Developing Behavior Change Interventions for Self-Management in Chronic Illness

Abstract

More people than ever are living longer with chronic conditions such as obesity, type 2 diabetes, and heart disease. Behavior change for effective self-management can improve health outcomes and quality of life in people living with such chronic illnesses. The science of developing behavior change interventions with impact for patients aims to optimize the reach, effectiveness, adoption, implementation, and maintenance of interventions and rigorous evaluation of outcomes and processes of behavior change. The development of new services and technologies offers opportunities to enhance the scope of delivery of interventions to support behavior change and self-management at scale. Herein, we review key contemporary approaches to intervention development, provide a critical overview, and integrate these approaches into a pragmatic, user-friendly framework to rigorously guide decision-making in behavior change intervention development. Moreover, we highlight novel emerging methods for rapid and agile intervention development. On-going progress in the science of intervention development is needed to remain in step with such new developments and to continue to leverage behavioral science’s capacity to contribute to optimizing interventions, modify behavior, and facilitate self-management in individuals living with chronic illness.

Shown for reading. Its publisher allows quoting it, not republishing it.

References 124

1. 1.

   Abraham C. & Michie S. (2008 ). A taxonomy of behavior change techniques used in interventions. Health Psychology,, 379–387.

   Not in our library10.1037/0278-6133.27.3.379

2. 2.

   Absetz P., Valve R., Oldenburg B., Heinonen H., Nissinen A., Fogelholm M., … Uutela A. (2007 ). Type 2 diabetes prevention in the “real world”: One-year results of the GOAL Implementation Trial. Diabetes Care,, 2465–2470.

   Not in our library10.2337/dc07-0171

3. 3.

   Adams J., Giles E. L., McColl E. & Sniehotta F. F. (2014 ). Carrots, sticks and health behaviors: A framework for documenting the complexity of financial incentive interventions to change health behaviors. Health Psychology Review,, 286–295.

   Not in our library10.1080/17437199.2013.848410

4. 4.
   Searching and synthesising ‘grey literature’ and ‘grey information’ in public health: critical reflections on three case studies · 2016

   No notice
5. 5.
   Why Are Some Population Interventions for Diet and Obesity More Equitable and Effective Than Others? The Role of Individual Agency · 2016

   Corrected
6. 6.

   Araújo-Soares V. & Sniehotta F. F. (2017 ). Healthy choice architecture. Nature Human Behavior,, 0155

   Not in our library10.1038/s41562-017-0155

7. 7.

   Aunger R. & Curtis V. (2016 ). Behavior centred design: Towards an applied science of behavior change. Health Psychology Review,, 425–446.

   Not in our library10.1080/17437199.2016.1219673

8. 8.

   Baek E.-O., Cagiltay K., Boling E. & Frick T. (2008 ). User-centered design and development In Spector J. M., Merill M. D., van Merrienboer J. & Driscoll M. P. (Eds.), Handbook of research on educational communications and technology (pp. 660–668). New York, NY: Taylor & Francis.

   Not in our library

9. 9.

   Barnett K., Mercer S. W., Norbury M., Watt G., Wyke S. & Guthrie B. (2012 ). Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study. The Lancet,, 37–43.

   Not in our library10.1016/s0140-6736(12)60240-2

10. 10.

    Bartholomew Eldredge L. K., Markham C. M., Ruiter R. A. C., Fernández M. E., Kok G. & Parcel G. S. (2016 ). Planning health promotion programs: An intervention mapping approach (4th ed.). San Francisco, CA: Jossey-Bass.

    Not in our library

11. 11.

    Beenstock J., Sniehotta F. F., White M., Bell R., Milne E. M. G. & Araujo-Soares V. (2012 ). What helps and hinders midwives in engaging with pregnant women about stopping smoking? A cross-sectional survey of perceived implementation difficulties among midwives in the North East of England. Implementation Science,, 36

    Not in our library10.1186/1748-5908-7-36

12. 12.

    Berry T. R., Chan C. B., Bell R. C. & Walker J. (2012 ). Collective knowledge: using a consensus conference approach to develop recommendations for physical activity and nutrition programs for persons with type 2 diabetes. Frontiers in Endocrinology,, 161.

    Not in our library10.3389/fendo.2012.00161

13. 13.

    Bodenheimer T., Chen E. & Bennett H. D. (2009 ). Confronting the growing burden of chronic disease: Can the US health care workforce do the job? Health Affairs,, 64–74.

    Not in our library10.1377/hlthaff.28.1.64

14. 14.

    Bonell C., Jamal F., Melendez-Torres G. J. & Cummins S. (2014 ). “Dark logic”: Theorising the harmful consequences of public health interventions. Journal of Epidemiology and Community Health,, 95.

    Not in our library10.1136/jech-2014-204671

15. 15.

    Boon N., Boyle R., Bradbury K., Buckley J., Connolly S., Craig S., … Wood D. (2014 ). Joint British Societies’ consensus recommendations for the prevention of cardiovascular disease (JBS3). Heart, (Suppl 2), ii1–ii67.

    Not in our library10.1136/heartjnl-2014-305693

16. 16.
    Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study · 2012

    No notice
17. 17.
    TIDieR-PHP: a reporting guideline for population health and policy interventions · 2018

    No notice
18. 18.
    Validation of the theoretical domains framework for use in behaviour change and implementation research · 2012

    No notice
19. 19.

    Cheung Y. K., Chakraborty B. & Davidson K. W. (2015 ). Sequential multiple assignment randomized trial (SMART) with adaptive randomization for quality improvement in depression treatment program. Biometrics,, 450–459.

    Not in our library10.1111/biom.12258

20. 20.

    Collins L. M., Murphy S. A. & Strecher V. (2007 ). The Multiphase Optimization Strategy (MOST) and the Sequential Multiple Assignment Randomized Trial (SMART): New methods for more potent eHealth interventions. American Journal of Preventive Medicine, (5 Suppl), S112–S118.

    Not in our library10.1016/j.amepre.2007.01.022

21. 21.

    Collins L. M., Nahum-Shani I. & Almirall D. (2014 ). Optimization of behavioral dynamic treatment regimens based on the sequential, multiple assignment, randomized trial (SMART). Clinical Trials (London, England),, 426–434.

    Not in our library10.1177/1740774514536795

22. 22.

    Craig P., Dieppe P., Macintyre S., Michie S., Nazareth I. & Petticrew M. (2008 ). Developing and evaluating complex interventions: The new Medical Research Council guidance. British Medical Journal,, a1655

    Not in our library10.1136/bmj.a1655

23. 23.
    Gamification: What It Is and Why It Matters to Digital Health Behavior Change Developers · 2013

    No notice
24. 24.

    Czajkowski S. M., Powell L. H., Adler N., Naar-King S., Reynolds K. D., Hunter C. M., … Peterson J. C. (2015 ). From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychology,, 971–982.

    Not in our library10.1037/hea0000161

25. 25.

    Dahlgren G. & Whitehead M. (2006 ). European strategies for tackling social inequities in health: Levelling up Part 2. Copenhagen, Denmark: World Health Organization.

    Not in our library

26. 26.

    Davidoff F., Dixon-Woods M., Leviton L. & Michie S. (2015 ). Demystifying theory and its use in improvement. BMJ Quality & Safety,, 228–238.

    Not in our library10.1136/bmjqs-2014-003627

27. 27.

    Department of Health (2012 ). Long term conditions compendium of information. Retrieved from https://www.gov.uk/government/news/third-edition-of-long-term-conditions-compendium-published

    Not in our library

28. 28.

    Dolan P., Hallsworth M., Halpern D., King D., Metcalfe R. & Vlaev I. (2012 ). Influencing behavior: The mindspace way. Journal of Economic Psychology,, 264–277.

    Not in our library

29. 29.

    Dombrowski S. U., O’Carroll R. E. & Williams B. (2016 ). Form of delivery as a key “active ingredient” in behavior change interventions. British Journal of Health Psychology,, 733–740.

    Not in our library10.1111/bjhp.12203

30. 30.

    Dombrowski S. U., Sniehotta F. F., Avenell A., Johnston M., MacLennan G. & Araujo-Soares V. (2012 ). Identifying active ingredients in complex behavioral interventions for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities: A systematic review. Health Psychology Review,, 7–32.

    Not in our library10.1080/17437199.2010.513298

31. 31.
    CONSORT 2010 statement: extension to randomised pilot and feasibility trials · 2016

    No notice
32. 32.

    Evans E. H., Araújo-Soares V., Adamson A., Batterham A. M., Brown H., Campbell M., … Sniehotta F. F. (2015 ). The NULevel trial of a scalable, technology-assisted weight loss maintenance intervention for obese adults after clinically significant weight loss: Study protocol for a randomised controlled trial. Trials,, 421

    Not in our library10.1186/s13063-015-0931-7

33. 33.

    Evans T. & Brown H. (2003 ). Road traffic crashes: Operationalizing equity in the context of health sector reform. Injury Control and Safety Promotion,, 11–12.

    Not in our library10.1076/icsp.10.1.11.14117

34. 34.

    Fishbein M. (1967 ). Attitude and the prediction of behavior In Fishbein M. (Ed.), Readings in attitude theory and measurement (pp. 377–392). New York, NY: Wiley.

    Not in our library

35. 35.
    Theories of behaviour change synthesised into a set of theoretical groupings: introducing a thematic series on the theoretical domains framework · 2012

    No notice
36. 36.

    Francis J. J. & Presseau J. (2018 ). Healthcare practitioner behavior In Ayers S., Baum A., McManus C., Newman S., Wallston K., Weinman J. & West R. (Eds.), Cambridge handbook of psychology, health and medicine. Cambridge, UK: Cambridge University Press.

    Not in our library

37. 37.

    French D. P., Darker C. D., Eves F. F. & Sniehotta F. F. (2013 ). The systematic development of a brief intervention to increase walking in the general public using an “extended” theory of planned behavior. Journal of Physical Activity and Health,, 940–948.

    Not in our library10.1123/jpah.10.7.940

38. 38.
    Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework · 2012

    No notice
39. 39.

    Gillison F., Greaves C., Stathi A., Ramsay R., Bennett P., Taylor G., … Chandler R. (2012 ). “Waste the waist: The development of an intervention to promote changes in diet and physical activity for people with high cardiovascular risk. British Journal of Health Psychology,, 327–345.

    Not in our library10.1111/j.2044-8287.2011.02040.x

40. 40.

    Glasgow R. E., Vogt T. M. & Boles S. M. (1999 ). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health,, 1322–1327.

    Not in our library10.2105/ajph.89.9.1322

Cited by papers we hold 1

• Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions · 2020
  No notice

Reads

A person counts once a day per paper. We keep no cookie and no address: a reader is a hash that changes every day. Any month under five reads shows no number.