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Galdas P, Darwin Z, Fell J, et al. A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN). Southampton (UK): NIHR Journals Library; 2015 Aug. (Health Services and Delivery Research, No. 3.34.)
A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN).
Show detailsTABLE 41
Study (first author, date) | Description | Behaviour(s) being targeted | BCT classification |
---|---|---|---|
Adamsen 2001207 | Group programme involving physical activity and keynote speakers; structured as 13 2-hour sessions over 16 weeks; led by health professionals (oncology and physiotherapy) at a hospital facility; developed for men with cancer | Physical activity | 1.1 Goal-setting (behaviour): physical activity is expected at classes but there is no explicit reference to goal-setting 3.1 Social support: suggested by participant experiences, but not part of the intervention description 4.1 Instruction on how to perform a behaviour: exercise undertaken in class setting 6.1 Demonstration of the behaviour: exercise undertaken in class setting 6.2 Social comparison: suggested by participant experiences (‘comradeship’) 6.3 Information about others’ approval – suggested by participant experiences (‘comradeship’) 8.1 Behavioural practice/rehearsal: exercise undertaken in class setting 13.4 Valued self-identity: suggested by participant experiences 13.5 Identity associated with changed behaviour: suggested by participant experiences Note: 5.1, 5.3 and 5.6 not coded because information concerns consequences of LTC, not behaviour change |
Baird 2001134 | Cardiac rehabilitation programme involving supervised exercise (including cardiac monitoring), assistance with medication, education on stress management, diet and other health behaviours; led by professional. Phase II lasts 4 weeks; Phase III lasts 4 months; Phase IV involves exercise prescription and open-ended use of cardiac therapy facility | Physical activity, medication taking, stress management, ‘lifestyle modification’, smoking cessation, diet modification’ | 2 Feedback and monitoring: cardiac monitoring but unclear whether or not feedback given; therefore unknown if 2.4–2.7 4.1 Instruction on how to perform a behaviour: supervised exercise 6.1 Demonstration of the behaviour: supervised exercise 8.1 Behavioural practice/rehearsal: supervised exercise (unclear how much practice) 11.2 Reduce negative emotions: stress management, although not described as being in relation to the behaviours Note: limited information on how medication is ‘assisted’ |
Barlow 2009103 | Group programme involving education, group discussion, skills training, goal-setting, problem-solving, role play, and reporting back on progress; structured as 6 weekly 2-hour sessions; led by trained lay tutors who have LTC, held in community settings; developed for any LTC | Exercise, nutrition, pain management, relaxation techniques, psychological health, communication with family and health professionals, goal-setting | 1.1 Goal-setting (behaviour) 1.2 Problem-solving 1.3 Goal-setting (outcome) 2.2 and 2.7 Feedback on behaviour and outcome: participants report back to group on progress with goals, which presumably involves feedback 2.3 and 2.4 Self-monitoring of behaviour and outcome: participants document progress 4.1 Instruction on how to perform a behaviour: skills training 5.1 Information about health consequences (possibly 5.3, 5.6): ‘lecturettes’, although not explicit if this is about behaviour change 6.1 Demonstration of the behaviour: role play and mastery experience 6.2 Social comparison: reporting progress to group probably involves this 6.3 Information about others’ approval: reporting progress to group probably involves this 10.4 Social reward: given group feedback on progress |
Barlow 2009102 | |||
Bourke 2012209 | Group programme involving supervised physical activity, self-directed physical activity, healthy eating group seminars and nutrition advice pack; structured as twice-weekly supervised exercise for the first 6 weeks and weekly for the next 6 weeks, with 15- to 20-minute seminars every fortnight; supervised by ‘exercise specialists’ at a university rehabilitation suite; developed for men with prostate cancer | Exercise, nutrition/diet | 1.1 Goal-setting (behaviour): specified intensity of physical activity 1.4 Action planning: including planned duration 3.1 Social support: explored what was available 4.1 Instruction on how to perform a behaviour: skills training 5.1 Information about health consequences (possibly 5.3, 5.6): ‘small group healthy eating seminars’ 6.1 Demonstration of the behaviour: skills training 8.1 Behavioural practice/rehearsal: skills training, practice 12 Antecedents: discussed how to incorporate into daily life but detail not reported; therefore unknown which BCTs apply 12.5 Adding objects to the environment: nutrition pack |
Chambers 2012210 | Group programme involving mindfulness-based cognitive therapy, including education, skills training, handbook, audio CD and self-led home-based practice; structured as eight weekly 2-hour sessions and optional extended practice session; led by psychologist; developed for cancer patients | Focus is 11.2, reducing negative emotions, via acceptance-based mindfulness | 1.1 Goal-setting (behaviour): pleasant activity scheduling 1.4 Action planning: pleasant activity scheduling 1.8 Behavioural contract: pleasant activity scheduling 3.1 Social support: group processes 4.1 Instruction on how to perform a behaviour: skills training 6.1 Demonstration of the behaviour: skills training in class 6.2 Social comparison: group processes 8.1 Behavioural practice/rehearsal: skills training, practice encouraged 8.3 Habit formation: repetition to build confidence 11.2 Reduce negative emotions: targeted through mindfulness 12.5 Adding objects to the environment: self-help materials including CD which provided the ‘necessary sounds’ 15 Self-belief: unclear if repetition to build confidence should be coded here |
Eldh 2006135 | Nurse-led clinic involving medication management and education about the condition, its management and health behaviours; held at a hospital outpatient clinic | Limited detail; possibly medication taking, physical activity, diet, smoking cessation, reducing alcohol consumption | 1.1 Goal-setting (behaviour): e.g. use stairs instead of lift 2 Feedback and monitoring likely to be included but details not reported; therefore unknown which BCTs apply 5.1 Information about health consequences: assumed to include about behaviours as well as LTC and treatment side effects and dietary advice |
Ferrand 2008218 | Group physical activity including exercise classes, groups and events; organised by a patients’ association (Move for Health); activities available throughout the week on an ongoing basis; led by patients and sometimes cosupervised by ‘medico-sporting educators’ | Physical activity | 1.1 Goal-setting (behaviour): e.g. ‘realistic goals’ (although unclear how these were set) 3.1 Social support: community group 6.2 Social comparison: participants report potential for ‘ridicule’ and that friendship is ‘additional motivation’ 6.3 Information about others’ approval: participants report potential for ‘ridicule’ and that friendship is ‘additional motivation’ 9.1 Credible source: participants describe as ‘trustworthy’ 12.5 Adding objects to the environment: classes are available |
Galdas 2012280 | Cardiac rehabilitation programme involving education on the condition and health behaviours using classes, workshops and individual counselling sessions; held weekly at a hospital facility | ‘Lifestyle’: presumably includes physical activity and diet | 3.1 Social support: classes and workshops and counselling 5.1 Information about health consequences (possibly 5.3, 5.6): health and lifestyle education |
Kronenwetter 2005213 | Group programme involving physical activity, skills training (stress management), peer support and dietary advice; structured as weekly 4-hour sessions, case management and home visits; held in community settings; developed for men with prostate cancer | Physical activity, diet, stress management | 1.1 Goal-setting (behaviour): specified intensity 1.4 Action planning: specified intensity 3.1 Social support: support group to encourage adherence 4.1 Instruction on how to perform a behaviour: skills training 6.1 Demonstration of the behaviour: skills training 8.1 Behavioural practice/rehearsal: skills training and practice encouraged 11.2 Reduce negative emotions: stress management |
Martin 2013214 | Group workshop involving education, survivor stories, group discussion and goal-setting; structured as one-off 4-hour session; led by nurse and self-management tutor; developed for men with testicular cancer | Physical activity, nutrition, goal-setting, managing fatigue, self-examination | 1.1 Goal-setting (behaviour): self-examination goals 3.1 Social support: ‘opportunity to talk to someone’ outlined in modelling of intervention 5.1 Information about health consequences: education 9.1 Credible source: use of survivor stories 11.2 Reduce negative emotions: ‘finding a meaning’ outlined in modelling of intervention Notes: unclear what skills training, if any, was done in the workshop |
Mfecane 2011215 | Group (mixed-sex) programme involving education and group discussion about the condition, its management and health behaviours ‘challeng[ing] traditional health and gender beliefs’ and encouraging to ‘convert’ to a ‘responsible’ lifestyle; facilitators trained by non-government and government organisations; some facilitators also had HIV; medication conditional on group attendance; held at public health clinic; developed for HIV/AIDS | ‘Responsible lifestyle’, including medication taking, diet, safer sex practices | 3.1 Social support: group attendance 5.1 Information about health consequences (possibly 5.6): health and lifestyle education 5.3 Information about social and environmental consequences: health and lifestyle education 9.1 Credible source: use of expert patients 12.1 Restructuring physical environment: e.g. advise to carry purse for pills 13.1 Identification of self as role model: expectation to disclose status publicly, although unclear extent to which this is considered related to ‘behaviour change’ 13.5 Identity associated with changed behaviour: ‘convert to responsible lifestyle’ and implications for identity |
Ramachandra 2009100 | Self-administered psychological intervention involving well-being diary, mindfulness CD and planning activities, following briefing on the theory and practical aspects of the intervention; telephone contact happened in weeks 1, 2, 4 to answer queries and encourage practice; developed for cancer patients | Focus is 11.2, reducing negative emotions, via mindfulness | 1.1 Goal-setting (behaviour), pleasant activity scheduling (unclear if also 1.4 action planning and 1.8 behavioural contract) 2.3 Self-monitoring of behaviour: self-monitoring using diary 2.4 Self-monitoring of outcome(s) of behaviour: self-monitoring using diary 4.1 Instruction on how to perform a behaviour: brief introduction (i.e. skills training) and self-administered using tools provided 8.1 Behavioural practice/rehearsal: practice encouraged 11.2 Reduce negative emotions: targeted through mindfulness 12.5 Adding objects to the environment: self-help materials including diary and CD 15 Self-belief: unclear if repetition to build confidence should be coded here |
- Behavioural change techniques classification for qualitative studies - A systema...Behavioural change techniques classification for qualitative studies - A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN)
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