Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel

作者全名："Chen, Dandan; Zhang, Hui; Cui, Nianqi; Song, Feng; Tang, Leiwen; Shao, Jing; Wu, Jingjie; Guo, Pingping; Liu, Na; Wang, Xiyi; Ye, Zhihong"

作者地址："[Chen, Dandan; Tang, Leiwen; Wu, Jingjie; Ye, Zhihong] Zhejiang Univ, Affiliated Sir Run Run Shaw Hosp, Nursing Dept, Sch Med, 3 East Qingchun Rd, Hangzhou 310020, Peoples R China; [Zhang, Hui] Guizhou Prov Peoples Hosp, Dept Cardiol, 83 East Zhongshan Rd, Guiyang 550002, Peoples R China; [Cui, Nianqi] Zhejiang Univ, Nursing Dept, Sch Med, Affiliated Hosp 2, 88 Jiefang Rd, Hangzhou 310009, Peoples R China; [Song, Feng] Natl Univ Malaysia, Fac Med, Kuala Lumpur, Malaysia; [Song, Feng] Yunnan Coll Business Management, Fac Med, 296 Haitun Rd, Kunming 650106, Yunnan, Peoples R China; [Shao, Jing] Zhejiang Univ, Sch Nursing, Sch Med, 866 Yuhangtang Rd, Hangzhou 310012, Peoples R China; [Guo, Pingping] Zhejiang Univ, Womens Hosp, Sch Med, 1 Xueshi Rd, Hangzhou 310006, Peoples R China; [Liu, Na] Chongqing Med Univ, Nursing Dept, Affiliated Hosp 2, 76 Linjiang Rd, Chongqing, Peoples R China; [Wang, Xiyi] Shanghai Jiao Tong Univ, Sch Nursing, Chongqing South Rd 227, Shanghai, Peoples R China"

通信作者："Ye, ZH (通讯作者)，Zhejiang Univ, Affiliated Sir Run Run Shaw Hosp, Nursing Dept, Sch Med, 3 East Qingchun Rd, Hangzhou 310020, Peoples R China."

来源：BMC PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000853908000004

JCR分区：Q1

影响因子：4.5

年份：2022

卷号：22

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Metabolic syndrome; Physical activity adherence; Behavioral Change Wheel; Mobile health

摘要："Background Adherence to physical activity is inadequate in adults with metabolic syndrome. Adherence to physical activity recommendations is crucial and can result in improved health outcomes and reduced medical burdens. A comprehensive behavior change intervention, including identifying determinants of adherence to physical activity recommendations, intervention options, intervention content and implementation options, was imperative for enhancing physical activity adherence. The aim of the study is to develop an intervention to increase physical activity adherence among individuals with metabolic syndrome. Methods The study followed the eight steps of the Behavior Change Wheel guide, including defining the problem in behavioral terms (Step 1), selecting target behavior (Step 2), specifying target behavior (Step 3), identifying what needs to change (Step 4), identifying intervention functions (Step 5), identifying policy categories (Step 6), identifying behavior change techniques (Step 7), and determining model of delivery (Step 8). The semi-structured, in-depth interviews were employed to identify the determinants of adherence to physical activity among twenty-eight individuals with metabolic syndrome based on capability, opportunity, motivation and behavior model. Next, the intervention functions and policy categories were chosen to address these determinants. Finally, behavior change techniques were selected to assist in the delivery of the intervention functions and be translated into intervention content. Results Our study identified eighteen facilitators and fifteen barriers to physical activity adherence. It resulted in the selection of seven intervention functions and nineteen behavior change techniques for the intervention program. Then, the current study identified an app as the delivery mode. Finally, a behavioral change intervention was generated for individuals with metabolic syndrome to increase physical activity recommendation adherence. Conclusions The Behavior Change Wheel provided a systematic approach to designing a behavior change intervention, which helped improve the health outcomes and reduce medical burdens and economic burdens among individuals with metabolic syndrome. The findings suggested that potential intervention should pay special attention to increasing knowledge in metabolic syndrome, imparting skills of physical activity, offering a supportive environment, and providing suggestions on regular physical activity using the appropriate behavior change techniques. A feasibility study will be undertaken to assess the acceptability and effectiveness of the intervention program in the future."

基金机构：Zhejiang province medical technology project in 2019 [WKJ-ZJ-1925]; National Social Science Fund of China [20BGL275]; National Natural Science Foundation of China [72004193]; Shanghai Jiao Tong University School of Medicine-Nursing Development Program; Shanghai Sailing Program [21YF1422400]; Guizhou Provincial People's Hospital [2022-18]

基金资助正文："This study was supported by research grants from the Zhejiang province medical technology project (WKJ-ZJ-1925) in 2019, the National Social Science Fund of China (20BGL275), the National Natural Science Foundation of China (72004193), Yuan Nei Ren Cai Xiang Mu of Guizhou Provincial People's Hospital(2022-18), Shanghai Jiao Tong University School of Medicine-Nursing Development Program, and Shanghai Sailing Program (21YF1422400)."