Evidence map›Paper›PMID 36104817›Full record

ArticleBMC public health2022

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

Dandan Chen, Hui Zhang, Nianqi Cui, Feng Song, Leiwen Tang, Jing Shao, Jingjie Wu, Pingping Guo, Na Liu, Xiyi Wang and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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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

11 authors at 8 institutions in 2 countries.

Dandan Chen *Nursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No.3 East Qingchun Road, Shangcheng district, Hangzhou, 310020, China.
Hui Zhang *Department of Cardiology, Guizhou Provincial People's Hospital, 83 East Zhongshan Road, Guiyang, 550002, No, China.
Nianqi CuiNursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, No.88 Jiefang Road, Shangcheng district, Hangzhou, 310009, China.
Feng SongFaculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Leiwen TangNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No.3 East Qingchun Road, Shangcheng district, Hangzhou, 310020, China.
Jing ShaoSchool of Nursing, Zhejiang University School of Medicine, No. 866 Yuhangtang Road, Xihu district, Hangzhou, 310012, China.
Jingjie WuNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No.3 East Qingchun Road, Shangcheng district, Hangzhou, 310020, China.
Pingping GuoWomen's Hospital, Zhejiang University School of Medicine, No.1 Xueshi Road, Shangcheng district, Hangzhou, 310006, China.
Na LiuNursing Department, Chongqing Medical University Affiliated Second Hospital, No. 76 Linjiang Road, Yuzhong district, Chongqing, China.
Xiyi WangSchool of Nursing, Shanghai Jiao Tong University, Chongqing South Road Huangpu District, No. 227, Shanghai, China.
Zhihong YeNursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No.3 East Qingchun Road, Shangcheng district, Hangzhou, 310020, China. yezh@zju.edu.cn.
Sir Run Run Shaw Hospital · CNZhejiang University · CNGuizhou Provincial People's Hospital · CNNational University of Malaysia · MYSecond Affiliated Hospital of Chongqing Medical University · CNSecond Affiliated Hospital of Zhejiang University · CNShanghai Jiao Tong University · CNWomen's Hospital, School of Medicine, Zhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence 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.

methodsThe 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.

resultsOur 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.

conclusionsThe 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.

Indexed as

Metabolic SyndromeAdultBehavior TherapyExerciseFeasibility StudiesHumansMotivationBehavioral Change WheelMetabolic syndromeMobile healthPhysical activity adherence

Identifiers

PMID36104817
PMCPMC9471053
OpenAlexW4295901619

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.