Promoting physical activity in rheumatoid arthritis: a narrative review of behaviour change theories

Larkin, Louise; Kennedy, Norelee; Gallagher, Stephen

doi:10.3109/09638288.2015.1019011

Cited by 28 publications

(29 citation statements)

References 52 publications

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“…More importantly, the behaviour change techniques appeared to be selected ad hoc for the majority of interventions, with no due consideration to the importance of the use of behaviour change theory when designing and delivering interventions which seek to change behaviour, in this case physical activity. A recent review [46] has highlighted this issue in interventions targeting physical activity behaviour in the RA population and is an important consideration for future research.…”

Section: Discussionmentioning

confidence: 99%

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

et al. 2015

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Research has shown that people who have rheumatoid arthritis (RA) do not usually participate in enough physical activity to obtain the benefits of optimal physical activity levels, including quality of life, aerobic fitness and disease-related characteristics. Behaviour change theory underpins the promotion of physical activity. The aim of this systematic review was to explore behaviour change interventions which targeted physical activity behaviour in people who have RA, focusing on the theory underpinning the interventions and the behaviour change techniques utilised using specific behaviour change taxonomy. An electronic database search was conducted via EBSCOhost, PubMed, Cochrane Central Register of Controlled Trials and Web of Science databases in August 2014, using Medical Subject Headings and keywords. A manual search of reference lists was also conducted. Randomised control trials which used behaviour change techniques and targeted physical activity behaviour in adults who have RA were included. Two reviewers independently screened studies for inclusion. Methodological quality was assessed using the Cochrane risk of bias tool. Five studies with 784 participants were included in the review. Methodological quality of the studies was mixed. The studies consisted of behaviour change interventions or combined practical physical activity and behaviour change interventions and utilised a large variety of behaviour change techniques. Four studies reported increased physical activity behaviour. All studies used subjective methods of assessing physical activity with only one study utilising an objective measure. There has been varied success of behaviour change interventions in promoting physical activity behaviour in people who have RA. Further studies are required to develop and implement the optimal behaviour change intervention in this population.

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Section: Discussionmentioning

confidence: 99%

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

et al. 2015

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“…Although studies have found that expectancy-value models, such as the Theory of Planned Behavior (TPB: Ajzen, 1985), predict intention well (McEachan et al, 2011), there is still a large proportion in behavior left unexplained (Armitage and Conner, 2001). Unfortunately, the use of correlational data, which insufficiently validates a theory (Weinstein, 2007), far outweighs the number of studies attempting to change these processes through the development of interventions (Hardeman et al, 2002). This is despite the prevalence of clear methodological guidelines on belief alteration (Ajzen, 1991).…”

Section: Conscious Processes In Behavior Changementioning

confidence: 99%

Implicit Processes, Self-Regulation, and Interventions for Behavior Change

Quinton

Brunton

2017

Front. Psychol.

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The ability to regulate and subsequently change behavior is influenced by both reflective and implicit processes. Traditional theories have focused on conscious processes by highlighting the beliefs and intentions that influence decision making. However, their success in changing behavior has been modest with a gap between intention and behavior apparent. Dual-process models have been recently applied to health psychology; with numerous models incorporating implicit processes that influence behavior as well as the more common conscious processes. Such implicit processes are theorized to govern behavior non-consciously. The article provides a commentary on motivational and volitional processes and how interventions have combined to attempt an increase in positive health behaviors. Following this, non-conscious processes are discussed in terms of their theoretical underpinning. The article will then highlight how these processes have been measured and will then discuss the different ways that the non-conscious and conscious may interact. The development of interventions manipulating both processes may well prove crucial in successfully altering behavior.

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“…It was evident that the interventions conducted to date had not involved key stakeholders when seeking to design the behaviour change intervention (20)(21). The MRC (14) advocates the involvement of key stakeholders when designing complex interventions and so to compliment the quantitative reviews in stage 1 of the MRC qualitative interviews with people who have RA and HPs who work in rheumatology were conducted.…”

Section: Behaviour Change Wheel Step 4: Identify What Needs To Changementioning

confidence: 99%

“…A sound theoretical underpinning is essential in complex interventions in understanding how the intervention causes change, so that weak links in the causal chain can be identified and strengthened (14). To date interventions which have targeted physical activity behaviour change in people who have RA have lacked this theoretical understanding (20)(21). This poses a challenge when seeking to improve upon the design of previous interventions which targeted physical activity behaviour, as the effective components and how change came about within an intervention cannot be identified.…”

Section: Introductionmentioning

confidence: 99%

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Community-based intervention to promote physical activity in rheumatoid arthritis (CIPPA-RA): a study protocol for a pilot randomised control trial

et al. 2017

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Rheumatoid arthritis (RA) is a chronic, inflammatory condition which may cause pain, stiffness and fatigue. People who have RA have reduced levels of physical activity due to these symptoms. Interventions targeting physical activity behaviour in this population have had limited efficacy. This paper describes a protocol for a pilot randomised controlled trial (RCT) of a theory-based intervention delivered in a community setting designed to promote physical activity in people who have RA. The aim of the pilot study is to assess the impact of the intervention on moderate-intensity physical activity in people with RA. The objectives are to obtain reliable estimates regarding recruitment rates; participant retention, protocol adherence and generate potential effect size estimates to inform sample size calculations for a main trial on physical activity participation. Semi-structured interviews will be conducted with a selected sample of participants to explore their experiences. Participants will be recruited from direct referrals from the rheumatology clinics in a public hospital. Participants meeting inclusion criteria will be randomised into a 6 week physical activity intervention (four sessions delivered over a 6-week period by a trained physiotherapist) or a control group (physical activity information leaflet). Results of the pilot study will provide data to determine if a larger RCT is feasible. Qualitative data will inform intervention design and delivery. The findings will be disseminated to health professionals, in peer-reviewed journals and conference presentations.

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Promoting physical activity in rheumatoid arthritis: a narrative review of behaviour change theories

Cited by 28 publications

References 52 publications

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review

Implicit Processes, Self-Regulation, and Interventions for Behavior Change

Community-based intervention to promote physical activity in rheumatoid arthritis (CIPPA-RA): a study protocol for a pilot randomised control trial

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