scholarly journals Identifying the active ingredients of cardiac rehabilitation: A behaviour change technique and qualitative analysis

2021 ◽  
Author(s):  
Hannah McAuliffe ◽  
Jenny Mc Sharry ◽  
Denise Dunne ◽  
Molly Byrne ◽  
Oonagh Meade
Keyword(s):  
Qualitative Analysis ◽  
Cardiac Rehabilitation ◽  
Behaviour Change ◽  
Active Ingredients ◽  
Behaviour Change Technique ◽  
Change Technique

A Review of the Processes By Which School Psychologists and Counsellors Can Use Taxonomies to Evaluate Health-Related Apps

2018 ◽  
Vol 28 (2) ◽  
pp. 212-233 ◽  
Author(s):  
Marko Ostojic ◽  
Jasmine Chung ◽  
Michael DiMattia ◽  
Brett Furlonger ◽  
Margherita Busacca ◽  
...  
Keyword(s):  
School Psychologists ◽  
Behaviour Change ◽  
Health Conditions ◽  
Change Strategies ◽  
Clinical Use ◽  
Inclusion Criteria ◽  
School Students ◽  
Behaviour Change Technique ◽  
Change Technique ◽  
Health Related

School students are increasingly using apps for health-related purposes, either on their own or when recommended by psychologists or counsellors, as apps offer a way to assist students to change their behaviour. However, there is a growing need for psychologists and counsellors to be able to evaluate the quality and usefulness of such apps to effect behaviour change. This study was therefore undertaken to identify methods by which school psychologists and counsellors could evaluate health-related apps for clinical use or research purposes. After examining 15 studies of apps that met the inclusion criteria, it was clear that researchers used a number of taxonomies to evaluate the apps. There were seven taxonomies identified, of which five were generalisable to all health conditions, with the behaviour change technique (BCT) taxonomy being the most comprehensive, containing 13 key behaviour strategies. Despite the utility of the taxonomies to identify the amount of behaviour change content within the apps, it was difficult to determine how the behaviour change strategies were measured, thus reducing the ability to predict app effectiveness. Approaches to improving methods by which apps can be developed and evaluated are proposed.

scholarly journals Online behaviour change technique training to support healthcare staff ‘Make Every Contact Count’

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Chisholm ◽  
Lucie Byrne-Davis ◽  
Sarah Peters ◽  
Jane Beenstock ◽  
Suzanne Gilman ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Healthcare Staff ◽  
Behaviour Change Technique ◽  
Change Technique ◽  
Online Behaviour

Oral health promotion apps: an assessment of message and behaviour change potential

2020 ◽  
Author(s):  
Katherine H KACZMARCZYK ◽  
Kara A GRAY-BURROWS ◽  
Karen VINALL-COLLIER ◽  
Peter F DAY
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Behaviour Change ◽  
Theoretical Domains Framework ◽  
Health Messages ◽  
Behaviour Change Technique ◽  
Oral Health Promotion ◽  
Health Apps ◽  
Change Technique

Abstract Background Oral health worldwide needs improving: untreated dental caries is the most common health condition affecting people globally. Mobile applications (apps) have potential to provide preventative oral health interventions. This study aimed to investigate the quality of available oral health promotion apps, assessing information provided and the barriers to oral health addressed using psychological frameworks. Methods A content assessment of oral health promotion apps targeted at adults in the UK iTunes store was conducted. The quality of 22 apps was assessed against 3 objective indices derived from the Delivering Better Oral Health toolkit, Theoretical Domains Framework and Behaviour Change Technique Taxonomy. Index scores were calculated and descriptive analyses were completed. Results On average, four Delivering Better Oral Health messages, seven Theoretical Domains Framework components and eight Behaviour Change Technique Taxonomy components were addressed per app. The most common components were: ‘take at least two minutes to brush’ for the Delivering Better Oral Health index, ‘goals’ and ‘intentions’ for the Theoretical Domains Framework index and ‘goal setting (behaviour)’ for the Behaviour Change Technique Taxonomy index. Conclusion The quality of information available in oral health apps requires improvement with the majority addressing only a few barriers to oral health. Currently, there is no recognized scale for evaluating oral health apps: this study provides a suggested method for future app evaluation. There is opportunity for a new app to be created based on health behaviour change theory which includes all the Delivering Better Oral Health messages.

scholarly journals Developing an evidence-based online method of linking behaviour change techniques and theoretical mechanisms of action: a multiple methods study

2021 ◽  
Vol 9 (1) ◽  
pp. 1-168
Author(s):  
Susan Michie ◽  
Marie Johnston ◽  
Alexander J Rothman ◽  
Marijn de Bruin ◽  
Michael P Kelly ◽  
...  
Keyword(s):  
Behaviour Change ◽  
Mechanism Of Action ◽  
Behavioural Change ◽  
Complex Interventions ◽  
Mechanisms Of Action ◽  
Behaviour Change Techniques ◽  
Active Components ◽  
Behaviour Change Technique ◽  
Policy Makers ◽  
Change Technique

Background Many global health challenges may be targeted by changing people’s behaviour. Behaviours including cigarette smoking, physical inactivity and alcohol misuse, as well as certain dietary behaviours, contribute to deaths and disability by increasing the risk of cancers, cardiovascular diseases and diabetes. Interventions have been designed to change these health behaviours with a view to reducing these health risks. However, the effectiveness of these interventions has been quite variable and further information is needed to enhance their success. More information is needed about the specific processes that underlie the effectiveness of intervention strategies. Aim Researchers have developed a taxonomy of 93 behaviour change techniques (i.e. the active components of an intervention that bring about behavioural change), but little is known regarding their potential mechanisms of action (i.e. the processes through which a behaviour change technique affects behaviour). We therefore aimed to examine links between behaviour change techniques and mechanisms of action. Method First, we conducted a literature synthesis study of 277 behaviour change intervention studies, from which we extracted information on links, described by authors, between behaviour change techniques and mechanisms of action, and identified an average of 10 links per intervention report. Second, behaviour change experts (n = 105) were engaged in a three-round consensus study in which they discussed and rated their confidence in the presence/absence of ‘links’ and ‘non-links’ between commonly used behaviour change techniques (n = 61) and a set of mechanisms of action (n = 26). Ninety links and 460 ‘non-links’ reached the pre-set threshold of 80% agreement. To enhance the validity of these results, a third study was conducted that triangulated the findings of the first two studies. Discrepancies and uncertainties between the studies were included in a reconciliation consensus study with a new group of experts (n = 25). The final results identified 92 definite behaviour change technique–mechanism of action links and 465 definite non-links. In a fourth study, we examined whether or not groups of behaviour change techniques used together frequently across interventions revealed shared theoretical underpinnings. We found that experts agreed on the underlying theory for three groups of behaviour change techniques. Results Our results are potentially useful to policy-makers and practitioners in selecting behaviour change techniques to include in behaviour change interventions. However, our data do not demonstrate that the behaviour change techniques are effective in targeting the mechanism of action; rather, the links identified may be the ‘best bets’ for interventions that are effective in changing mechanisms of action, and the non-links are unlikely to be effective. Researchers examining effectiveness of interventions in either primary studies or evidence syntheses may consider these links for further investigation. Conclusion To make our results usable by researchers, practitioners and policy-makers, they are available in an online interactive tool, which enables discussion and collaboration (https://theoryandtechniquetool.humanbehaviourchange.org/); accessed 1 March 2020. This work, building on previous work to develop the behaviour change technique taxonomy, is part of an ongoing programme of work: the Human Behaviour Change Project (www.humanbehaviourchange.org/; accessed 1 March 2020). Funding This project was funded by the Medical Research Council via its Methodology Panel: ‘Developing methodology for designing and evaluating theory-based complex interventions: an ontology for linking behaviour change techniques to theory’ (reference MR/L011115/1).

Establishing Components of Programmes to Reduce Restrictive Practices in Adult Mental Health Inpatient Services: A Behaviour Change Technique Analysis

2020 ◽  
Author(s):  
Kathryn Berzins ◽  
Krysia Canvin ◽  
Sarah Kendal ◽  
Iris Benson ◽  
Ian Kellar ◽  
...  
Keyword(s):  
Mental Health ◽  
Behaviour Change ◽  
Complex Interventions ◽  
Evidence Base ◽  
Audit And Feedback ◽  
Behaviour Change Technique ◽  
Adult Mental Health ◽  
Change Technique ◽  
Health And Social Care ◽  
Inpatient Settings

Abstract Background: Incidents that threaten service user and staff safety occur frequently in adult mental health inpatient settings, often resulting in restrictive practices such as restraint and seclusion. These carry significant risks, including physical and psychological harms to service users and staff, as well as costs to the NHS. Numerous complex interventions have been developed which aim to reduce the use of restrictive practices. Aims: The aims were to identify, standardise and report the effectiveness of components of interventions that seek to reduce restrictive practices in adult mental health inpatient settings, using the Behaviour Change Technique taxonomy. Methods: A systematic mapping review of literature identified in health and social care research databases and unpublished sources (including social media) was undertaken. Records were quality appraised using the MMAT. Records of interventions to reduce any form of restrictive practice used with adults in mental health services were included. The resulting dataset for extraction was guided by WIDER, Cochrane and theory coding guidelines. The BCT taxonomy was systematically applied to each identified intervention.Results: The final dataset comprised 175 records reporting 150 interventions, 109 of which had been formally evaluated. The most common intervention targets were seclusion and/or restraint reduction. The most common evaluation approach was a non-randomised design. There were only six randomised controlled trials. The number of BCTs identified per intervention ranged from 1-33 (mean:8). The most common strategy was staff training. BCTs from 14 of a possible 16 clusters were detected. Over two thirds of the BCTs mapped onto four of the 14 clusters: ‘Goals and planning’; ‘Antecedents’; ‘Shaping knowledge’; ‘Feedback and monitoring’. Those BCTs which were found in all the interventions were similar to those found in those interventions which demonstrated statistically significant effects. Conclusions: Studies of interventions to reduce restrictive practices appear to be diverse quality. Interventions tended to contain multiple components delivered in multiple ways. Further research could enhance the evidence base prior to future commissioning decisions. Separate testing of individual procedures, for example, audit and feedback, could ascertain the more effective intervention components and improve understanding of content and delivery. Registration: The study is registered as PROSPERO 2018 CRD42018086985 Available from: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018086985

scholarly journals A Systematic Review of Digital Behaviour Change Interventions for More Sustainable Food Consumption

2019 ◽  
Vol 11 (9) ◽  
pp. 2638 ◽  
Author(s):  
Björn Hedin ◽  
Cecilia Katzeff ◽  
Elina Eriksson ◽  
Daniel Pargman
Keyword(s):  
Food Consumption ◽  
Behaviour Change ◽  
Systematic Reviews ◽  
Future Research ◽  
Behaviour Change Technique ◽  
Sustainable Food ◽  
Behaviour Change Interventions ◽  
Change Technique ◽  
Digital Interventions ◽  
Consumption Practices

Food production and consumption present major sustainability challenges, and finding ways to reduce the environmental impact of food, for example through behavioural changes by consumers, is becoming increasingly important. In recent years, digital interventions have become important tools to change behaviours in many areas. In this review, we evaluate the status of current scientific knowledge of digital behaviour change interventions for sustainable food consumption practices. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist for how to conduct systematic reviews, we searched multiple databases for papers containing terms related to food, sustainability and digital behaviour change interventions. Only studies where the digital interventions were actually implemented and evaluated from a behaviour change perspective were included, resulting in 15 primary studies in the final review. The quality of the studies was evaluated from a behaviour change perspective, and the approaches used were categorised using two intervention frameworks, the Behaviour Change Wheel and the Behaviour Change Technique Taxonomy v1. The results show that all of the included studies had major quality issues when evaluated from a behaviour change perspective. This means that we could not find any evidence regarding whether the digital behaviour change interventions examined worked or not. Most studies further lacked theoretical grounding or a clear approach to how or why they should be effective for behaviour change for more sustainable food consumption practices. Our main recommendation for future research in the field is to expand from the current exploratory phase to conducting scientifically rigorous studies of higher quality, more thoroughly grounded in behaviour change theory and methods. Furthermore, based on our study, we suggest changes to the Behaviour Change Technique Taxonomy v1.

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