Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome

AbstractBackground Metabolic Syndrome (MetS) is a serious public health issue. Dietary changes form the core of MetS treatment. The adherence to dietary recommendations is critical for reducing the severity of MetS components and preventing complications. However, the adherence to dietary recommenda...

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Main Authors: Dandan Chen, Jing Shao, Hui Zhang, Jingjie Wu, Erxu Xue, Pingping Guo, Leiwen Tang, Nianqi Cui, Xiyi Wang, Liying Chen, Zhihong Ye
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Annals of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2023.2267587
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author Dandan Chen
Jing Shao
Hui Zhang
Jingjie Wu
Erxu Xue
Pingping Guo
Leiwen Tang
Nianqi Cui
Xiyi Wang
Liying Chen
Zhihong Ye
author_facet Dandan Chen
Jing Shao
Hui Zhang
Jingjie Wu
Erxu Xue
Pingping Guo
Leiwen Tang
Nianqi Cui
Xiyi Wang
Liying Chen
Zhihong Ye
author_sort Dandan Chen
collection DOAJ
description AbstractBackground Metabolic Syndrome (MetS) is a serious public health issue. Dietary changes form the core of MetS treatment. The adherence to dietary recommendations is critical for reducing the severity of MetS components and preventing complications. However, the adherence to dietary recommendations was not adequate among adults with MetS. This study utilizes the Behaviour Change Wheel (BCW) to develop an individualized WeChat mini program-based behavioural change intervention aimed at strengthening adherence to dietary recommendations in people with MetS.Methods The BCW theory was used to design an individualized WeChat mini program-based behavioural change intervention. A descriptive qualitative study was conducted to identify the determinants of adherence to dietary recommendations in individuals with MetS. The study was conducted at the health promotion centre of a prominent general university hospital in Zhejiang, China. Subsequently, the intervention functions (IFs) and policy categories were selected following the identified determinants. Afterwards, behaviour change techniques (BCTs) were chosen to translate into potential intervention strategies, and the delivery mode was determined.Results Our study identified fifteen barriers to improve the adherence to dietary recommendations in this population. These were linked with six IFs: education, training, persuasion, enablement, modelling, and environmental restructuring. Then, twelve BCTs were linked with the IFs and fifteen barriers. The delivery mode was a WeChat mini program. After these actions, an individualized WeChat mini program-based behavioural change intervention was developed to enhance adherence to dietary recommendations for individuals with MetS.Conclusions The BCW theory helped scientifically and systematically develop an individualized WeChat mini program-based behavioural change intervention for individuals with MetS. In the future, our research team will refine and upgrade the WeChat mini program and then test the usability and effectiveness of the individualized WeChat mini program-based behavioural change intervention program.
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spelling doaj.art-164e26854cdb4f4eba447fe60d76cfe62024-02-20T11:58:23ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602023-12-0155210.1080/07853890.2023.2267587Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndromeDandan Chen0Jing Shao1Hui Zhang2Jingjie Wu3Erxu Xue4Pingping Guo5Leiwen Tang6Nianqi Cui7Xiyi Wang8Liying Chen9Zhihong Ye10Nursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaSchool of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Cardiology, Guizhou Provincial People’s Hospital, Guiyang, ChinaNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNursing Department, Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaSchool of Nursing, Kunming Medical University, Kunming, ChinaSchool of Nursing, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of General Practice, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaAbstractBackground Metabolic Syndrome (MetS) is a serious public health issue. Dietary changes form the core of MetS treatment. The adherence to dietary recommendations is critical for reducing the severity of MetS components and preventing complications. However, the adherence to dietary recommendations was not adequate among adults with MetS. This study utilizes the Behaviour Change Wheel (BCW) to develop an individualized WeChat mini program-based behavioural change intervention aimed at strengthening adherence to dietary recommendations in people with MetS.Methods The BCW theory was used to design an individualized WeChat mini program-based behavioural change intervention. A descriptive qualitative study was conducted to identify the determinants of adherence to dietary recommendations in individuals with MetS. The study was conducted at the health promotion centre of a prominent general university hospital in Zhejiang, China. Subsequently, the intervention functions (IFs) and policy categories were selected following the identified determinants. Afterwards, behaviour change techniques (BCTs) were chosen to translate into potential intervention strategies, and the delivery mode was determined.Results Our study identified fifteen barriers to improve the adherence to dietary recommendations in this population. These were linked with six IFs: education, training, persuasion, enablement, modelling, and environmental restructuring. Then, twelve BCTs were linked with the IFs and fifteen barriers. The delivery mode was a WeChat mini program. After these actions, an individualized WeChat mini program-based behavioural change intervention was developed to enhance adherence to dietary recommendations for individuals with MetS.Conclusions The BCW theory helped scientifically and systematically develop an individualized WeChat mini program-based behavioural change intervention for individuals with MetS. In the future, our research team will refine and upgrade the WeChat mini program and then test the usability and effectiveness of the individualized WeChat mini program-based behavioural change intervention program.https://www.tandfonline.com/doi/10.1080/07853890.2023.2267587Metabolic syndromedietmobile healthbehaviour change wheel
spellingShingle Dandan Chen
Jing Shao
Hui Zhang
Jingjie Wu
Erxu Xue
Pingping Guo
Leiwen Tang
Nianqi Cui
Xiyi Wang
Liying Chen
Zhihong Ye
Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome
Annals of Medicine
Metabolic syndrome
diet
mobile health
behaviour change wheel
title Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome
title_full Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome
title_fullStr Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome
title_full_unstemmed Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome
title_short Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome
title_sort development of an individualized wechat mini program based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome
topic Metabolic syndrome
diet
mobile health
behaviour change wheel
url https://www.tandfonline.com/doi/10.1080/07853890.2023.2267587
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