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Behavioral and Psychological Approaches for Tobacco Cessation
Published in Rajmohan Panda, Manu Raj Mathur, Tobacco Cessation, 2019
Research has elucidated a number of evidence-based behavior change techniques that are associated with a high likelihood of tobacco cessation. Tobacco cessation counselors should be competent in these techniques (see the box below). More practical advice is provided in the section below on face-to-face counseling.
Digital Health Technology for Behavior Change
Published in James M. Rippe, Lifestyle Medicine, 2019
Jeffrey Krauss, Patricia Zheng, Courtenay Stewart, Mark Berman
An effort has been made throughout the chapter to provide practical considerations for implementation, as summarized in Figure 25.2. Whether designing an intervention for a small practice or large organization, a repeated theme is the role of technology as a tool, not a complete solution. Numerous studies have shown that simply adding a new technology will not significantly change patient behavior.21,22 Effective behavior change interventions require instead a well-designed combination of people, processes, and technologies to achieve maximum impact. Intelligently combining traditional programs with digital health tools is likely to be most effective in reaching the behavioral objective.23,24 Furthermore, factors such as design, ease of use, financial incentives, training, staffing, and integration into existing workflows all play important roles in the success of a technology. Lastly, digital health interventions should be consistent with proven behavior change techniques, such as self-monitoring, positive feedback, or barrier identification,25 and may benefit from a basis in theoretical constructs for behavior change.26
Introducing eHealth
Published in Lisette van Gemert-Pijnen, Saskia M. Kelders, Hanneke Kip, Robbert Sanderman, eHealth Research, Theory and Development, 2018
Lisette (J.E.W.C.) van Gemert-Pijnen, Hanneke Kip, Saskia M. Kelders, Robbert Sanderman
Research has shown that eHealth interventions that use psychological behaviour change theories are more effective in changing behaviour than those that do not (Webb, Joseph, Yardley, & Michie, 2010). Consequently, approaches such as behaviour change techniques (Michie et al., 2013) or persuasive features (Oinas-Kukkonen & Harjumaa, 2009) should be used in eHealth interventions. Behaviour change techniques are derived from abstract psychological theories and can be used in interventions (see Chapter 2). Persuasive technology aims to persuade users in a positive way to make better choices for their health and well-being. It does this by using the characteristics and possibilities of technology, such as cues for communication (text, speech, video, graphics), anonymity, or its possibility to access situations in which human persuaders are not allowed (see Chapter 11). The use of these kinds of approaches in a design increases the chances of effective behaviour change.
Like I said, I would not have likely gotten up otherwise: patient experiences of using an Activity Board after abdominal cancer surgery
Published in Disability and Rehabilitation, 2023
Andrea Porserud, Mari Lundberg, Johanna Eriksson, Malin Nygren Bonnier, Maria Hagströmer
The analysis showed that the participants discussed the following behaviour change techniques: goal-setting, self-monitoring, feedback and rewards. Changing or supporting a behaviour, in this case mobilisation and breathing exercises, can be difficult. In 2008, Abraham and Michie constructed a taxonomy on behaviour change techniques to use in interventions, and the Activity Board used in our study includes several of these techniques [11]. The participants perceived that goal-setting should be a joint effort by the physiotherapist and patient. This opinion is in accord with research suggesting that person-centred goal-setting should be one part of person-centred care in physiotherapy [25]. The importance of daily goal-setting has also been acknowledged by patients undergoing colorectal surgery [26]. In addition, our analysis showed that the participants perceived that the red and green magnets on the Activity Board gave them an easy way to self-monitor their mobilisation and breathing exercises. Lately, it has been shown that, among behaviour change techniques, self-monitoring was the most commonly used technique associated with increased physical activity [27]. Reward is also a behaviour change technique and, for the Activity Board, the golden star is the most visible reward. Some participants thought the star's simplicity was appealing, whereas others perceived it as somewhat ludicrous. Some participants even saw the star as an insult. Consequently, the way rewards are given in relation to the Activity Board could be further elaborated on, such as in a more person-centred manner.
Efficacy of face-to-face behavior change counseling interventions on physical activity behavior in cancer survivors – a systematic review and meta-analysis
Published in Disability and Rehabilitation, 2022
Corinna Meyer-Schwickerath, Christina Morawietz, Freerk T. Baumann, Gerhard Huber, Joachim Wiskemann
Despite current evidence suggesting many health benefits from physical activity during and post cancer treatment [1–3] several clinical trials with cancer patients have shown that physical activity decreases after diagnosis [4–6]. Today physical activity is defined as behavior that can occur anywhere, as part of our daily routine [7]. Since unfortunately most people live a sedentary lifestyle, promotion of health enhancing physical activity in cancer survivors is one of the key components of cancer treatment [8]. However, changing physical activity behavior is difficult and requires effort, time and motivation both from health care provider and patient. Insight into effective behavior change techniques can help health care providers in cancer care to contribute to an increased physical activity behavior and hence better lifestyle of their patients [9]. Particularly because health care providers are in a unique position to integrate behavior counseling techniques.
Older adults’ experiences with mHealth for fall prevention exercise: usability and promotion of behavior change strategies
Published in Physiotherapy Theory and Practice, 2021
Marina Arkkukangas, Sara Cederbom, Michail Tonkonogi, Õie Umb Carlsson
In 2017, researchers from Sweden and Norway started a project that collaborated with older adults and physiotherapists to develop and evaluate the usability of a mobile application for smart phones and tablets customized to support fall prevention exercises based on the evidence based OEP. The development of the application included workshops where designers, researchers, older adults, and physiotherapists collaborated. This study was part of the ongoing development of the first application prototype in the development process. Further this study identified behavior change techniques possible to include in the further development of the application. To our knowledge, this is the first study that explores older adults’ experiences with the fall prevention exercise program OEP in a mobile application as part of a development process. Thus, the aim was to explore older persons’ experiences of a mobile application for fall prevention exercise, and to identify what possible behavior change techniques to include in the further development of the application.