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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.)

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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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Appendix 5Behavioural change techniques classification for qualitative studies

TABLE 41

Behaviour change techniques classification for those studies considered to be presenting a self-management intervention or support activity concerned with health behaviour change (i.e. those classified as ‘lifestyle’ or ‘psychological’)

Study (first author, date)DescriptionBehaviour(s) being targetedBCT classification
Adamsen 2001207Group 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 cancerPhysical activity1.1 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 2001134Cardiac 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 facilityPhysical 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 2009103Group 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 LTCExercise, nutrition, pain management, relaxation techniques, psychological health, communication with family and health professionals, goal-setting1.1 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 2012209Group 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 cancerExercise, nutrition/diet1.1 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 2012210Group 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 patientsFocus is 11.2, reducing negative emotions, via acceptance-based mindfulness1.1 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 2006135Nurse-led clinic involving medication management and education about the condition, its management and health behaviours; held at a hospital outpatient clinicLimited detail; possibly medication taking, physical activity, diet, smoking cessation, reducing alcohol consumption1.1 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 2008218Group 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 activity1.1 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 2012280Cardiac 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 diet3.1 Social support: classes and workshops and counselling
5.1 Information about health consequences (possibly 5.3, 5.6): health and lifestyle education
Kronenwetter 2005213Group 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 cancerPhysical activity, diet, stress management1.1 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 2013214Group 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 cancerPhysical activity, nutrition, goal-setting, managing fatigue, self-examination1.1 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 2011215Group (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 practices3.1 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 2009100Self-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 patientsFocus is 11.2, reducing negative emotions, via mindfulness1.1 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
Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Galdas et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

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Bookshelf ID: NBK311071

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