not known which BCTs or which combination of BCTs contribute to their efficacy. Therefore, this study investigated the efficacy of three BCTs (i.e. action planning, coping planning and self-monitoring) and their combinations on physical activity (PA) and sedentary behaviour (SB).MethodsIn a 2(action planning: present vs absent) x2(coping planning: present vs absent) x2(self-monitoring: present vs absent) factorial trial, 473 adults from the general population used the self-regulation based e- and m-health intervention ‘MyPlan2.0’ for five weeks. All combinations of BCTs were considered, resulting in eight groups. Participants selected their preferred target behaviour, either PA (n = 335,age = 35.8,28.1% men) or SB (n = 138,age = 37.8,37.7% men), and were then randomly allocated to the experimental groups. Levels of PA (MVPA in minutes/week) or SB (total sedentary time in hours/day) were assessed at baseline and post-intervention using self-reported questionnaires. Linear mixed-effect models were fitted to assess the impact of the different combinations of the BCTs on PA and SB.ResultsFirst, overall efficacy of each BCT was examined. The delivery of self-monitoring increased PA (t = 2.735,p = 0.007) and reduced SB (t=-2.573,p = 0.012) compared with no delivery of self-monitoring. Also, the delivery of coping planning increased PA (t = 2.302,p = 0.022) compared with no delivery of coping planning. Second, we investigated to what extent adding BCTs increased efficacy. Using the combination of the three BCTs was most effective to increase PA (x2 = 8,849,p = 0.003) whereas the combination of action planning and self-monitoring was most effective to decrease SB (x2 = 3.918,p = 0.048). To increase PA, action planning was always more effective in combination with coping planning (x2 = 5.590,p = 0.014;x2 = 17.722,p < 0.001;x2 = 4.552,p = 0.033) compared with using action planning without coping planning. Of note, the use of action planning alone reduced PA compared with using coping planning alone (x2 = 4.389,p = 0.031) and self-monitoring alone (x2 = 8.858,p = 003), respectively.ConclusionsThis study provides indications that different (combinations of) BCTs may be effective to promote PA and reduce SB. More experimental research to investigate the effectiveness of BCTs is needed, which can contribute to improved design and more effective e- and m-health interventions in the future.Trial registrationThis study was preregistered as a clinical trial (ID number: NCT03274271). Release date: 20 October 2017, http://clinicaltrials.gov/ct2/show/NCT03274271

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

2018 ◽  
Vol 13 (4) ◽  
pp. 189-200 ◽  
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.

scholarly journals Reducing drug-use harms among higher education students: MyUSE contextual-behaviour change digital intervention development using the Behaviour Change Wheel

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Vasilis S. Vasiliou ◽  
Samantha Dockray ◽  
Samantha Dick ◽  
Martin P. Davoren ◽  
Ciara Heavin ◽  
...  
Keyword(s):  
Higher Education ◽  
Drug Use ◽  
Harm Reduction ◽  
Behaviour Change ◽  
Drug Users ◽  
Behavioural Change ◽  
Intervention Development ◽  
Education Students ◽  
Behaviour Change Technique ◽  
Behaviour Change Wheel

Abstract Background Digital harm-reduction interventions typically focus on people with severe drug-use problems, yet these interventions have moderate effectiveness on drug-users with lower levels of risk of harm. The difference in effectiveness may be explained by differences in behavioural patterns between the two groupings. Harnessing behavioural theories to understand what is at the core of drug-use behaviours and mapping the content of new interventions, may improve upon the effectiveness of interventions for lower-risk drug-users. To the best of our knowledge, this is the first study to systematically apply the Behaviour Change Wheel (BCW) approach to understand the components, influencing capabilities, opportunities, and motivations (COM-B) of higher education students to change their drug-use behaviors. It is also the first study which identifies specific patterns of behaviours that are more responsive to harm reduction practices through the use of the Theoretical Domain Framework (TDF). Methods We employed an explanatory sequential mix-method design. We first conducted an on-line survey and a Delphi exercise to understand the factors influencing COM-B components of higher education students to change their drug-use. Subsequently, we mapped all evidence onto the COM-B components and the TDF domains to identify clusters of behaviours to target for change, using a pattern-based discourse analysis. Finally, a series of multidisciplinary group meetings identified the intervention functions—the means by which the intervention change targeted behaviours and the Behavioural Change Techniques (BCTs) involved using the behaviour change technique taxonomy (v.1). Results Twenty-nine BCTs relevant to harm-reduction practices were identified and mapped across five intervention functions (education, modelling, persuasion, incentivization, and training) and five policy categories (communication/marketing, guidelines, regulation, service provision, and environmental/social planning). These BCTs were distributed across eight identified saturated clusters of behaviours MyUSE intervention attempts to change. Conclusions The BCTs, identified, will inform the development of a digitally delivered behaviour change intervention that focuses on increasing mindful decision-making with respect to drug-use and promotes alternatives to drug-use activities. The findings can also inform implementation scientists in applying context-specific harm-reduction practices in higher education. We present examples of how the eight identified clusters of target behaviours are mapped across the COM-B components and the TDF, along with suggestions of implementation practices for harm reduction at student population level.

scholarly journals Motivating antibiotic stewardship in Bangladesh: identifying audiences and target behaviours using the behaviour change wheel

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leanne E. Unicomb ◽  
Fosiul Alam Nizame ◽  
Mohammad Rofi Uddin ◽  
Papreen Nahar ◽  
Patricia J. Lucas ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Antibiotic Stewardship ◽  
Behavioural Change ◽  
Formative Research ◽  
Drug Shop ◽  
Health Seeking ◽  
Behaviour Change Wheel ◽  
Drug Shops ◽  
Household Members ◽  
The Impact

Abstract Background South Asia is a hotspot for antimicrobial resistance due largely to over-the-counter antibiotic sales for humans and animals and from a lack of policy compliance among healthcare providers. Additionally, there is high population density and high infectious disease burden. This paper describes the development of social and behavioural change communication (SBCC) to increase the appropriate use of antibiotics. Methods We used formative research to explore contextual drivers of antibiotic sales, purchase, consumption/use and promotion among four groups: 1) households, 2) drug shop staff, 3) registered physicians and 4) pharmaceutical companies/medical sales representatives. We used formative research findings and an intervention design workshop with stakeholders to select target behaviours, prioritise audiences and develop SBCC messages, in consultation with a creative agency, and through pilots and feedback. The behaviour change wheel was used to summarise findings. Results Workshop participants identified behaviours considered amenable to change for all four groups. Household members and drug shop staff were prioritised as target audiences, both of which could be reached at drug shops. Among household members, there were two behaviours to change: suboptimal health seeking and ceasing antibiotic courses early. Thus, SBCC target behaviours included: seek registered physician consultations; ask whether the medicine provided is an antibiotic; ask for instructions on use and timing. Among drug shop staff, important antibiotic dispensing practices needed to change. SBCC target behaviours included: asking customers for prescriptions, referring them to registered physicians and increasing customer awareness by instructing that they were receiving antibiotics to take as a full course. Conclusions We prioritised drug shops for intervention delivery to all drug shop staff and their customers to improve antibiotic stewardship. Knowledge deficits among these groups were notable and considered amenable to change using a SBCC intervention addressing improved health seeking behaviours, improved health literacy on antibiotic use, and provision of information on policy governing shops. Further intervention refinement should consider using participatory methods and address the impact on profit and livelihoods for drug shop staff for optimal compliance.

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