Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel
Abstract Background Adherence to physical activity is inadequate in adults with metabolic syndrome. Adherence to physical activity recommendations is crucial and can result in improved health outcomes and reduced medical burdens. A comprehensive behavior change intervention, including identifying de...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-14129-1 |
| _version_ | 1811267709902520320 |
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| author | Dandan Chen Hui Zhang Nianqi Cui Feng Song Leiwen Tang Jing Shao Jingjie Wu Pingping Guo Na Liu Xiyi Wang Zhihong Ye |
| author_facet | Dandan Chen Hui Zhang Nianqi Cui Feng Song Leiwen Tang Jing Shao Jingjie Wu Pingping Guo Na Liu Xiyi Wang Zhihong Ye |
| author_sort | Dandan Chen |
| collection | DOAJ |
| description | Abstract Background Adherence to physical activity is inadequate in adults with metabolic syndrome. Adherence to physical activity recommendations is crucial and can result in improved health outcomes and reduced medical burdens. A comprehensive behavior change intervention, including identifying determinants of adherence to physical activity recommendations, intervention options, intervention content and implementation options, was imperative for enhancing physical activity adherence. The aim of the study is to develop an intervention to increase physical activity adherence among individuals with metabolic syndrome. Methods The study followed the eight steps of the Behavior Change Wheel guide, including defining the problem in behavioral terms (Step 1), selecting target behavior (Step 2), specifying target behavior (Step 3), identifying what needs to change (Step 4), identifying intervention functions (Step 5), identifying policy categories (Step 6), identifying behavior change techniques (Step 7), and determining model of delivery (Step 8). The semi-structured, in-depth interviews were employed to identify the determinants of adherence to physical activity among twenty-eight individuals with metabolic syndrome based on capability, opportunity, motivation and behavior model. Next, the intervention functions and policy categories were chosen to address these determinants. Finally, behavior change techniques were selected to assist in the delivery of the intervention functions and be translated into intervention content. Results Our study identified eighteen facilitators and fifteen barriers to physical activity adherence. It resulted in the selection of seven intervention functions and nineteen behavior change techniques for the intervention program. Then, the current study identified an app as the delivery mode. Finally, a behavioral change intervention was generated for individuals with metabolic syndrome to increase physical activity recommendation adherence. Conclusions The Behavior Change Wheel provided a systematic approach to designing a behavior change intervention, which helped improve the health outcomes and reduce medical burdens and economic burdens among individuals with metabolic syndrome. The findings suggested that potential intervention should pay special attention to increasing knowledge in metabolic syndrome, imparting skills of physical activity, offering a supportive environment, and providing suggestions on regular physical activity using the appropriate behavior change techniques. A feasibility study will be undertaken to assess the acceptability and effectiveness of the intervention program in the future. |
| first_indexed | 2024-04-12T21:07:44Z |
| format | Article |
| id | doaj.art-db916c32563e4417aa09ed535fb988e7 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-12T21:07:44Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-db916c32563e4417aa09ed535fb988e72022-12-22T03:16:40ZengBMCBMC Public Health1471-24582022-09-0122113010.1186/s12889-022-14129-1Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheelDandan Chen0Hui Zhang1Nianqi Cui2Feng Song3Leiwen Tang4Jing Shao5Jingjie Wu6Pingping Guo7Na Liu8Xiyi Wang9Zhihong Ye10Nursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Cardiology, Guizhou Provincial People’s HospitalNursing Department, The Second Affiliated Hospital of Zhejiang University School of MedicineFaculty of Medicine, National University of MalaysiaNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of MedicineSchool of Nursing, Zhejiang University School of MedicineNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of MedicineWomen’s Hospital, Zhejiang University School of MedicineNursing Department, Chongqing Medical University Affiliated Second HospitalSchool of Nursing, Shanghai Jiao Tong University, Chongqing South Road Huangpu DistrictNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of MedicineAbstract Background Adherence to physical activity is inadequate in adults with metabolic syndrome. Adherence to physical activity recommendations is crucial and can result in improved health outcomes and reduced medical burdens. A comprehensive behavior change intervention, including identifying determinants of adherence to physical activity recommendations, intervention options, intervention content and implementation options, was imperative for enhancing physical activity adherence. The aim of the study is to develop an intervention to increase physical activity adherence among individuals with metabolic syndrome. Methods The study followed the eight steps of the Behavior Change Wheel guide, including defining the problem in behavioral terms (Step 1), selecting target behavior (Step 2), specifying target behavior (Step 3), identifying what needs to change (Step 4), identifying intervention functions (Step 5), identifying policy categories (Step 6), identifying behavior change techniques (Step 7), and determining model of delivery (Step 8). The semi-structured, in-depth interviews were employed to identify the determinants of adherence to physical activity among twenty-eight individuals with metabolic syndrome based on capability, opportunity, motivation and behavior model. Next, the intervention functions and policy categories were chosen to address these determinants. Finally, behavior change techniques were selected to assist in the delivery of the intervention functions and be translated into intervention content. Results Our study identified eighteen facilitators and fifteen barriers to physical activity adherence. It resulted in the selection of seven intervention functions and nineteen behavior change techniques for the intervention program. Then, the current study identified an app as the delivery mode. Finally, a behavioral change intervention was generated for individuals with metabolic syndrome to increase physical activity recommendation adherence. Conclusions The Behavior Change Wheel provided a systematic approach to designing a behavior change intervention, which helped improve the health outcomes and reduce medical burdens and economic burdens among individuals with metabolic syndrome. The findings suggested that potential intervention should pay special attention to increasing knowledge in metabolic syndrome, imparting skills of physical activity, offering a supportive environment, and providing suggestions on regular physical activity using the appropriate behavior change techniques. A feasibility study will be undertaken to assess the acceptability and effectiveness of the intervention program in the future.https://doi.org/10.1186/s12889-022-14129-1Metabolic syndromePhysical activity adherenceBehavioral Change WheelMobile health |
| spellingShingle | Dandan Chen Hui Zhang Nianqi Cui Feng Song Leiwen Tang Jing Shao Jingjie Wu Pingping Guo Na Liu Xiyi Wang Zhihong Ye Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel BMC Public Health Metabolic syndrome Physical activity adherence Behavioral Change Wheel Mobile health |
| title | Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel |
| title_full | Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel |
| title_fullStr | Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel |
| title_full_unstemmed | Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel |
| title_short | Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel |
| title_sort | development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel |
| topic | Metabolic syndrome Physical activity adherence Behavioral Change Wheel Mobile health |
| url | https://doi.org/10.1186/s12889-022-14129-1 |
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