Browsing by Author "French, David P"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
- ItemIdentifying Brief Message Content for Interventions Delivered via Mobile Devices to Improve Medication Adherence in People With Type 2 Diabetes Mellitus: A Rapid Systematic Review.(0000-00-00) Long, Hannah; Bartlett, Yvonne K; Farmer, Andrew J; French, David PBACKGROUND Current interventions to support medication adherence in people with type 2 diabetes are generally resource intensive and ineffective Brief messages such as those delivered via short message service SMS systems are increasingly used in digital health interventions to support adherence because they can be delivered on a wide scale and at low cost The content of SMS text messages is a crucial intervention feature for promoting behavior change but it is often unclear what the rationale is for chosen wording or any underlying mechanisms targeted for behavioral change There is little guidance for developing and optimizing brief message content for use in mobile device delivered interventions OBJECTIVE This review aimed to 1 identify theoretical constructs ie the targets that interventions aim to change and behavioral strategies ie features of intervention content found to be associated with medication adherence in patients with type 2 diabetes and 2 map these onto a standard taxonomy for behavior change techniques BCTs that is active ingredients of interventions used to promote behavioral change to produce an evidence based set of approaches that have shown promise of improving adherence in previous studies and which could be further tested in digital health interventions METHODS A rapid systematic review of existing relevant systematic reviews was conducted MEDLINE and PsycINFO databases were searched from inception to April 10 2017 Inclusion criteria were 1 systematic reviews of quantitative data if the studies reviewed identified predictors of or correlates with medication adherence or evaluated medication adherence enhancing interventions and included adult participants taking medication to manage a chronic physical health condition and 2 systematic reviews of qualitative studies of experiences of medication adherence for adult participants with type 2 diabetes Data were extracted on review characteristics and BCTs theoretical constructs or behavioral strategies associated with improved adherence Constructs and strategies were mapped onto the BCT version 1 taxonomy RESULTS A total of 1701 references were identified 25 systematic reviews 19 quantitative reviews 3 qualitative reviews and 3 mixed method reviews were included Moreover 20 theoretical constructs eg self efficacy and 19 behavioral strategies eg habit analysis were identified in the included reviews In total 46 BCTs were identified as being related to medication adherence in type 2 diabetes eg habit formation prompts or cues and information about health consequences CONCLUSIONS We identified 46 promising BCTs related to medication adherence in type 2 diabetes on which the content of brief messages delivered through mobile devices to improve adherence could be based By using explicit systematic review methods and linking our findings to a standardized taxonomy of BCTs we have described a novel approach for the development of digital message content Future brief message interventions that aim to support medication adherence could incorporate the identified BCTs
- ItemImplementing behaviour change theory and techniques to increase physical activity and prevent functional decline among adults aged 61-70: The PreventIT project.(0000-00-00) Boulton, Elisabeth; Hawley-Hague, Helen; French, David P; Mellone, Sabato; Zacchi, Anna; Clemson, Lindy; Vereijken, Beatrix; Todd, ChrisThe health and wellbeing benefits of engaging in physical activity PA and of improving strength and balance are well documented The World Health Organization s recommendations of 150 min per week of moderate intensity physical activity have been adopted across the world in policy and practice recommendations However the number of older adults engaging in this level of PA remains low The European Project PreventIT has adapted the Lifestyle integrated Functional Exercise LiFE programme which reduced falls in people 75 years and over for a younger cohort aLiFE aLiFE incorporates challenging strength and balance agility tasks as well as specific recommendations for increasing physical activity and reducing sedentary behaviour in young older adults aged 60 70 years Personalised advice is given on how to integrate strength balance and physical activities into daily life aLiFE has been further developed to be delivered using smartphones and smartwatches eLiFE providing the opportunity to send timely motivational messages and real time feedback to the user Both aLiFE and eLiFE are behaviour change interventions supporting older adults to form long term physical activity habits PreventIT has taken the original LiFE concept and further developed the behaviour change elements explicitly mapping them to Social Cognitive Theory Habit Formation Theory and 30 Behaviour Change Techniques BCTs Goal setting planning prompts and real time feedback are used to deliver a person centred experience Over 1300 motivational messages have been written mapped to psychological theory BCTs and evidence regarding the importance of strength balance and PA A motivational assessment tool has been developed to enable us to investigate stated motivational drivers with actual performed behaviour within the feasibility Randomised Controlled Trial The PreventIT mHealth intervention focusses on behaviour change from initiation to long term maintenance addressing the different phases of adopting a healthier lifestyle As such it makes a strong contribution to the developing field of evidence based mobile health mHealth ABBREVIATIONS AND ACRONYMS