Effective behaviour change techniques in smoking cessation interventions for people with chronic obstructive pulmonary disease: A meta‐analysis

Bartlett, Yvonne Kiera; Sheeran, Paschal; Hawley, Mark

doi:10.1111/bjhp.12071

Cited by 67 publications

(70 citation statements)

References 78 publications

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“…Several reviews have noted the benefits of BCTs aligned with control theory such as self‐monitoring (e.g., Bartlett et al ., ; Olander et al ., ), and Michie et al . () noted that interventions comprising more BCTs from control theory were more effective than those interventions that used less.…”

Section: Discussionmentioning

confidence: 90%

An experimental test of control theory‐based interventions for physical activity

Prestwich

Conner

Hurling

et al. 2016

British J Health Psychol

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eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. Design: Parallel groups, simple randomized design with an equal chance of allocation to any group. Control Theory and Physical ActivityMethods: Participants not meeting recommended levels of physical activity but physically safe to do so (N = 124) were recruited on a UK university campus and randomized to goal-setting + self-monitoring + feedback (GS+SM+F, n = 40), goal setting + self-monitoring (GS+SM, n = 40) or goal-setting only (GS, n = 44) conditions that differentially tapped the key features of control theory. Accelerometers assessed physical activity (primary outcome) as well as selfreport over a 7-day period directly before/after the start of the intervention.Results: The participants in the GS+SM+F condition significantly outperformed the GS condition, d = .62, 95% CI d = 0.15 -1.08, and marginally outperformed the GS+SM condition in terms of total physical activity at follow-up on the accelerometer measure, d = .33, 95% CI d = -0.13 -0.78. The feedback manipulation (GS+SM+F vs. GS+SM and GS) was most effective when baseline intentions were weak. These patterns did not emerge on the self-report measure but, on the basis of this measure, the feedback manipulation increased the risk that participants coasted in relation to their goal in the first few days of the intervention period.Conclusions: Using behaviour change techniques consistent with control theory can lead to significant short-term improvements on objectively assessed physical activity. Further research is needed to examine the underlying theoretical principles of the model.

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Section: Discussionmentioning

confidence: 90%

An experimental test of control theory‐based interventions for physical activity

Prestwich

Conner

Hurling

et al. 2016

British J Health Psychol

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“…This is especially important regarding the patients’ inactive lifestyle, as proxies can positively affect this. In fact, behavioural change is effective when social support (such as proxies’ support) is included . Shared insight in problematic ADLs is, therefore, necessary and an important step in behavioural change.…”

Section: Discussionmentioning

confidence: 99%

Patient versus proxy‐reported problematic activities of daily life in patients with COPD

et al. 2016

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Background and objective Loved ones (proxies) of patients with COPD are confronted with the patients’ limitations in activities of daily living (ADLs). However, it remains unknown whether proxies are able to correctly estimate the problematic ADLs of the patient. Therefore, we aimed to investigate the level of agreement between patient‐reported and proxy‐reported problematic ADLs of the patient. Methods Stable outpatients with moderate to very severe COPD (n = 194) and their resident proxies (n = 194) were included in this cross‐sectional study. Patients’ problematic ADLs were assessed in the domains ‘self‐care’, ‘mobility’, ‘productivity’ and ‘leisure’ using the Canadian Occupational Performance Measure (COPM) in both patients and resident proxies. Furthermore, the perceived performance and satisfaction for important problematic ADLs were rated on a 10‐point scale. Results In total, 830 problematic ADLs were reported by patients, and 735 by proxies. Agreement in reporting problematic ADLs within a domain was poor (productivity and leisure; κ; = 0.20 and 0.16, respectively) to fair (self‐care and mobility; κ = 0.32 and 0.22, respectively). Similar performance and satisfaction scores, for equally reported problematic ADLs, were given by 24.0% and 17.6% of the pairs, respectively. Conclusion Proxies were often not able to identify the patients’ most important problematic ADLs. Moreover, when patient and proxy agreed about the presence of a specific problematic ADL, the perception of the performance and the satisfaction with that performance differed within most pairs. This emphasizes the importance of involving proxies, besides patients alone, in identifying patients’ problematic ADLs.

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“…By selfmonitoring, patients can keep check on their chronic condition and experience the effect of their behaviour on clinical outcomes. 13,23,24 Self-monitoring can also increase selfefficacy for health-related behaviour. 25 This trial, which had a heterogeneous study population, showed a significant effect on self-monitoring.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial

et al. 2016

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BackgroundSelf-management support is an important component of the clinical management of many chronic conditions. The validated Self-Management Screening questionnaire (SeMaS) assesses individual characteristics that influence a patient’s ability to self-manage.AimTo assess the effect of providing personalised self-management support in clinical practice on patients’ activation and health-related behaviours.Design and settingA cluster randomised controlled trial was conducted in 15 primary care group practices in the south of the Netherlands.MethodAfter attending a dedicated self-management support training session, practice nurses in the intervention arm discussed the results of SeMaS with the patient at baseline, and tailored the self-management support. Participants completed a 13-item Patient Activation Measure (PAM-13) and validated lifestyle questionnaires at baseline and after 6 months. Data, including individual care plans, referrals to self-management interventions, self-monitoring, and healthcare use, were extracted from patients’ medical records. Multilevel multiple regression was used to assess the effect on outcomes.ResultsThe PAM-13 score did not differ significantly between the control (n= 348) and intervention (n= 296) arms at 6 months. In the intervention arm, 29.4% of the patients performed self-monitoring, versus 15.2% in the control arm (effect sizer= 0.9,P= 0.01). In the per protocol analysis (controln= 348; interventionn= 136), the effect of the intervention was significant on the number of individual care plans (effect sizer= 1.3,P= 0.04) and on self-monitoring (effect sizer= 1.0,P= 0.01).ConclusionThis study showed that discussing SeMaS and offering tailored support did not affect patient activation or lifestyle, but did stimulate patients to self-monitor and use individual care plans.

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Effective behaviour change techniques in smoking cessation interventions for people with chronic obstructive pulmonary disease: A meta‐analysis

Cited by 67 publications

References 78 publications

An experimental test of control theory‐based interventions for physical activity

An experimental test of control theory‐based interventions for physical activity

Patient versus proxy‐reported problematic activities of daily life in patients with COPD

Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial

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