Abstract:
OBJECTIVES:To investigate physiotherapist's (PTs) fidelity to 31 protocol-listed behaviour change techniques (BCTs) during a group-based self-management intervention. This study also explored the PTs delivery of these BCTs beyond the present or absent dichotomy, using a third variable, partial delivery (i.e., attempted). DESIGN:Assessment of the intervention arm of the Self-management of Osteoarthritis and Low back pain through Activity and Skills (SOLAS) cluster, randomized controlled feasibility trial, using quantitative methods. METHODS:Eight PTs delivered six SOLAS classes each, of which 50% were audio-recorded and transcribed. Transcripts were coded by two raters using the Behaviour Change Technique Taxonomy v1 and an intervention-specific manual and assessed for the delivery (i.e., full, partial, or absent) of the 31 BCTs and their target behaviours. Fidelity was calculated as fully delivered BCTs listed as a percentage of those due to take place within each class. RESULTS:Physiotherapists delivered a mean 20.5 BCTs per class (68.3%; range = 64.9-72.4%). Of these, 17 BCTs were fully delivered in each class representing moderate fidelity to the protocol (56.8%; range = 53.5-59.3%). A further 3.5 BCTs per class (11.5%; range = 8.7-14.8%) were partially delivered. BCTs associated with 'goals and planning' were often poorly delivered. CONCLUSIONS:Delivering the SOLAS intervention BCTs with high fidelity was not feasible. The assessment of partial delivery of BCTs provided greater insight into the techniques that should be removed from the protocol or that may require further training. Complex interventions should consider a list of 'core' or mandatory BCTs alongside 'optional' BCTs, depending on the target behaviour, and the needs of individual participants. Statement of contribution What is already known on this subject? BCTs are the smallest active components of behavioural interventions, yet typically their effectiveness is determined through meta-analyses. Attempted delivery of BCTs is often unaccounted for yet may provide valuable insight into difficulty with delivery. There is a need to investigate BCT implementation beyond simple presence/absence to identify protocol refinements or required BCT training. What does this study add? BCT delivery was assessed in greater depth than previous research, including partial delivery. Highlights the need for appropriate training in BCTs that are difficult to deliver, particularly those associated with 'goals and planning' Highlights the need for intervention-specific criteria as to what constitutes 'high', 'moderate', and 'low' fidelity.
journal_name
Br J Health Psycholjournal_title
British journal of health psychologyauthors
Keogh A,Matthews J,Hurley DAdoi
10.1111/bjhp.12323subject
Has Abstractpub_date
2018-11-01 00:00:00pages
908-932issue
4eissn
1359-107Xissn
2044-8287journal_volume
23pub_type
杂志文章,多中心研究,随机对照试验abstract:OBJECTIVES:Our aims were to investigate the sources of work strain and stress, and the way in which they are experienced by Romanian health professionals in a work context shaped by the ongoing 20 years long reform of the national health care system. DESIGN:An exploratory, qualitative design was used to investigate me...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12010
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVES:To predict exercise stage transitions over two consecutive 6-month periods using the theory of planned behaviour (TPB). It was hypothesized that different social cognitive constructs would predict different stage transitions. DESIGN:Prospective and longitudinal in order to predict multiple stage transitions...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910701169115
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:Consistent with behaviour observed in prior crises, individuals are stockpiling supplies during the novel coronavirus (COVID-19) pandemic. The goal of this study was to describe stockpiling behaviour in response to COVID-19 and investigate individual predictors of stockpiling. METHODS:Workers (N = 363, 54.7...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12480
更新日期:2020-10-20 00:00:00
abstract:OBJECTIVES:This study reports an application of the health belief model (HBM) to the prediction of breast self-examination (BSE) among women with a family history of breast cancer. The study also considered the influence of breast cancer worries and past behaviour. METHODS:Eight hundred and thirty-three women complete...
journal_title:British journal of health psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1348/135910704X24752
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:Improving Access to Psychological Therapies (IAPT) services in England have established a long-term condition (LTC) pathway in recent years, meaning that LTC therapies are now delivered via varied modes and by professionals with varied experiences. To gain insight into how this new pathway is functioning in p...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12475
更新日期:2020-10-11 00:00:00
abstract:OBJECTIVES:The movement of patients in magnetic resonance imaging (MRI) scanners results in motion artefacts which impair image quality. Non-completion of scans leads to delay in diagnosis and increased costs. This study aimed to develop and evaluate an intervention to enable patients to stay still in MRI scanners (red...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1111/bjhp.12132
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:Multidisciplinary treatment approaches have been found to be effective for chronic pain patients although there are large individual differences in outcomes. To increase overall treatment effects, tools are needed to identify patients most likely to benefit from tailored, comprehensive modular treatment sche...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910708X337760
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:Sickle cell disease (SCD) is the UK's most common blood disorder causing sickle shaped red blood cells to block small blood vessels inducing both acute and chronic pain. A crucial factor in determining quality of life for those with SCD is the severity, timing and number of painful sickling episodes. However...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12157
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:Analysis of health service statistics reveals that men tend to under-use primary health care services. Previous research has suggested that men view illness as a form of weakness and have negative views about men who seek medical help. It has also indicated that some men believe that male General Practitioner...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910709X479113
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVES:Post-traumatic stress disorder (PTSD) can be a consequence of acute medical events and has been associated with non-adherence to medications. We tested whether increased concerns about medications could explain the association between PTSD and non-adherence to medication in stroke survivors. DESIGN:We surve...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12022
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this research was to replicate a study that examined how message framing and ease of imagination interact to influence attitudes towards the prevention of heart disease through physical activity and a healthy diet. Changes were made such that only physical activity behaviour was profiled and a...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910709X447811
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVES:For the effective treatment of childhood obesity, intervention attendance and behaviour change at home are both important. The purpose of this study was to qualitatively explore influences on attendance and behaviour change during a family-based intervention to treat childhood obesity in the North West of En...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12456
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVES:Kanazawa (2006) presented data allegedly supporting a racist version of evolutionary psychology that claims that the populations of wealthier and more egalitarian societies live longer and stay healthier, not because they are wealthier and more egalitarian, but because they are more intelligent. The objectiv...
journal_title:British journal of health psychology
pub_type: 评论,杂志文章
doi:10.1348/135910707X178128
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVES:Although non-invasive ventilation (NIV) can benefit survival and quality of life, it is rejected by a substantial proportion of people with motor neurone disease (MND). The aim of this study was to understand why some MND patients decline or withdraw from NIV. METHOD:Nine patients with MND (male = 7, mean a...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12104
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVES:Negative attributional style (NAS), or tendency to explain negative events through internal, stable, and global causes, has proved to be an important predictor of depressive symptoms and poor health, including coronary heart disease (CHD). The goal of this two-wave longitudinal study was to look at whether d...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12044
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To determine which variables from a pool of potential predictors predict General Health Questionnaire 'caseness' in pre-registration nursing students. DESIGN:Cross-sectional survey, utilizing self-report measures of sources of stress, stress (psychological distress) and coping, together with pertinent demogr...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910706X98524
更新日期:2007-02-01 00:00:00
abstract::This study aimed to estimate the association between anxiety associated with COVID-19 and somatic symptoms, using data from a large, representative sample (N = 2,025) of the UK adult population. Results showed that moderate to high levels of anxiety associated with COVID-19 were significantly associated with general s...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12430
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:This study examines the hypothesis that a past history of heart interventions will moderate the relationship between psychosocial factors (stressful life events, social support, perceived stress, having a current partner, having a past diagnosis of depression or anxiety over the past 3 years, time pressure, ...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12011
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:The study sought to (1) explain intentions to get tested for chlamydia regularly in a group of young people living in deprived areas using the theory of planned behaviour (TPB); and (2) test whether self-identity explained additional variance in testing intentions. DESIGN:A cross-sectional design was used f...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1111/bjhp.12036
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate the effects of a novel intervention, compared with usual chlamydia testing promotion, on chlamydia test uptake and intentions among young people living in deprived areas. The intervention was based on the theory of planned behaviour, augmented with self-identity, and targeted th...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1111/bjhp.12065
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:Attendance at colposcopy following an abnormal cervical smear is potentially a highly distressing event. This study evaluates the role of cognitive appraisal components (Lazarus, 1991; Smith et al., 1993) in explaining emotional reactions to this event. We also compare the psychological sequelae of immediate...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/1359107042304560
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVES:The classification of health behaviours may provide a useful framework for understanding their characteristics and therefore the ways in which they are similar and different. However, to date, little research has attempted to identify these characteristics and explore the dimensions along which behaviours di...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910709X466487
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVES:Partners are a significant influence on individuals' health, and concordance in health behaviours increases over time in couples. Several theories suggest that couple-focused interventions for health behaviour change may therefore be more effective than individual interventions. DESIGN:A systematic review o...
journal_title:British journal of health psychology
pub_type: 杂志文章,评审
doi:10.1111/bjhp.12227
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:The aims of this study were twofold: to determine in what way people with a non-fatal chronic illness experience positive change after the onset of their illness, and to determine whether comparing with other people with Ménière's disease influenced perceiving this change. DESIGN:Using a longitudinal method,...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910708X383598
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:This pilot study investigated the effectiveness of a team-based sport/psychosocial intervention (Back of the Net, BTN) with an individual exercise (IE) and a control condition for the mental health of young men. DESIGN:Ten-week randomized control trial and eight-week post-intervention follow-up. Methods. A ...
journal_title:British journal of health psychology
pub_type: 杂志文章,随机对照试验
doi:10.1348/135910710X522734
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:Individuals with a disfigurement are at risk of experiencing psychological distress, but the level of this distress is only marginally associated with clinical severity. This study examines the experience of living with the skin condition vitiligo with a view towards understanding its impact and the ways in ...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910702169457
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Studying and understanding pathways to diagnosis and treatment is vital for the development of successful interventions to encourage early detection, presentation, and diagnosis. An existing framework posited to describe the decisional and behavioural processes that occur prior to treatment (Andersen et al.'...
journal_title:British journal of health psychology
pub_type: 杂志文章,评审
doi:10.1111/j.2044-8287.2012.02077.x
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:To assess myocardial infarction (MI) patients' causal beliefs, how they change over time and the effects of different assessment methods. METHOD:The study used a longitudinal design with a follow-up to 1 year. The participants were 100 MI patients who were recruited within 72 hours of admission. Each partic...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910701169070
更新日期:2001-02-01 00:00:00
abstract::We examined the relation of social problem-solving abilities to distress experienced by family members assuming a caregiving role for a loved one who had recently incurred a severe physical disability. Family members completed measures of problem-solving, depression and health, while their loved one participated in an...
journal_title:British journal of health psychology
pub_type: 杂志文章
doi:10.1348/135910703321649132
更新日期:2003-05-01 00:00:00
abstract:INTRODUCTION:Childhood obesity is one of the most serious global public health challenges. However, obesity and its consequences are largely preventable. As parents play an important role in their children's weight-related behaviours, good communication between parents and health care professionals (HCPs) is essential....
journal_title:British journal of health psychology
pub_type: 杂志文章,meta分析
doi:10.1111/bjhp.12312
更新日期:2018-09-01 00:00:00