Goal setting and behavior change in a smoking cessation program

1994 ◽  
Vol 18 (1) ◽  
pp. 69-83 ◽  
Author(s):  
Belinda Borrelli ◽  
Robin Mermelstein
2019 ◽  
Author(s):  
Rikke Aune Asbjørnsen ◽  
Mirjam Lien Smedsrød ◽  
Lise Solberg Nes ◽  
Jobke Wentzel ◽  
Cecilie Varsi ◽  
...  

BACKGROUND Maintaining weight after weight loss is a major health challenge, and eHealth (electronic health) solutions may be a way to meet this challenge. Application of behavior change techniques (BCTs) and persuasive system design (PSD) principles in eHealth development may contribute to the design of technologies that positively influence behavior and motivation to support the sustainable health behavior change needed. OBJECTIVE This review aimed to identify BCTs and PSD principles applied in eHealth interventions to support weight loss and weight loss maintenance, as well as techniques and principles applied to stimulate motivation and adherence for long-term weight loss maintenance. METHODS A systematic literature search was conducted in PsycINFO, Ovid MEDLINE (including PubMed), EMBASE, Scopus, Web of Science, and AMED, from January 1, 2007 to June 30, 2018. Arksey and O’Malley’s scoping review methodology was applied. Publications on eHealth interventions were included if focusing on weight loss or weight loss maintenance, in combination with motivation or adherence and behavior change. RESULTS The search identified 317 publications, of which 45 met the inclusion criteria. Of the 45 publications, 11 (24%) focused on weight loss maintenance, and 34 (76%) focused on weight loss. Mobile phones were the most frequently used technology (28/45, 62%). Frequently used wearables were activity trackers (14/45, 31%), as well as other monitoring technologies such as wireless or digital scales (8/45, 18%). All included publications were anchored in behavior change theories. Feedback and monitoring and goals and planning were core behavior change technique clusters applied in the majority of included publications. Social support and associations through prompts and cues to support and maintain new habits were more frequently used in weight loss maintenance than weight loss interventions. In both types of interventions, frequently applied persuasive principles were self-monitoring, goal setting, and feedback. Tailoring, reminders, personalization, and rewards were additional principles frequently applied in weight loss maintenance interventions. Results did not reveal an ideal combination of techniques or principles to stimulate motivation, adherence, and weight loss maintenance. However, the most frequently mentioned individual techniques and principles applied to stimulate motivation were, personalization, simulation, praise, and feedback, whereas associations were frequently mentioned to stimulate adherence. eHealth interventions that found significant effects for weight loss maintenance all applied self-monitoring, feedback, goal setting, and shaping knowledge, combined with a human social support component to support healthy behaviors. CONCLUSIONS To our knowledge, this is the first review examining key BCTs and PSD principles applied in weight loss maintenance interventions compared with those of weight loss interventions. This review identified several techniques and principles applied to stimulate motivation and adherence. Future research should aim to examine which eHealth design combinations can be the most effective in support of long-term behavior change and weight loss maintenance.


2018 ◽  
Vol 9 (2) ◽  
pp. 152
Author(s):  
Rubén Andújar-Espinosa ◽  
Lourdes Salinero-González ◽  
Manuel Castilla-Martínez ◽  
Carlos Castillo-Quintanilla ◽  
Rocío Ibañez-Meléndez ◽  
...  

Resumen: Introducción. El uso de la gamificación en salud es una herramienta útil para incrementar la motivación cuan­do se aplica a salud. Los objetivos fueron realizar una revisión sobre evidencias científicas de aplicaciones con elementos de gamificación en salud, identificar características de calidad, elaborar un check-list y aplicarlo a apli­caciones para la deshabituación tabáquica con elementos de gamificación. Métodos. Se realizó una búsqueda bibliográfica en Pubmed sobre gamificación en salud y una búsqueda de apps de cese tabáquico con elementos de gamificación. Se elaboró un check-list para evaluar la calidad, elementos de gamificación y técnicas de cambio de comportamiento utilizados, posteriormente se aplicó a las apps seleccionadas. Resultados. Se incluyeron 14 apps sobre gamificación en deshabituación tabáquica. Solo 4 (28,6%) identificaron fuentes de información fiables y solo 2 (14,3%) informaron sobre políticas de acceso y tratamiento de datos. Las técnicas de cambio de comportamiento identificadas fueron retroalimentación en todas las apps, automonitorización en 12 (85,7%) y cambios basados en los éxitos pasados en 13 (92,9%). Conclusiones. Existen pocos estudios sobre aplica­ciones para la deshabituación tabáquica con elementos de gamificación, con gran variabilidad en metodología, variables medidas y escasas evidencias. La creación de un check-list sobre calidad de las aplicaciones podría disminuir esta variabilidad y mejorar la calidad de los estudios futuros. Son necesarios nuevos estudios.Palabras clave: Deshabituación tabáquica; Aplicaciones móviles; Terapia de comportamiento; Cese tabáquico.Abstract: Introduction. The use of health gamification has proven to be a useful tool to increase motivation and com­mitment when applied to health. The objectives were to review the scientific evidences of health gamification applications, to identify the quality characteristics, to develop a check list to evaluate it and to apply it to the appli­cations in smoking cessation. Methodology. PubMed search on health gamification and a search for smoking cessation apps with gamification elements in the most important application stores. A checklist was developed to evaluate the quality, gamification elements and behavior change techniques used, and was applied to the selected apps. Results. We included 14 apps on gamification in smoking cessation. Only 4 (28.6%) identified reliable sou­rces of information and only 2 (14.3%) reported on access policies and data processing. Behavior change techni­ques identified were feedback in all apps, self-monitoring in 12 (85.7%) and changes based on past successes 13 (92.9%). Conclusions. There are few studies on gamification applications in smoking cessation, with a high variabi­lity in the methodology, measured variables and with little evidence. Creating a checklist on the quality of smoking cessation apps could decrease this variability and improve the quality of future studies. Further studies are needed.Keywords: Tobacco Use Cessation; Mobile Applications; Behavior Therapy; Smoking Cessation.


Pflege ◽  
2003 ◽  
Vol 16 (5) ◽  
pp. 283-288 ◽  
Author(s):  
Jacqueline Voggensperger ◽  
Dunja Nicca ◽  
Battegay ◽  
Zellweger ◽  
Spirig

Das Zigarettenrauchen stellt für viele Menschen ein gesundheitliches Problem mit weitreichenden Folgen dar. Da das Rauchen für Patienten und Patientinnen der HIV-Sprechstunde am Universitätsspital Basel, Schweiz, ebenfalls ein großes Problem ist, konnte ein auf Evidenz basierendes Rauchstopp-Programm entwickelt werden. Dieses Programm stützt sich auf die zwei in der Literatur beschriebenen, erfolgreichen Interventionen; die Pharmakotherapie und die Beratung. Bei der Beratung steht der Dialog mit den Betroffenen und deren Empowerment im Zentrum. Das Rauchstopp-Programm beinhaltet eine Kurzintervention, eine allgemeine Raucherberatung und eine mehrteilige Einzelberatung. Da Raucherberatungen in der Schweiz bislang beinahe ausschließlich von Ärztinnen und Ärzten durchgeführt wurden und keine deutschsprachigen Publikationen von Pflegenden in diesem Gebiet existieren, beabsichtigt dieser Artikel, Pflegenden ein Konzept zur Raucherberatung anzubieten. Unsere ersten Praxiserfahrungen zeigen, dass insbesondere die Kombination bestehend aus pflegerischer und ärztlicher Langzeitbetreuung und Nikotinsubstitution eine wirksame interdisziplinäre Intervention darstellen könnte.


1974 ◽  
Vol 19 (4) ◽  
pp. 334-334
Author(s):  
ROBERT C. CARSON
Keyword(s):  

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