scholarly journals What Are the Effective Behaviour Change Techniques Used to Improve General Health Check Attendance: A Systematic Review Protocol

2021 ◽  
Author(s):  
Wing Yan Lau ◽  
Jinxiao Lian ◽  
Maurice Yap
Keyword(s):  
Systematic Review ◽  
Data Analysis ◽  
Behaviour Change ◽  
General Health ◽  
Search Strategy ◽  
Assessment Tool ◽  
Relevant Literature ◽  
Health Check ◽  
Behaviour Change Techniques ◽  
Behaviour Change Wheel

Abstract BackgroundThe general health check serves as an important preventive service to manage chronic illness. While previous studies have identified interventions used to improve utilization, few have provided evidence on the techniques used within an intervention. This has limited the scope of evaluating the intervention’s effectiveness. This systematic review aims to use the Behaviour Change Wheel to identify the intervention options and identify the specific behaviour change techniques implemented. The result is expected to provide comprehensive evidence-based information to inform future intervention development. MethodsA search strategy has been developed using the relevant keywords. Literature searches on four electronic databases have proceeded on 18 August 2021. No data analysis has been carried out yet. The search strategy will be updated towards the end to ensure all relevant literature is included in this review. The retrieved studies will be screened for eligibility following the PRISMA guideline. The quality of the included articles will be appraised using an appropriate quality assessment tool. For data analysis, intervention functions will be identified using the Behaviour Change Wheel (BCW). A content analysis will be followed, by using the Behaviour Change Technique Taxonomy (BCTTv1) to identify the techniques implemented in each intervention. The result will be presented in a narrative synthesis, summarizing the key techniques used, their frequency of identification and possible patterns of techniques implemented across different studies. Where deemed appropriate, a meta-analysis will be performed.DiscussionThis systematic review may provide evidence for explaining intervention effectiveness in more detail by providing a detailed comparison of intervention components. The results are expected to aid future intervention design to improve the general health check attendance and promote universal health coverage.Systematic review registrationThis protocol is registered on PROSPERO (ref: CRD42021221041).

scholarly journals Influences on NHS Health Check behaviours: a systematic review

2020 ◽  
Author(s):  
Lou Atkins ◽  
Chryssa Stefanidou ◽  
Tim Chadborn ◽  
Katherine Thompson ◽  
Susan Michie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behaviour Change ◽  
Health Care Professionals ◽  
Health Check ◽  
Behaviour Change Techniques ◽  
Behavioural Science ◽  
Health Checks ◽  
Intervention Content ◽  
Nhs Health Checks ◽  
Nhs Health Check

Abstract Background National Health Service Health Checks were introduced in 2009 to reduce cardiovascular disease (CVD) risks and events. Since then, national evaluations have highlighted the need to maximise the programme’s impact by improving coverage and outputs. To address these challenges it is important to understand the extent to which positive behaviours are influenced across the NHS Health Check pathway and encourage the promotion or minimisation of behavioural facilitators and barriers respectively. This study applied behavioural science frameworks to: i) identify behaviours and actors relevant to uptake, delivery and follow up of NHS Health Checks and influences on these behaviours and; ii) signpost to example intervention content. Methods A systematic review of studies reporting behaviours related to NHS Health Check-related behaviours of patients, health care professionals (HCPs) and commissioners. Influences on behaviours were coded using theory-based models: COM-B and Theoretical Domains Framework (TDF). Potential intervention types and behaviour change techniques (BCTs) were suggested to target key influences. Results We identified 37 studies reporting nine behaviours and influences for eight of these. The most frequently identified influences were physical opportunity including HCPs having space and time to deliver NHS Health Checks and patients having money to adhere to recommendations to change diet and physical activity. Other key influences were motivational, such as beliefs about consequences about the value of NHS Health Checks and behaviour change, and social, such as influences of others on behaviour change. The following techniques are suggested for websites or smartphone apps: Adding objects to the environment, e.g. provide HCPs with electronic schedules to guide timely delivery of Health Checks to target physical opportunity, Social support (unspecified), e.g. include text suggesting patients to ask a colleague to agree in advance to join them in taking the ‘healthy option’ lunch at work; Information about health consequences, e.g. quotes and/or videos from patients talking about the health benefits of changes they have made.Conclusions Through the application of behavioural science we identified key behaviours and their influences which informed recommendations for intervention content. To ascertain the extent to which this reflects existing interventions we recommend a review of relevant evidence.

scholarly journals Influences on NHS Health Check behaviours: a systematic review

2020 ◽  
Author(s):  
Lou Atkins ◽  
Chryssa Stefanidou ◽  
Tim Chadborn ◽  
Katherine Thompson ◽  
Susan Michie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behaviour Change ◽  
Health Care Professionals ◽  
Health Check ◽  
Behaviour Change Techniques ◽  
Behavioural Science ◽  
Health Checks ◽  
Intervention Content ◽  
Nhs Health Checks ◽  
Nhs Health Check

Abstract Background National Health Service Health Checks were introduced in 2009 to reduce cardiovascular disease (CVD) risks and events. Since then, national evaluations have highlighted the need to maximise the programme’s impact by improving coverage and outputs. To address these challenges it is important to understand the extent to which positive behaviours are influenced across the NHS Health Check pathway and encourage the promotion or minimisation of behavioural facilitators and barriers respectively. This study applied behavioural science frameworks to: i) identify behaviours and actors relevant to uptake, delivery and follow up of NHS Health Checks and influences on these behaviours and; ii) signpost to example intervention content. Methods A systematic review of studies reporting behaviours related to NHS Health Check-related behaviours of patients, health care professionals (HCPs) and commissioners. Influences on behaviours were coded using theory-based models: COM-B and Theoretical Domains Framework (TDF). Potential intervention types and behaviour change techniques (BCTs) were suggested to target key influences. Results We identified 37 studies reporting nine behaviours and influences for eight of these. The most frequently identified influences were physical opportunity including HCPs having space and time to deliver NHS Health Checks and patients having money to adhere to recommendations to change diet and physical activity. Other key influences were motivational, such as beliefs about consequences about the value of NHS Health Checks and behaviour change, and social, such as influences of others on behaviour change. The following techniques are suggested for websites or smartphone apps: Adding objects to the environment, e.g. provide HCPs with electronic schedules to guide timely delivery of Health Checks to target physical opportunity, Social support (unspecified), e.g. include text suggesting patients to ask a colleague to agree in advance to join them in taking the ‘healthy option’ lunch at work; Information about health consequences, e.g. quotes and/or videos from patients talking about the health benefits of changes they have made.Conclusions Through the application of behavioural science we identified key behaviours and their influences which informed recommendations for intervention content. To ascertain the extent to which this reflects existing interventions we recommend a review of relevant evidence.

scholarly journals Influences on NHS Health Check behaviours: a systematic review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lou Atkins ◽  
Chryssa Stefanidou ◽  
Tim Chadborn ◽  
Katherine Thompson ◽  
Susan Michie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behaviour Change ◽  
Health Care Professionals ◽  
Health Check ◽  
Behaviour Change Techniques ◽  
Behavioural Science ◽  
Health Checks ◽  
Intervention Content ◽  
Nhs Health Checks ◽  
Nhs Health Check

Abstract Background National Health Service Health Checks were introduced in 2009 to reduce cardiovascular disease (CVD) risks and events. Since then, national evaluations have highlighted the need to maximise the programme’s impact by improving coverage and outputs. To address these challenges it is important to understand the extent to which positive behaviours are influenced across the NHS Health Check pathway and encourage the promotion or minimisation of behavioural facilitators and barriers respectively. This study applied behavioural science frameworks to: i) identify behaviours and actors relevant to uptake, delivery and follow up of NHS Health Checks and influences on these behaviours and; ii) signpost to example intervention content. Methods A systematic review of studies reporting behaviours related to NHS Health Check-related behaviours of patients, health care professionals (HCPs) and commissioners. Influences on behaviours were coded using theory-based models: COM-B and Theoretical Domains Framework (TDF). Potential intervention types and behaviour change techniques (BCTs) were suggested to target key influences. Results We identified 37 studies reporting nine behaviours and influences for eight of these. The most frequently identified influences were physical opportunity including HCPs having space and time to deliver NHS Health Checks and patients having money to adhere to recommendations to change diet and physical activity. Other key influences were motivational, such as beliefs about consequences about the value of NHS Health Checks and behaviour change, and social, such as influences of others on behaviour change. The following techniques are suggested for websites or smartphone apps: Adding objects to the environment, e.g. provide HCPs with electronic schedules to guide timely delivery of Health Checks to target physical opportunity, Social support (unspecified), e.g. include text suggesting patients to ask a colleague to agree in advance to join them in taking the ‘healthy option’ lunch at work; Information about health consequences, e.g. quotes and/or videos from patients talking about the health benefits of changes they have made. Conclusions Through the application of behavioural science we identified key behaviours and their influences which informed recommendations for intervention content. To ascertain the extent to which this reflects existing interventions we recommend a review of relevant evidence.

scholarly journals A systematic review of behaviour change techniques within interventions to prevent return to smoking postpartum

2019 ◽  
Vol 92 ◽  
pp. 236-243 ◽  
Author(s):  
Tracey J. Brown ◽  
Wendy Hardeman ◽  
Linda Bauld ◽  
Richard Holland ◽  
Vivienne Maskrey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behaviour Change ◽  
Behaviour Change Techniques

scholarly journals Effectiveness of interventions to improve rates of intravenous thrombolysis using behaviour change wheel functions: a systematic review and meta-analysis

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Md Golam Hasnain ◽  
John R. Attia ◽  
Shahinoor Akter ◽  
Tabassum Rahman ◽  
Alix Hall ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Publication Bias ◽  
Behaviour Change ◽  
Intravenous Thrombolysis ◽  
Intervention Strategies ◽  
Therapeutic Window ◽  
Behaviour Change Wheel ◽  
Meta Analyses

Abstract Background Despite being one of the few evidence-based treatments for acute ischemic stroke, intravenous thrombolysis has low implementation rates—mainly due to a narrow therapeutic window and the health system changes required to deliver it within the recommended time. This systematic review and meta-analyses explores the differential effectiveness of intervention strategies aimed at improving the rates of intravenous thrombolysis based on the number and type of behaviour change wheel functions employed. Method The following databases were searched: MEDLINE, EMBASE, PsycINFO, CINAHL and SCOPUS. Multiple authors independently completed study selection and extraction of data. The review included studies that investigated the effects of intervention strategies aimed at improving the rates of intravenous thrombolysis and/or onset-to-needle, onset-to-door and door-to-needle time for thrombolysis in patients with acute ischemic stroke. Interventions were coded according to the behaviour change wheel nomenclature. Study quality was assessed using the QualSyst scoring system for quantitative research methodologies. Random effects meta-analyses were used to examine effectiveness of interventions based on the behaviour change wheel model in improving rates of thrombolysis, while meta-regression was used to examine the association between the number of behaviour change wheel intervention strategies and intervention effectiveness. Results Results from 77 studies were included. Five behaviour change wheel interventions, ‘Education’, ‘Persuasion’, ‘Training’, ‘Environmental restructuring’ and ‘Enablement’, were found to be employed among the included studies. Effects were similar across all intervention approaches regardless of type or number of behaviour change wheel-based strategies employed. High heterogeneity (I2 > 75%) was observed for all the pooled analyses. Publication bias was also identified. Conclusion There was no evidence for preferring one type of behaviour change intervention strategy, nor for including multiple strategies in improving thrombolysis rates. However, the study results should be interpreted with caution, as they display high heterogeneity and publication bias.

scholarly journals Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children

2020 ◽  
Vol 17 (21) ◽  
pp. 7731
Author(s):  
Tracey J. Brown ◽  
Sarah Gentry ◽  
Linda Bauld ◽  
Elaine M. Boyle ◽  
Paul Clarke ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behaviour Change ◽  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Tobacco Smoke Exposure ◽  
Controlled Trials ◽  
Behaviour Change Techniques ◽  
Cochrane Central Register ◽  
Behaviour Change Technique ◽  
Self Help

Children are particularly vulnerable to environmental tobacco smoke (ETS). There is no routine support to reduce ETS in the home. We systematically reviewed trials to reduce ETS in children in order to identify intervention characteristics and behaviour change techniques (BCTs) to inform future interventions. We searched Medline, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Central Register of Controlled Trials, and Cochrane Tobacco Addiction Group Specialised Register from January 2017 to June 2020 to update an existing systematic review. We included controlled trials to reduce parent/caregiver smoking or ETS in children <12 years that demonstrated a statistically significant benefit, in comparison to less intensive interventions or usual care. We extracted trial characteristics; and BCTs using Behaviour Change Technique Taxonomy v1. We defined “promising” BCTs as those present in at least 25% of effective interventions. Data synthesis was narrative. We included 16 trials, of which eight were at low risk of bias. All trials used counselling in combination with self-help or other supporting materials. We identified 13 “promising” BCTs centred on education, setting goals and planning, or support to reach goals. Interventions to reduce ETS in children should incorporate effective BCTs and consider counselling and self-help as mechanisms of delivery.

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