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Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare

BACKGROUND: An implementation gap exists between the evidence supporting physical activity in the prevention and management of long-term medical conditions and clinical practice. Person-centred conversations, i.e. focussing on the values, preferences and aspirations of each individual, are required...

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Autores principales: Reid, Hamish, Smith, Ralph, Williamson, Wilby, Baldock, James, Caterson, Jessica, Kluzek, Stefan, Jones, Natasha, Copeland, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487060/
https://www.ncbi.nlm.nih.gov/pubmed/36127688
http://dx.doi.org/10.1186/s12889-022-14178-6
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author Reid, Hamish
Smith, Ralph
Williamson, Wilby
Baldock, James
Caterson, Jessica
Kluzek, Stefan
Jones, Natasha
Copeland, Robert
author_facet Reid, Hamish
Smith, Ralph
Williamson, Wilby
Baldock, James
Caterson, Jessica
Kluzek, Stefan
Jones, Natasha
Copeland, Robert
author_sort Reid, Hamish
collection PubMed
description BACKGROUND: An implementation gap exists between the evidence supporting physical activity in the prevention and management of long-term medical conditions and clinical practice. Person-centred conversations, i.e. focussing on the values, preferences and aspirations of each individual, are required from healthcare professionals. However, many currently lack the capability, opportunity, and motivation to have these conversations. This study uses the Behaviour Change Wheel (BCW) to inform the development of practical and educational resources to help bridge this gap. METHODS: The BCW provides a theoretical approach to enable the systematic development of behaviour change interventions. Authors followed the described eight-step process, considered results from a scoping review, consulted clinical working groups, tested and developed ideas across clinical pathways, and agreed on solutions to each stage by consensus. RESULTS: The behavioural diagnosis identified healthcare professionals’ initiation of person-centred conversations on physical activity at all appropriate opportunities in routine medical care as a suitable primary target for interventions. Six intervention functions and five policy categories met the APEASE criteria. We mapped 17 Behavioural Change Techniques onto BCW intervention functions to define intervention strategies. CONCLUSIONS: This study uses the BCW to outline a coherent approach for intervention development to improve healthcare professionals’ frequency and quality of conversations on physical activity across clinical practice. Time-sensitive and role-specific resources might help healthcare professionals understand the focus of their intervention. Educational resources aimed at healthcare professionals and patients could have mutual benefit, should fit into existing care pathways and support professional development. A trusted information source with single-point access via the internet is likely to improve accessibility. Future evaluation of resources built and coded using this framework is required to establish the effectiveness of this approach and help improve understanding of what works to change conversations around physical activity in clinical practice.
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spelling pubmed-94870602022-09-21 Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare Reid, Hamish Smith, Ralph Williamson, Wilby Baldock, James Caterson, Jessica Kluzek, Stefan Jones, Natasha Copeland, Robert BMC Public Health Research BACKGROUND: An implementation gap exists between the evidence supporting physical activity in the prevention and management of long-term medical conditions and clinical practice. Person-centred conversations, i.e. focussing on the values, preferences and aspirations of each individual, are required from healthcare professionals. However, many currently lack the capability, opportunity, and motivation to have these conversations. This study uses the Behaviour Change Wheel (BCW) to inform the development of practical and educational resources to help bridge this gap. METHODS: The BCW provides a theoretical approach to enable the systematic development of behaviour change interventions. Authors followed the described eight-step process, considered results from a scoping review, consulted clinical working groups, tested and developed ideas across clinical pathways, and agreed on solutions to each stage by consensus. RESULTS: The behavioural diagnosis identified healthcare professionals’ initiation of person-centred conversations on physical activity at all appropriate opportunities in routine medical care as a suitable primary target for interventions. Six intervention functions and five policy categories met the APEASE criteria. We mapped 17 Behavioural Change Techniques onto BCW intervention functions to define intervention strategies. CONCLUSIONS: This study uses the BCW to outline a coherent approach for intervention development to improve healthcare professionals’ frequency and quality of conversations on physical activity across clinical practice. Time-sensitive and role-specific resources might help healthcare professionals understand the focus of their intervention. Educational resources aimed at healthcare professionals and patients could have mutual benefit, should fit into existing care pathways and support professional development. A trusted information source with single-point access via the internet is likely to improve accessibility. Future evaluation of resources built and coded using this framework is required to establish the effectiveness of this approach and help improve understanding of what works to change conversations around physical activity in clinical practice. BioMed Central 2022-09-20 /pmc/articles/PMC9487060/ /pubmed/36127688 http://dx.doi.org/10.1186/s12889-022-14178-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Reid, Hamish
Smith, Ralph
Williamson, Wilby
Baldock, James
Caterson, Jessica
Kluzek, Stefan
Jones, Natasha
Copeland, Robert
Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
title Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
title_full Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
title_fullStr Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
title_full_unstemmed Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
title_short Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
title_sort use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487060/
https://www.ncbi.nlm.nih.gov/pubmed/36127688
http://dx.doi.org/10.1186/s12889-022-14178-6
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