behavior change techniques
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2022 ◽  
Author(s):  
Tricia Zucker ◽  
Gloria Yeomans-Maldonado

Broadening participation in early, informal STEM is important for families experiencing poverty. We explored the feasibility of the Teaching Together STEM preschool program for increasing home-based parent involvement and reducing barriers to informal STEM learning with 181 families at schools where 92% of students received free/reduced lunch. The core treatment included family engagement events and text messages; STEM events were delivered at school sites by museum-based informal science educators. We randomly assigned schools to business-as-usual or one of three additive treatment groups to evaluate adult behavior change techniques of adding materials and parent rewards to the core treatment. The primary outcome was parent involvement in STEM. There were no significant impacts of any treatment on home-based parent involvement in STEM; however, the groups that included take-home activity kits along with family education events/resources were the most promising way to get focal parents involved in doing science and math with their young child. Interestingly, the most intensive treatment group that added parent monetary rewards produced short-term improvements in parent involvement that faded at a later follow-up timepoint. We discuss the relative effects of different behavior change techniques and uptake of components, as this has implications for family engagement programs that aim to ensure equity when many parents have competing demands on their time.


Author(s):  
Daniël Bossen ◽  
Monique Bak ◽  
Katja Braam ◽  
Manon Wentink ◽  
Jasmijn Holla ◽  
...  

Combined lifestyle interventions (CLI) are focused on guiding clients with weight-related health risks into a healthy lifestyle. CLIs are most often delivered through face-to-face sessions with limited use of eHealth technologies. To integrate eHealth into existing CLIs, it is important to identify how behavior change techniques are being used by health professionals in the online and offline treatment of overweight clients. Therefore, we conducted online semi-structured interviews with providers of online and offline lifestyle interventions. Data were analyzed using an inductive thematic approach. Thirty-eight professionals with (n = 23) and without (n = 15) eHealth experience were interviewed. Professionals indicate that goal setting and action planning, providing feedback and monitoring, facilitating social support, and shaping knowledge are of high value to improve physical activity and eating behaviors. These findings suggest that it may be beneficial to use monitoring devices combined with video consultations to provide just-in-time feedback based on the client’s actual performance. In addition, it can be useful to incorporate specific social support functions allowing CLI clients to interact with each other. Lastly, our results indicate that online modules can be used to enhance knowledge about health consequences of unhealthy behavior in clients with weight-related health risks.


2021 ◽  
Author(s):  
Carlos A Pérez-Aldana ◽  
Allison A Lewinski ◽  
Constance M Johnson ◽  
Allison A Vorderstrasse ◽  
Sahiti Myneni

Diabetes is a chronic disease that can be effectively managed and controlled using strategies such as self-management education and ongoing support. Virtual environments offer innovative and realistic settings where patients can achieve self-management education and obtain ongoing self-management support from peers and healthcare professionals. Transcribed real-time conversations in an innovative virtual community were analyzed using qualitative and linguistic analysis. These virtual interactions were manually coded to identify embedded behavior change techniques and linguistic features. Results showed 13 behavior change techniques were manifested. Further, language differences were observed between behavior change techniques and social support types. Our research can provide valuable insights into the design of effective digital health interventions that maximize sustained use of virtual environments, subsequently impacting self-management of chronic conditions such as diabetes.


2021 ◽  
Author(s):  
Daehyoung Lee ◽  
Georgia C Frey ◽  
Donetta J Cothran ◽  
Jaroslaw Harezlak ◽  
Patrick C Shih

BACKGROUND Physical activity (PA) has an impact on physical and mental health in neurotypical populations, and addressing these variables may improve the prevalent burden of anxiety in adults with autism spectrum disorder (ASD). Gamified mobile applications using behavior change techniques (BCTs) present a promising way to increase PA and reduce sedentary time, thus reducing anxiety in adults with ASD. OBJECTIVE This study aimed to compare the efficacy of a gamified and BCTs-based mobile application, PuzzleWalk vs. a commercially available application Google Fit (Google LLC, CA) on increasing PA and reducing sedentary time as an adjunct anxiety treatment for this population. METHODS Twenty-four adults with ASD were assigned to either PuzzleWalk or Google Fit group for five weeks, using a covariate adaptive randomization design. Physical activity and anxiety were assessed over 7 days at three different data collection periods (i.e., baseline, intervention start, intervention end) using triaxial accelerometers and the Beck Anxiety Inventory. Group differences in outcome variables were assessed by repeated measures ANCOVA adjusting for age, sex, and BMI. RESULTS Findings indicated that PuzzleWalk group spent a significantly larger amount of time for application use compared to Google Fit group (F 2, 38 = 5.07, p = 0.011, partial η2 = 0.21) while anxiety was unfavorably associated with increases in light PA and decreases in sedentary time after intervention (all p < 0.05). CONCLUSIONS Additional research is needed to clarify the determinants of physical and mental health as well as their interrelationship in adults with ASD. In addition, more research is needed to identify the factors that facilitate the use and adoption of mobile health technology in these individuals. The small, albeit insignificant, changes in PA and/or anxiety may be of clinical significance to adults with ASD. CLINICALTRIAL N/A


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 415-415
Author(s):  
Rachel Hirschey ◽  
Courtney Caiola ◽  
Ya-Ning Chan ◽  
Brenda Plassman ◽  
Bei Wu ◽  
...  

Abstract Following a pilot, we refined an oral health carepartner intervention for individuals with mild dementia (IMD). In this intervention, we use behavior change techniques (BCTs) to foster changes by carepartners including using new oral-care techniques and developing skills for using cueing and communications approaches to support behavior changes by IMD (duration and frequency of toothbrushing and oral-hygiene skills); thus, improving plaque and gingival indices. We describe our approach to refining the intervention manual including a) completing the self-paced BCT taxonomy course, b) developing a coding schema, c) coding the original manual for evidence of BCTs, and d) refining the manual to improve use of BCTS in the refined intervention. Our results detail how BCTs can be applied to refine and improve interventions. This research demonstrates the value in using BCTs for interventions to address how carepartners and IMD can collaborate to improve oral hygiene care.


Author(s):  
Ginger G. Collins

Purpose: Motivation declines as children reach adolescence. Poor motivation inhibits participation and engagement in language-based interventions. The purpose of this tutorial is to demonstrate how intervention can be designed to increase client motivation to participate while improving language-based literacy skills. Method: Motivation and behavior change techniques based on self-determination theory are presented, as are examples of how to integrate these techniques into contextualized language intervention with adolescent clients. Conclusion: Incorporating motivation and behavior change techniques into contextualized language interventions with adolescents promotes self-determination and motivation through satisfaction of their need for autonomy, relatedness, and competence while simultaneously addressing language-based literacy deficits.


2021 ◽  
Author(s):  
Laura Struik ◽  
Danielle Rodberg ◽  
Ramona Sharma

BACKGROUND Smoking rates in Canada remain unacceptably high, and cessation rates have stalled in recent years. Online cessation programs, touted for their ability to reach many different populations anytime, have shown promise in their efficacy. The Government of Canada has therefore funded provincial and national smoking cessation websites across the country. However, little is known about the behavior change techniques (BCTs) that underpin the content of these websites, which is key to establishing the quality of the websites, as well as a way forward for evaluation. OBJECTIVE The purpose of this study, therefore, was to apply the BCTTv1 taxonomy to Canadian provincial and federal websites and determine which BCTs they use. METHODS A total of 12 government-funded websites across Canada were included for analysis. Using deductive content analysis, and through training in applying the BCTTv1 taxonomy, the website content was coded according to the 93 BCTs across the 16 BCT categories. RESULTS Of the 16 BCT categories, 14 were present within the websites. The most widely represented BCT categories (used in all 12 websites) included: 1. Goals and planning, 3. Social support, 5. Natural consequences, and 11. Regulation. The most saturated BCT categories (those most heavily used) included: 10. Reward and threat, 12. Antecedents, 1. Goals and planning, and 5. Natural consequences. Implementation of BCTs within these categories varied across the sites. CONCLUSIONS This study addresses a critical gap in knowledge around the behavior change techniques that underpin government-funded smoking cessation websites in Canada. The findings offer programmers and researchers with tangible directions for prioritizing and enhancing provincial and national smoking cessation programs, and an evaluation framework to assess smoking cessation outcomes in relation to the web-based content.


2021 ◽  
Author(s):  
Rui Moreira ◽  
Nuno Durão ◽  
Rita Maria Cabral ◽  
Jessica Lourenço ◽  
Augusta Silveira ◽  
...  

BACKGROUND Our modern way of life, health and well-being depend on the individual's health behaviors. Motivation is a major factor of health behaviour change, and intrinsically motivated behavior change is desirable as it is both sustained and directly contributes to well-being. This raises the immediate question about what kind of interventions are best positioned to intrinsically motivate health behavior change. OBJECTIVE With this study we wanted to analyse the presence and efficiency of gamification mechanisms in oral healthcare-themed digital games and apps on promoting user engagement to comply with prevention policies. METHODS The search query was based on the electronic database PubMed. Applying exclusion and inclusion criteria, this study is focused on scholar work reporting original research of the value of gamification on oral healthcare. The final pool of data was scrutinized for the gamification features, evidence-based oral health and behavior change techniques. RESULTS Apps with high quality evidence-based educational content for oral self-care, employing gamification features and behavior change techniques, provide excellent results in functionality, effectiveness, efficiency and satisfaction. However, some authors highlighted issues such as the need to improve engagement, aesthetics, evidence-based information content, behavior change taxonomies, psychological needs, evaluation, validation, quality assessment and professional regulation of the oral healthcare apps. CONCLUSIONS In this systematic review, we did not find any app that included all the segments for learning, performing, and maintaining proper oral health care. Evidence-based oral healthcare gamification features represent potential new approaches for health care providers to change behavior in the form of learning, performing and maintaining proper oral hygiene. Evaluation, validation, quality assurance, best practice standards and guidelines are needed for improving app use.


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