Evidence map›Paper›PMID 30348137›Full record

ArticleBMC public health2018

Development of a peer support intervention to encourage dietary behaviour change towards a Mediterranean diet in adults at high cardiovascular risk.

Claire T McEvoy, Sarah E Moore, Katherine M Appleton, Margaret E Cupples, Christina Erwin, Frank Kee, Lindsay Prior, Ian S Young, Michelle C McKinley, Jayne V Woodside

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  16. Changing Health-Related Behaviors 3: Lessons from Implementation Science.Methods in molecular biology (Clifton, N.J.) · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Claire T McEvoyCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK. c.mcevoy@qub.ac.uk.ORCID http://orcid.org/0000-0001-8512-3293
Sarah E MooreCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Katherine M AppletonResearch Centre for Behaviour Change, Department of Psychology, Faculty of Science and Technology, Bournemouth University, Fern Barrow, Talbot Campus, Bournemouth, BH12 5BB, UK.
Margaret E CupplesCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Christina ErwinCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Frank KeeCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Lindsay PriorUK Clinical Research Collaboration, Centre of Excellence for Public Health, Queens University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Ian S YoungCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Michelle C McKinleyCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Jayne V WoodsideCentre for Public Health, Queen's University Belfast, Grosvenor Road, Belfast, BT12 6BJ, UK.
Queen's University Belfast · GBBournemouth University · GB

Funding

Medical Research Council MR/J000388/1Medical Research Council MR/K023241/1Wellcome Trust
6 · The paper itself

Abstract

backgroundMediterranean diet (MD) interventions are demonstrated to significantly reduce cardiovascular disease (CVD) risk but are typically resource intensive and delivered by health professionals. There is considerable interest to develop interventions that target sustained dietary behaviour change and that are feasible to scale-up for wider public health benefit. The aim of this paper is to describe the process used to develop a peer support intervention to encourage dietary behaviour change towards a MD in non-Mediterranean adults at high CVD risk.

methodsThe Medical Research Council (MRC) and Behaviour Change Wheel (BCW) frameworks and the COM-B (Capability, Opportunity, Motivation, Behaviour) theoretical model were used to guide the intervention development process. We used a combination of evidence synthesis and qualitative research with the target population, health professionals, and community health personnel to develop the intervention over three main stages: (1) we identified the evidence base and selected dietary behaviours that needed to change, (2) we developed a theoretical basis for how the intervention might encourage behaviour change towards a MD and selected intervention functions that could drive the desired MD behaviour change, and (3) we defined the intervention content and modelled outcomes.

resultsA theory-based, culturally tailored, peer support intervention was developed to specifically target behaviour change towards a MD in the target population. The intervention was a group-based program delivered by trained peer volunteers over 12-months, and incorporated strategies to enhance social support, self-efficacy, problem-solving, knowledge, and attitudes to address identified barriers to adopting a MD from the COM-B analysis.

conclusionsThe MRC and BCW frameworks provided a systematic and complementary process for development of a theory-based peer support intervention to encourage dietary behaviour change towards a MD in non-Mediterranean adults at high CVD risk. The next step is to evaluate feasibility, acceptability, and diet behaviour change outcomes in response to the peer support intervention (change towards a MD and nutrient biomarkers) using a randomized controlled trial design.

Indexed as

Diet, MediterraneanHealth BehaviorPeer GroupSocial SupportAdultCardiovascular DiseasesDietFemaleHealth PromotionHumansMaleQualitative ResearchRisk Assessmentbehaviour change wheelinterventiondevelopmentMediterranean dietpeer support

Identifiers

PMID30348137
PMCPMC6198381
OpenAlexW2896115509

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.