Using the transtheoretical model of behaviour change to analyse the impact of stopping exercise: a reflection

Scott, Lucy; Andrewes, Tanya

doi:10.12968/bjon.2021.30.20.1203

Cited by 2 publications

(1 citation statement)

References 12 publications

(11 reference statements)

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“…The aim of TTM is to provide targeted behavioural support according to the individual needs of the behaviour change object and to carry out health education in stages according to the patient's intention to change behaviours [ 18 ]. Motivational interviewing aims to help patients discover and overcome their contradictory psychological state based on effective communication so that they can better participate in the analysis and evaluation of intervention programs, better understand the risks and benefits of intracranial aneurysm, and thus benefit from behavioural changes [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Cross Theoretical Model of Behaviour Change and Motivation Interview on Self-Management Behaviour

Wang

Xiong

et al. 2022

Journal of Oncology

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Objective. To evaluate the effects of a trans-theoretical model (TTM) of behavioural change plus motivational interviewing on self-management behavior and quality of life (QoL) in patients with intracranial aneurysm. Methods. A total of 94 patients with intracranial aneurysm treated in the First Affiliated Hospital of Wenzhou Medical University from 2019 to 04/2021-04 were retrospectively analyzed. Among them, 49 patients used TTM + motivational interview as the observation group (Obs group), and 45 patients used the traditional method as the control group (Con group). The Self-Management Behavior Scale for Patients with Intracranial Aneurysm was used for analyzing the changes in the self-management behavior of the two groups of patients, and the MOS 36-item Short Form Health Survey (SF-36) was used to analyze the changes in the QoL of the patients. The incidence of adverse events after 6 months of intervention was counted. In addition, the Barthel Index (BI) and Montreal Cognitive Assessment Scale (MOCA) were used to evaluate the recovery effects of patients. Logistic regression was conducted for analyzing the risk factors of adverse cerebrovascular events. Results. After treatment, the Con group got lower self-management behavior score than the Obs group ( P < 0.05 ), and also got lower SF-36 scores, BI, and MOCA scores than the Obs group ( P < 0.05 ). Age and a history of hypertension were independent risk factors for adverse events. The Hosmer–Lemeshow test was adopted for testing the goodness of fit of the regression equation ( P = 0.903 ). With the established model, the area under the receiver operating characteristic curve for predicting adverse events in patients with intracranial aneurysm was determined to be 0.851, indicating that the model performed well as a risk prediction model. Conclusion. TTM + motivational interviewing can help improve the self-management behavior and QoL of patients with intracranial aneurysm without increasing the occurrence of adverse events.

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Section: Discussionmentioning

confidence: 99%

Effect of Cross Theoretical Model of Behaviour Change and Motivation Interview on Self-Management Behaviour

Wang

Xiong

et al. 2022

Journal of Oncology

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Development of a Mobile App for the Mental Health Improvement of Youth in Out-of-Home Care: An Intervention Mapping Approach (Preprint)

Park,

Lee,

Noh

2024

Preprint

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BACKGROUND Youth in out-of-home care encounter substantial mental health challenges because of the absence of stable family and social support systems. Their vulnerability is heightened by trauma, neglect, and abuse. They struggle, especially when transitioning to independent living, coping with loneliness, anxiety, and pressure. OBJECTIVE This study aimed to develop a mobile app with high accessibility and long-term continuous effects to support independent living and improve mental health among youths in out-of-home care. The approach used was the systematic and step-by-step intervention mapping protocol (IMP). METHODS The program was created using IMP and had six steps. Drawing from data from individual and focus group interviews and literature reviews, we developed a logical model of the problem. We established program outcomes and objectives, defining performance objectives and variable determinants. We identified theoretical and evidence-based methods that influence determinants. The app design integrated these methods into practical applications, allowing for the creation of self-management and emotional support tools. The development process included ongoing discussions between app designers and the research team to ensure that user needs and preferences were addressed. RESULTS Individual interviews and focus group discussions revealed challenges in managing daily routines and regulating emotions. The program design was based on the transtheoretical model, social cognitive theory, and elaboration likelihood model. Key features included goal setting, structured routines, emotion recognition flashcards, character models demonstrating emotion regulation strategies, verbal persuasion, and self-monitoring tools to support habit formation and emotion regulation. An implementation plan was developed to facilitate the app’s adoption, execution, and maintenance, while an evaluation plan was established, including app usage analytics, user logs, and feedback surveys. A randomised controlled trial will be conducted to assess the app's impact on mental health outcomes, focusing on reducing anxiety and depressive symptoms, improving emotion regulation, and enhancing daily living skills. CONCLUSIONS The IMP framework was beneficial in developing a mobile app to enhance the mental health of youths in out-of-home care. The study produced a program grounded in theory and evidence which caters to the needs of these individuals. Further research should aim to verify the app’s effectiveness in real-world settings and refine it continuously based on user input. CLINICALTRIAL Not applicable

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Using the transtheoretical model of behaviour change to analyse the impact of stopping exercise: a reflection

Cited by 2 publications

References 12 publications

Effect of Cross Theoretical Model of Behaviour Change and Motivation Interview on Self-Management Behaviour

Effect of Cross Theoretical Model of Behaviour Change and Motivation Interview on Self-Management Behaviour

Development of a Mobile App for the Mental Health Improvement of Youth in Out-of-Home Care: An Intervention Mapping Approach (Preprint)

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