scholarly journals Insights Into Physical Activity Adoption in Diabetes Patients: When Cultural Materialism Met the Transtheoretical Model

2021 ◽  
Author(s):  
Guillem Jabardo-Camprubí ◽  
Judit Bort-Roig ◽  
Rafel Donat-Roca ◽  
Montserrat Martín-Horcajo ◽  
Anna Puig-Ribera ◽  
...  
Keyword(s):  
Physical Activity ◽  
Behaviour Change ◽  
Transtheoretical Model ◽  
Cultural Context ◽  
Real Life ◽  
Social Psychological ◽  
Structured Interviews ◽  
Cultural Materialism ◽  
Social Structural ◽  
Changes Over Time

Abstract Background Although physical activity (PA) is a key behaviour for preventing and controlling diabetes (T2DM), low adoption-adherence continues to impair patient progress. Importantly, for many patients, intentional PA may have never been central to their wider cultural context. Therefore, progress in behaviour change may be more about collective than individual processes. The aim of this study was to identify barriers to undertake and maintain PA overtime and describe the relationship and the influence between these barriers in T2D patients’ real-life. Methods Twenty-two T2D patients contributed either to focus groups (n = 5) or to semi-structured interviews (n = 4). We explored adoption-adherence using an established behaviour change model (Transtheoretical) and an anthropological research method (Cultural Materialism) throughout a qualitative analysis. Results Findings suggested patients responded to PA promoted through medicalised services, using two basic, yet inter-related, social processes. To consider adopting PA a Basic Social Psychological Process was used. In contrast, patients willing to sustain PA focused on prominent ‘infrastructural’ barriers, using a Basic Social Structural Process. Conclusion This interpretation simplifies in two processes the change of behaviour related to PA. At the same time, defines the barriers’ relationship between the different levels and the influence that each level has in patients’ real-life. These insights support using phased, ecological frameworks to design and promote PA to patients with T2D, so they maintain changes over time.

scholarly journals Shared decision-making (SHARE-D) for healthy behaviour change: a feasibility study in general practice

BJGP Open ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. bjgpopen18X101517
Author(s):  
Margaret E Cupples ◽  
Judith A Cole ◽  
Nigel D Hart ◽  
Neil Heron ◽  
Michelle C McKinley ◽  
...  
Keyword(s):  
Physical Activity ◽  
Decision Making ◽  
Shared Decision Making ◽  
Behaviour Change ◽  
Feasibility Study ◽  
Shared Decision ◽  
Structured Interviews ◽  
Decision Tools ◽  
Collaborative Exploration ◽  
Positive Response Rate

BackgroundEffective interventions are needed to support health behaviour change for cardiovascular disease (CVD) prevention. Decision tools encourage behaviour change but their effectiveness when used in shared decision-making with health professionals (HPs) is unknown.AimTo test the feasibility of using a novel, paper-based tool for shared decision-making in initiating behaviour change.Design & settingA feasibility study in five general practices in Northern Ireland.MethodAdults with, or at high risk of, CVD were invited to discuss their diet and physical activity (PA) with an HP. Using a paper-based decision aid in shared decision-making about behaviour change, their capabilities, opportunities, and motivation were considered. Diet and PA were assessed at baseline, 1, and 3 months using the Dietary Instrument for Nutritional Education (DINE) and the Recent Physical Activity Questionnaire (RPAQ); accelerometers measured PA at baseline and 3 months. Semi-structured interviews, analysed thematically, explored participants’ and HPs’ views of the process.ResultsThe positive response rate to study invitation was 28% (45/162); 23 were recruited (aged 43–74 years; 50% male; <40% met diet or PA recommendations); and 87% (20/23) completed the study. All interviewees valued the tool’s structure, succinct content, and facilitation of discussion. HPs’ sharing of relevant personal experience encouraged behaviour change; social responsibilities, health conditions, and beliefs restricted change. HPs’ workloads prohibited the tool’s routine use.ConclusionRecruitment and completion rates suggest that using a novel, paper-based tool in shared decision-making for behaviour change is feasible. HPs’ workloads constrain its use in practice, but qualitative findings indicate its potential value. Cross-sector collaborative exploration of sustainable models to promote behaviour change is needed.

scholarly journals A Qualitative Investigation Into What Parents Want From an Online Behavioural Sleep Intervention for Children With Epilepsy

2021 ◽  
Vol 12 ◽  
Author(s):  
Georgia Cook ◽  
Paul Gringras ◽  
Harriet Hiscock ◽  
Deb K. Pal ◽  
Luci Wiggs
Keyword(s):  
Behaviour Change ◽  
Sleep Problems ◽  
Neurodevelopmental Disorder ◽  
Child Anxiety ◽  
Real Life ◽  
Intervention Development ◽  
Parental Engagement ◽  
Structured Interviews ◽  
Management Options ◽  
Sleep Management

Many of the same sleep problems seen in typically developing (TD) children are frequently experienced by children with epilepsy (CWE). Behavioural sleep interventions (BSIs) are commonly and successfully used to treat these sleep problems in TD children and in some neurodevelopmental disorder populations. Therefore, BSIs should be effective in CWE, however, there are special seizure-related considerations for CWE and their parents which may be salient to consider in any future BSI development for this group. The current study sought to identify, from parents, if there were special considerations for the content and delivery of an online BSI for parents of CWE. Semi-structured interviews were conducted with nine mothers of CWE and thematic analysis was conducted on the interview data. Ten themes were apparent which represented what parents wanted from any online BSI for CWE. Parents wanted (i) other parents’ views and real-life experiences to be included, (ii) recognition of how changes over time may influence the appropriateness of using various sleep-management options, (iii) to be presented with a range of sleep management options from which they could select, (iv) personalised information and suggestions for behaviour-change options, (v) help to address child anxiety around sleep, (vi) for the advice and behaviour-change options to be practical, (vii) general educational information about sleep and the relationship between sleep and epilepsy, (viii) for parental worries and concerns to be acknowledged, (ix) to receive help, support, and reassurance around children’s sleep; and (x) to include the child in the intervention. It was clear that any online BSI would require specific adaptations and additions (to content and delivery format) to best meet the needs of parents of CWE. It is hoped that having identified what parents want from on online BSI for CWE will allow these factors to be acknowledged in future intervention development, with the intention to optimise parental engagement and intervention effectiveness. Practical suggestions for how these aspects could be integrated into any online BSI are suggested.

scholarly journals The Challenges of Adapting a Questionnaire to a New Cultural Context: The Case of Studying Group-Based Guilt and Shame in Russia

2018 ◽  
Vol 14 (1) ◽  
pp. 98-106
Author(s):  
L.K. Grigoryan ◽  
A.A. Khaptsova ◽  
O.V. Poluektova
Keyword(s):  
Thematic Analysis ◽  
Cultural Context ◽  
Research Team ◽  
Psychological Research ◽  
Original Study ◽  
Social Psychological ◽  
Structured Interviews ◽  
Psychological Constructs ◽  
Western Countries ◽  
Social Psychological Research

With the majority of social-psychological research still being conducted in Western countries, researchers from non-Western countries often adopt existing theories, constructs, and instruments that are not necessarily applicable to the contexts they are interested in. This paper discusses problems that might arise when transferring psychological constructs and instruments from one cultural setting to another. We use the case of a study of group-based guilt and shame in Russia that was carried out by the research team. First, we briefly discuss the original study and the problems we encountered while conducting it. We then analyze the results of eight in-depth semi-structured interviews that followed up the original study. Finally, we conduct a thematic analysis of Facebook commentaries (N=98) that participants left after filling out the original questionnaire. Based on these analyses, we suggest a checklist for researchers who plan to study a psychological construct that wasn’t studied in a given cultural context before. With this paper, we hope to highlight the importance of thorough and comprehensive adaptation of psychological constructs and instruments to new cultural settings.

scholarly journals Maintaining physical activity following myocardial infarction: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex Coull ◽  
Gemma Pugh
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
Social Support ◽  
Data Analysis ◽  
Behaviour Change ◽  
Self Efficacy ◽  
Belief Systems ◽  
Affective Response ◽  
Structured Interviews ◽  
Exercise Interventions

Abstract Background Outcomes following myocardial infarction (MI) are improved by uptake and maintenance of physical activity (PA), but little is understood regarding patients experience of maintaining an active lifestyle once immediate support, such as cardiac-rehabilitation (CR), has ended. Aim The purpose of this study was to investigate MI survivors’ attitude and appraisal towards PA and the perceived barriers, motivators and facilitators for maintaining PA long-term. Methods Semi-structured interviews were carried out with 18 adults (mean age 60.5, range 37–73 years) from England and Scotland, who were a minimum of 5 months post-MI (mean 29 months, range 5–122 months). There were comparatively more male participants (n = 13, 72 %) than female (n = 5, 28 %). Overall 12 (67 %) participants had attended CR. The interviews were transcribed verbatim and thematic analysis was performed using qualitative data analysis software NVivo. Results Data analysis indicated that the following four core themes influenced MI survivors’ behaviour and attitude towards PA: (1) MI as a teachable moment for behaviour change, (2) affective response to MI: enjoyment versus fear, (3) cognitive response to MI: self-perception, attitude and self-efficacy, and (4) access to support and resources, including PA facilities and social support. Participants highlighted a lack of available guidance on maintaining PA behaviour change following CR and that advice on the frequency and intensity of exercise to follow was often unclear and confusing. Feelings of vulnerability and fear of overexertion were apparent, affecting participants self-efficacy to exercise. Conclusions Current CR programmes fail to address PA belief systems and perceptions of self-efficacy to exercise. Interventions that address feelings of vulnerability and fear of overexertion may be beneficial. Providing ongoing PA advice and access to social support may facilitate patients to maintain changes in PA.

scholarly journals ‘I can do this’: a qualitative exploration of acceptability and experiences of a physical activity behaviour change intervention in people with multiple sclerosis in the UK

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e029831 ◽  
Author(s):  
Jennifer Fortune ◽  
Meriel Norris ◽  
Andrea Stennett ◽  
Cherry Kilbride ◽  
Grace Lavelle ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Randomised Controlled Trial ◽  
Behaviour Change ◽  
Controlled Trial ◽  
Behaviour Change Intervention ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Feasibility Randomised Controlled Trial ◽  
Randomised Controlled

ObjectivesThe purpose of this study was to explore the experiences of people with multiple sclerosis (MS) who participated in iStep-MS, a feasibility randomised controlled trial of a behaviour change intervention that aimed to increase physical activity and reduce sedentary behaviour.DesignA qualitative approach was undertaken embedded in the feasibility randomised controlled trial. One-to-one semi-structured interviews were conducted and analysed using Framework analysis.SettingParticipants were recruited from a single MS therapy centre in the southeast of England, UK.ParticipantsSixty people with MS were randomly allocated in a 1:1 ratio to the intervention or usual care. Following a purposive sampling strategy, 15 participants from the intervention arm undertook 1:1 semi-structured interviews.InterventionsThe iStep-MS intervention consisted of four therapist-led sessions over 12 weeks, supported by a handbook and pedometer.ResultsThree themes were identified from the data.“I can do this”: developing competence in physical activityhighlights the enhanced physical activity confidence gained through goal setting and accomplishment. “I felt valued”: the nurturing cultureprovides an overview of the supportive and non-judgemental environment created by the programme structure and therapeutic relationship. Finally, “What can I do?”: empowered enactmentdescribes the transition from the supported iStep-MS intervention to intrinsically motivated physical activity enactment.ConclusionsOverall, this study supports the acceptability of the iStep-MS intervention and identified key areas that supported participants to be physically active.Trial registration numberISRCTN15343862.

Evaluation of a participatory approach to improve healthy eating and physical activity in a secure mental health setting

2020 ◽  
Vol 19 (4) ◽  
pp. 301-309
Author(s):  
Alberto Mateo-Urdiales ◽  
Margaret Michael ◽  
Charlotte Simpson ◽  
Jane Beenstock
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Healthy Eating ◽  
Negative Impact ◽  
Real Life ◽  
Well Being ◽  
Structured Interviews ◽  
Physically Active ◽  
Content Type ◽  
Prevalence Of Obesity

Purpose The prevalence of obesity in secure mental health units is higher than in the general population, having a negative impact on the physical health and mental well-being of people with severe mental health illness (SMI). The purpose of this study was to describe the feasibility of a programme aimed to help people with SMI to eat healthily and be physically active. Design/methodology/approach A mixed-methods approach was used. A questionnaire administered to patients in both wards measured acceptability, demand, implementation and practicality of the project. Individual semi-structured interviews and focus groups were used to explore staff and patients’ perceptions of the project; as well as the barriers and enablers towards an effective implementation and participation in the project’s activities. Findings Patients were, overall, satisfied with the activities implemented. Successful activities were easy to implement, had staff actively engaged and did not require logistic or administrative planning beforehand. Barriers included unawareness around funding mechanisms of activities, staff capacity issues or lack of patients’ permission to leave the ward. Originality/value Few studies have assessed the feasibility of real-life interventions aimed to improve healthy eating and physical activity in secure mental health units. The results of this study can inform commissioners and providers of mental health services to design and implement new interventions and programmes.

What information is important for accredited exercise physiologists to facilitate change in clients living with type 2 diabetes mellitus?

2018 ◽  
Vol 24 (6) ◽  
pp. 510
Author(s):  
Alisa K. Zimmermann ◽  
Fiona Barnett
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Behaviour Change ◽  
Medical Information ◽  
Transfer Of Knowledge ◽  
Structured Interviews ◽  
New Graduate

Accredited Exercise Physiologists (AEPs) prescribe exercise and physical activity interventions for people living with type 2 diabetes mellitus (T2DM). During initial consultations, AEPs face the challenge of collecting enough information to facilitate behaviour change and adherence to treatment recommendations. The objective of this research is to explore the initial consultation practices of AEPs with clients living with T2DM and resultant recommendations provided to clients to promote long-term adherence. This study was an exploratory descriptive qualitative study. Twenty-one AEPs who currently practice in the Townsville Region participated in focus groups or semi-structured interviews. Data were analysed using a thematic and triangulation approach. Results revealed that an interview style consultation is standard practice, which varied based on experience of the AEP. Interviewing techniques facilitating behaviour change were under-utilised, especially among less-experienced AEPs who focused on the medical information. Assessment of the psychosocial wellbeing of the client living with T2DM by AEPs was limited. AEPs recommended that group exercise sessions yielded greater success for clients adopting physical activity. It is recommended that new graduate AEPs develop greater confidence in strategies of gathering information to facilitate behaviour change in clients with T2DM. A mentorship program could ensure the continued development of new graduate AEPs through the transfer of knowledge and skills.

scholarly journals Needs analyses for task-based curriculum design: How useful can it be for general purpose L2 courses?

2018 ◽  
Author(s):  
Natallia Liakina ◽  
Gabriel Michaud
Keyword(s):  
Curriculum Design ◽  
Cultural Context ◽  
Real Life ◽  
Oral Communication ◽  
General Purpose ◽  
Student Population ◽  
Structured Interviews ◽  
Online Questionnaire ◽  
Common Domain ◽  
University Level

When designing a task-based language curriculum, it is essential to conduct a needs analysis (NA) to gain insight into the needs and goals of the student population (Long SLA and TBLT 6). This article illustrates the steps of the process by which an NA was designed and implemented in two university-level B2 level oral communication French as a Second Language courses to investigate students’ perceptions of the TBLT approach, students’ motivations, needs and desired outcomes in order to develop task-based syllabi. This article also addresses the challenges of responding to the needs of a diverse student population in order to determine thematic content and to design the authentic real-life tasks that would appeal to different individual students while taking into account the sociolinguistic and cultural context of the Francophone province of Quebec.The NA consisted of an analysis of the Common European Framework of Reference for Languages (CEFR), an online questionnaire given to both students (n = 48) and teachers (n = 8), and semi-structured interviews with students (n = 8). Despite the apparent heterogeneity of the participants in the two general purpose oral communication language classes, results suggest common, domain-independent goals and themes that would sufficiently cater to the needs and objectives of each individual in the group while also meeting the academic requirements of a university-level course.

scholarly journals A Qualitative Perspective on Multiple Health Behaviour Change: Views of Smoking Cessation Advisors Who Promote Physical Activity

2010 ◽  
Vol 5 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Emma S. Everson-Hock ◽  
Adrian H. Taylor ◽  
Michael Ussher ◽  
Guy Faulkner
Keyword(s):  
Physical Activity ◽  
Smoking Cessation ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Structured Interviews ◽  
Health Behaviour Change ◽  
Quitting Smoking ◽  
Qualitative Data Analysis Software ◽  
Behaviour Changes ◽  
Multiple Health

AbstractThere are mixed views on whether smoking cessation advisors should focus only on quitting smoking or also promote simultaneous health behaviour changes (e.g., diet, physical activity), but no studies have qualitatively examined the views and vicarious experiences of such health professionals. Semi-structured interviews were conducted with 11 trained smoking cessation advisors who promote physical activity to their clients. The data were categorised into themes using thematic analysis supported by qualitative data analysis software. We report themes that were related to why advisors promote multiple health behaviour change and issues in timing. Physical activity could be promoted as a cessation aid and also as part of a holistic lifestyle change consistent with a nonsmoker identity, thereby increasing feelings of control and addressing fear of weight gain. Multiple changes were promoted pre-quit, simultaneously and post-quit, and advisors asserted that it is important to focus on the needs and capabilities of individual clients when deciding how to time multiple changes. Also, suggesting that PA was a useful and easily performed cessation aid rather than a new behaviour (i.e., structured exercise that may seem irrelevant) may help some clients to avoid a sense of overload.

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