Table 1.
Components of the online training programme and their relationship to constructs within the theory of planned behaviour and social cognitive theory
| Module | Form and information content | Theoretical constructs | Behaviour change techniques |
|---|---|---|---|
| Module 1: introduction to MaMT2D | Video recording of a professor of movement and metabolism introducing the programme and providing details of how and why MaMT2D was developed. Video recording of a consultant diabetologist and a diabetes specialist nurse providing an overview of why PA is important for the management of T2D | Symbolising (SCT) Attitudes and beliefs (TPB) Subjective norms (TPB) |
Provide information on the consequences of behaviour in general (1) |
| Modules 3 (metabolism and type 2 diabetes), 4 (physical activity in the care of type 2 diabetes) and 5 (physical activity and exercise) | Evidence-based information about the role of metabolism, PA and exercise in the context of type 2 diabetes | Symbolising (SCT) Attitudes/beliefs (TPB) Forethought (SCT) Intention (TPB) |
Provide information on the consequences of behaviour in general (1) Provide feedback on performance (19) |
| Module 6: using psychology to change physical activity behaviour | Evidence-based information on the use of psychological theory and theory-linked behaviour change techniques and counselling skills to change PA behaviour | Attitudes/beliefs (TPB) Forethought (SCT) Intention (TPB) |
Provide information on the consequences of behaviour in general (1) |
| Module 7: using behaviour change techniques to increase physical activity behaviour | Video demonstrations of a diabetes specialist nurse demonstrating the use of behaviour change techniques and behaviour change counselling techniques in practice with a mock patient | Symbolising (SCT) Observational Learning (SCT) Perceived Behavioural Control (TPB) and Self-efficacy (SCT) Subjective norms (TPB) |
Self-monitoring of behaviour (16) Provide instruction on how to perform the behaviour (21) Model/demonstrate the behaviour (22) Environmental restructuring (24) Prompt practice (26) Motivational interviewing (37) General communication skills training (39) |
| Module 8: screening before physical activity | Flowchart diagram demonstrating how to screen adults with T2D prior to PA/exercise | Self-regulation (SCT) Perceived behavioural control (TPB) and self-efficacy (SCT) |
Provide instruction on how to perform the behaviour (21) |
| End of modules 3, 4 and 5 quiz questions | Provides feedback on performance | Perceived behavioural control (TPB) and self-efficacy (SCT) | Provide feedback on performance (19) Provide rewards contingent on successful behaviour (12) |
| Flowchart summary (crib sheet with prompts) of the protocol for use of the patient toolkit during diabetes review appointments | Prompts for healthcare professionals to use specific behaviour change skills and techniques | Symbolising (SCT) Perceived behavioural control (TPB) and self-efficacy (SCT) Intention (TPB) Self-regulation (SCT) |
Teach to use prompts or cues (23) |
The numbers in parentheses correspond to the BCT number in the CALO-RE taxonomy
Abbreviations: MaMT2D Movement as Medicine for Type 2 Diabetes, TPB theory of planned behaviour, SCT social cognitive theory, PA physical activity