Table 2.
Components of the patient toolkit and their relationship to constructs within the theory of planned behaviour and social cognitive theory
| Intervention component | Form and information content | Theoretical constructs | Behaviour change techniques | Evidence source |
|---|---|---|---|---|
| Discussion card | Assessment of PA behaviour using a 7-day recall A decisional balance aid to assess the pros versus the cons for changing PA behaviour Rulers assessing importance and confidence for change |
Attitudes/beliefs (TPB) Forethought (SCT) Intention (TPB) Perceived behavioural control (TPB) and self-efficacy (TPB) |
Provide feedback on performance (19) Time management (38) |
Exploratory work Systematic review [14] |
| Booklet | Support to select an appropriate PA/exercise, set PA goals, consider means of social support, identify barriers/problem solve, set short- and long-term goals, plan activity, self-monitor activity, prevent relapse | Forethought (SCT) Subjective norms (TPB) Intention (TPB) Self-regulation (SCT) Perceived behavioural control (TPB) and self-efficacy (TPB) |
Goal setting behaviour (5) Social support (29) Barrier identification/problem-solving (8) Time management (38) Self-monitoring (16) Action planning (7) |
Systematic review [14, 24, 25] |
| Activity Planners/Trackers | Means to plan and monitor PA/exercise | Self-regulation (SCT) | Action planning (7) Self-monitoring (16) |
Systematic review [24, 25] |
| DVD | Video recordings of adults with type 2 diabetes engaging in PA/exercise and sharing their stories | Symbolising (SCT) Attitudes/beliefs (TPB) Observational learning (SCT) Subjective norms (TPB) Perceived behavioural control (TPB) and self-efficacy (SCT) |
Providing information on the consequences of behaviour to the individual (2) | Exploratory work |
| Pedometer | Device to monitor the number of steps taken each day | Self-regulation (SCT) | Self-monitoring (16) | Systematic review [24, 25, 27] |
| Record of progress pad | Record of readiness ruler outcomes, short- and long-term PA/exercise goals, social support, potential barriers and ways to overcome them, self-monitoring method adopted and activities of choice. Provides a mechanism for provision of feedback and an opportunity to monitor progress and recap during subsequent sessions | Perceived behavioural control (TPB) and self-efficacy (SCT) Intention (TPB) Self-regulation (SCT) |
Goal setting behaviour (5) Barrier identification/problem-solving (8) Goal setting behaviour (5) Self-monitoring (16) Feedback on performance (19) |
Systematic review [14, 24, 25] |
| Diabetes UK leaflet | Leaflet entitled, keeping active: an essential part of managing diabetes | Attitudes/beliefs (TPB) Perceived behavioural control (TPB) and self-efficacy (SCT) Intention (TPB) |
Provide information on the consequences of behaviour in general (1) | Exploratory work |
The numbers in parentheses correspond to the BCT number in the CALO-RE taxonomy
MaMT2D Movement as Medicine for Type 2 Diabetes, TPB theory of planned behaviour, SCT social cognitive theory