Integrating behaviour change counselling into chronic disease management: a square peg in a round hole? A system-level exploration in primary health care

Vallis, Michael; Lee-Baggley, Dayna; Sampalli, Tara; Shepard, Donald S.; McIssaac, L.; Ryer, Ashley; Ryan-Carson, S; Manley, Stewart

doi:10.1016/j.puhe.2019.06.009

Cited by 12 publications

(10 citation statements)

References 29 publications

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“…Adherence can be promoted if the provider, based on establishing a change-based relationship, were to ask permission to educate the patient or parent about the challenges with behaviour change (normalizing that change is hard) and collaborate to identify the specific factors associated with nonadherence [27, 34]. As such, nonadherence is not framed as a problem (as in failure, or setback) but as an opportunity for learning.…”

Section: Adherence Is Not Linearmentioning

confidence: 99%

Adherence to Treatment Recommendations in Chronic Disease: What Is (Im)Possible? Expert Conclusions from the 30th ECOG Workshop 2021

et al. 2022

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Obesity is a chronic disease, in which treatment outcomes are highly dependent on patient and family adherence to behavioural recommendations. The role of healthy eating, physical activity, medication adherence as well as adherence to pre- and post-bariatric surgery protocols are of utmost importance for long-term treatment outcomes. Even the best interventions are not likely to reach their maximum benefit without significant levels of adherence on the part of the individual and family. Traditionally, the annual meeting of the European Childhood Obesity Group (ECOG) includes an expert workshop addressing one specific topic within the field of childhood obesity. During the 30th annual meeting, hosted by the University of Pécs, Hungary, as a virtual meeting, “adherence to treatment recommendations in obesity as a chronic disease” was addressed. The discussions that developed during the workshop are summarized in the following article.

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Section: Adherence Is Not Linearmentioning

confidence: 99%

Adherence to Treatment Recommendations in Chronic Disease: What Is (Im)Possible? Expert Conclusions from the 30th ECOG Workshop 2021

et al. 2022

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“…47,48 The core story is a useful metaphor to initiate a weight management plan, based on obesity as a chronic disease. Like all chronic conditions, positive health outcomes are more determined by the patient behavioural choices outside of the clinical visit than by what the clinician does inside the clinical visit 49,50 ; that is, self-management by the person, self-management support by the clinician. Self-management support is based on behaviour change counselling 51 and patientcentred shared decision making.…”

Section: The Gate Keeper the Go Getter And The Sleepy Executivementioning

confidence: 99%

When behaviour meets biology: if obesity is a chronic medical disease what is obesity management?

Vallis

Macklin

2021

Clinical Obesity

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“…Using BCTs to train health or other professions is gaining acceptance, both in a research and practice context. The novelty of the Train4Health project is directing training to undergraduate students, facilitating future performance and reducing workforce challenges [58]. In the UK community pharmacists were trained to employ a set of 15 BCTs from BCTTv.1 to support non-adherent older persons with polypharmacy [59].…”

Section: Category Statementmentioning

confidence: 99%

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

et al. 2021

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Background Healthcare and other professionals are expected to support behaviour change in people living with chronic disease. However, effective behaviour change interventions are largely absent in routine encounters. The Train4Health project, a European strategic partnership for higher education, sought to address this problem. The primary aim of this study, which is part of an early work package, was to develop an interprofessional competency framework for health and other professions to support behaviour change for the self-management of chronic disease at a European level. A secondary aim was to derive a set of behaviour change techniques (BCTs) from an established taxonomy to link with framework competencies. Methods The study comprised two interlinked parts. Part 1 involved a two-round e-Delphi study with an interprofessional panel of 48 experts across 12 European countries to develop the behaviour change competency framework. Preparatory work included drafting a list of competency statements based on seven existing frameworks. Part 2 involved an expert panel of six behavioural psychologists deriving a set of BCTs to link with framework competencies. Their feedback was based on preparatory work, which focused on seven high priority chronic diseases for self-management, identified through European projects on self-management and identifying five relevant target behaviours from key clinical guidelines. A literature search yielded 29 effective BCTs for the target behaviours in the selected chronic diseases. Results Twenty-seven competency statements, were presented in Round 1 to the Delphi panel. Consensus was achieved for all statements. Based on comments, two statements were removed, one was added, and 14 were modified. All 15 statements subjected to Round 2 were consensus-approved, yielding a total of 12 foundational competencies for behaviour change in self-management of chronic disease and 14 behaviour change competencies. Four behaviour change competencies related to BCTs. Behavioural psychologists’ feedback led to a core set of 21 BCTs deemed applicable to the five target behaviours across the seven chronic diseases. Conclusions A behaviour change competency framework comprising 26 statements for European health and other professionals to support self-management of chronic disease was developed, linked with a core set of 21 BCTs from an established taxonomy.

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Integrating behaviour change counselling into chronic disease management: a square peg in a round hole? A system-level exploration in primary health care

Cited by 12 publications

References 29 publications

Adherence to Treatment Recommendations in Chronic Disease: What Is (Im)Possible? Expert Conclusions from the 30th ECOG Workshop 2021

Adherence to Treatment Recommendations in Chronic Disease: What Is (Im)Possible? Expert Conclusions from the 30th ECOG Workshop 2021

When behaviour meets biology: if obesity is a chronic medical disease what is obesity management?

Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

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