根据健康的社会认同方法,为严重肥胖症患者制定以小组为基础的行为改变干预措施。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2024-07-04 DOI:10.1111/bjhp.12737
Shokraneh Moghadam, Laura Hollands, Raff Calitri, Dawn Swancutt, Jenny Lloyd, Lily Hawkins, Rod Sheaff, Sarah Dean, Steve Perry, Ross Watkins, Jonathan Pinkney, Mark Tarrant, the PROGROUP Team
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引用次数: 0

摘要

导言:支持慢性病患者行为改变的干预措施越来越多地采用患者小组作为实施模式,但在设计这些干预措施时往往没有考虑到可能影响干预结果的群体过程。本文概述了一种设计基于群体的行为改变干预措施的新方法,该方法优先考虑接受者作为群体成员的共同社会身份,以促进采用既定的行为改变技术(BCTs)。本文通过一个针对严重肥胖症患者的研究实例来说明这种方法:方法:与包括行为改变专家、临床医生和一名曾经的患者在内的利益相关者合作,开展了一个优先排序过程,以开发一种基于证据的、以健康社会认同方法为基础的群体干预措施。报告了制定过程的三个阶段:(1) 健康问题的确定;(2) 干预机制的界定和小组实施 BCT 的操作化;(3) 干预手册的编制。第四阶段是干预测试和优化,将在其他地方报告:制定了以小组为基础的行为改变干预措施,包括 12 节小组课程和 3 次一对一咨询。该干预措施旨在支持接受者之间形成共同的社会认同感,同时提供循证BCTs,以提高严重肥胖症患者成功干预的可能性并改善其健康状况:结论:根据健康的社会认同方法,在听取利益相关者的意见后,系统地设计了一种手册化干预措施。所采用的开发方法可为其他健康环境中计划以小组为基础实施的行为干预措施的设计提供参考。
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Development of a group-based behaviour change intervention for people with severe obesity informed by the social identity approach to health

Introduction

Interventions to support behaviour change in people living with chronic health conditions increasingly use patient groups as the mode of delivery, but these are often designed without consideration of the group processes that can shape intervention outcomes. This article outlines a new approach to designing group-based behaviour change interventions that prioritizes recipients' shared social identity as group members in facilitating the adoption of established behaviour change techniques (BCTs). The approach is illustrated through an example drawn from research focused on people living with severe obesity.

Methods

A prioritization process was undertaken in collaboration with stakeholders, including behaviour change experts, clinicians, and a former patient to develop an evidence-based, group intervention informed by the social identity approach to health. Three phases of development are reported: (1) identification of the health problem; (2) delineation of intervention mechanisms and operationalization of BCTs for group delivery and (3) intervention manualization. The fourth phase, intervention testing and optimization, is reported elsewhere.

Results

A group-based behaviour change intervention was developed, consisting of 12 group sessions and 3 one-to-one consultations. The intervention aimed to support the development of shared social identity among recipients, alongside the delivery of evidence-based BCTs, to improve the likelihood of successful intervention and health outcomes among people living with severe obesity.

Conclusions

A manualized intervention, informed by the social identity approach to health, was systematically designed with input from stakeholders. The development approach employed can inform the design of behavioural interventions in other health contexts where group-based delivery is planned.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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