What Makes Opportunistic GP Interventions Effective? An Analysis of Behavior Change Techniques Used in 237 GP-Delivered Brief Interventions for Weight Loss.

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
Jana BourhillCharlotte Albury

Abstract

Evidence shows that clinician-delivered brief opportunistic interventions are effective in obesity, and guidelines promote their use. However, there is no evidence on how clinicians should do this, and guidelines are not based on clinical evidence. A trial (Brief Interventions for Weight Loss [BWeL]) showed that brief opportunistic interventions on obesity that endorsed, offered, and facilitated referral to community weight management service (CWMS) led to 77% agreeing to attend, and 40% attending CWMS, as well as significantly greater weight loss than control at 12 months. We assessed which behavior change techniques (BCTs) doctors used that were associated with CWMS attendance. We coded 237 recorded BWeL interventions using the behavioral change techniques version one taxonomy. We also coded the BWeL training video to examine delivery of recommended BCTs. Mixed effects logistic regression assessed the association between each BCT, the total number of BCTs, and delivery of recommended BCTs, with patient's agreement to attend and actual CWMS attendance. Of 237 patients, 133 (56%) agreed to attend and 109 (46%) attended. Thirteen BCTs were used more than eight times but none of the 13 were associated with increased attendance. O...Continue Reading

References

Oct 22, 2003·Obesity Research·Gary D FosterAmy Kessler
Aug 7, 2007·American Journal of Health Promotion : AJHP·Stewart C AlexanderRebecca J Namenek Brouwer
Nov 18, 2009·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Susan MichieSunjai Gupta
Jun 27, 2012·Annals of Internal Medicine·Virginia A Moyer, UNKNOWN U.S. Preventive Services Task Force
Feb 27, 2013·JAMA Internal Medicine·Jennifer Irvin VidrineDavid W Wetter
Mar 20, 2013·Journal of Consulting and Clinical Psychology·Fabiana LorencattoSusan Michie
Mar 21, 2013·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Susan MichieCaroline E Wood
Jul 10, 2013·Addiction·Jamie Hartmann-BoyceTim Lancaster
Jan 29, 2014·Journal of Primary Care & Community Health·Brad Wright, Andrew J Nice
Jan 9, 2015·BMJ : British Medical Journal·Glyn Elwyn, Laurence Buckman
Jan 28, 2015·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Paula BrauerUNKNOWN Canadian Task Force on Preventive Health Care
Jan 1, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jamie BrownSusan Michie
Mar 30, 2017·The International Journal of Behavioral Nutrition and Physical Activity·Gro Beate SamdalEivind Meland
Apr 12, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Marcus JepsonRebecca K Barnes
Aug 15, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Charlotte AlburyPaul Aveyard
Feb 2, 2019·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Lise RetatPaul Aveyard
Nov 20, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Peter J EdwardsRebecca K Barnes

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.