Improving Uptake of Cardiac Rehabilitation: Using Theoretical Modelling to Design an Intervention

Mosleh, Sultan; Kiger, Alice; Campbell, Neil

doi:10.1016/j.ejcnurse.2009.02.004

Cited by 17 publications

(18 citation statements)

References 49 publications

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“…Thus, the CSM provides a framework for the development of theory-based behavior change interventions that lead to the effective translation of intentions and motivation into actual behavior [19]. The CSM has been used to develop interventions for diabetes [18], asthma [18], and attendance for cardiac rehabilitation [20]. For example, a CSM theory-based letter and information leaflet have been successfully shown to improve cardiac rehabilitation attendance [20].…”

Section: Csm Theoretical Framework For Changing Perception Of Dentmentioning

confidence: 99%

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Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children

Nelson

Slusar

Albert

et al. 2017

Contemporary Clinical Trials

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Introduction Parent/caregivers' inability to recognize the importance of baby teeth has been associated with inadequate self-management of children's oral health (i.e. lower likelihood of preventive dental visits) which may result in dental caries and the need for more expensive caries-related restorative treatment under general anesthesia. Health behavior theories aid researchers in understanding the impact and effectiveness of interventions on changing health behaviors and health outcomes. One example is the Common-Sense Model of Self-Regulation (CSM) which focuses on understanding an individual's illness perception (i.e. illness and treatment representations), and subsequently has been used to develop behavioral interventions to change inaccurate perceptions and describe the processes involved in behavior change. Methods We present two examples of randomized clinical trials that are currently testing oral health behavioral interventions to change parental illness perception and increase dental utilization for young children disproportionately impacted by dental caries in elementary schools and pediatric primary care settings. Additionally, we compared empiric data regarding parent/caregiver perception of the chronic nature of dental caries (captured by the illness perception questionnaire revised for dental: IPQ-RD constructs: identity, consequences, control, timeline, illness coherence, emotional representations) between parent/caregivers who did and did not believe baby teeth were important. Results Caregivers who believed that baby teeth don't matter had significantly (P<0.05) less accurate perception in the majority of the IPQ-RD constructs (except timeline construct) compared to caregivers who believed baby teeth do matter. Conclusion These findings support our CSM-based behavioral interventions to modify caregiver caries perception, and improve dental utilization for young children.

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Section: Csm Theoretical Framework For Changing Perception Of Dentmentioning

confidence: 99%

“…The CSM has been used to develop interventions for diabetes [18], asthma [18], and attendance for cardiac rehabilitation [20]. For example, a CSM theory-based letter and information leaflet have been successfully shown to improve cardiac rehabilitation attendance [20]. …”

Section: Csm Theoretical Framework For Changing Perception Of Dentmentioning

confidence: 99%

Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children

Nelson

Slusar

Albert

et al. 2017

Contemporary Clinical Trials

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“…Details of the interventions and their development are described elsewhere 16 Dear, Your consultant and health team have recommended that you undergo an eight-week cardiac rehabilitation program, which aims to help you to recover and improve your health and life. The program is multidisciplinary, which means that the doctor, cardiac rehabilitation nurse, dietician, physiotherapist and the occupational therapist work together to tailor the program to meet your individual needs.…”

Section: The Interventionsmentioning

confidence: 99%

Effectiveness of theory-based invitations to improve attendance at cardiac rehabilitation: A randomized controlled trial

Mosleh

Bond

Lee

et al. 2013

European Journal of Cardiovascular Nursing

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“…The fact that nearly 20% of those who agreed to attend a session at a particular time never attended a single meeting indicates a substantial problem frequently observed in health service delivery and clinical trials that individuals do not attend scheduled appointments. Recently, several studies have shown that inexpensive theory based intervention based on simple planning interventions, letters or leaflets may be effective in improving attendance [53], [54] and for the present line of research it might be sensible to explicitly add an intervention focussing on attendance to the first meeting in order to improve participation. For those participants who attended at least one meeting, the intervention was found to be highly acceptable as indicated by intervention retention and material completion.…”

Section: Discussionmentioning

confidence: 99%

Randomised Controlled Feasibility Trial of an Evidence-Informed Behavioural Intervention for Obese Adults with Additional Risk Factors

Sniehotta

Dombrowski

Avenell³

et al. 2011

PLoS ONE

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BackgroundInterventions for dietary and physical activity changes in obese adults may be less effective for participants with additional obesity-related risk factors and co-morbidities than for otherwise healthy individuals. This study aimed to test the feasibility and acceptability of the recruitment, allocation, measurement, retention and intervention procedures of a randomised controlled trial of an intervention to improve physical activity and dietary practices amongst obese adults with additional obesity related risk factors.MethodPilot single centre open-labelled outcome assessor-blinded randomised controlled trial of obese (Body Mass Index (BMI)≥30 kg/m2) adults (age≥18 y) with obesity related co-morbidities such as type 2 diabetes, impaired glucose tolerance or hypertension. Participants were randomly allocated to a manual-based group intervention or a leaflet control condition in accordance to a 2∶1 allocation ratio. Primary outcome was acceptability and feasibility of trial procedures, secondary outcomes included measures of body composition, physical activity, food intake and psychological process measures.ResultsOut of 806 potentially eligible individuals identified through list searches in two primary care general medical practices N = 81 participants (63% female; mean-age = 56.56(11.44); mean-BMI = 36.73(6.06)) with 2.35(1.47) co-morbidities were randomised. Scottish Index of Multiple Deprivation (SIMD) was the only significant predictor of providing consent to take part in the study (higher chances of consent for invitees with lower levels of deprivation). Participant flowcharts, qualitative and quantitative feedback suggested good acceptance and feasibility of intervention procedures but 34.6% of randomised participants were lost to follow-up due to overly high measurement burden and sub-optimal retention procedures. Participants in the intervention group showed positive trends for most psychological, behavioural and body composition outcomes.ConclusionsThe intervention procedures were found to be acceptable and feasible. Attrition rates were unacceptably high and areas for improvements of trial procedures were identified.Trial RegistrationControlled-Trials.com ISRCTN90101501

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Improving Uptake of Cardiac Rehabilitation: Using Theoretical Modelling to Design an Intervention

Abstract: A theoretically worded letter and leaflet could be an inexpensive intervention to improve attendance at cardiac rehabilitation. The letters and leaflets will now be evaluated in a randomised trial.

Cited by 17 publications

References 49 publications

Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children

Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children

Effectiveness of theory-based invitations to improve attendance at cardiac rehabilitation: A randomized controlled trial

Randomised Controlled Feasibility Trial of an Evidence-Informed Behavioural Intervention for Obese Adults with Additional Risk Factors

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