Table 1.
7 | BCT or delivery/context component | Definition *BCT numbers, labels and definitions are taken from BCTV1 [14] |
Example from interventions included in the review |
---|---|---|---|
Increased effectiveness DIET |
2.3 Self-monitoring of behaviour* | Establish a method for the person to monitor and record their behaviour(s) as part of a behaviour change strategy* | In Keyserling et al. [27], participants recorded daily fruit and vegetables consumed each day using a diary to help them increase this |
HOW: Face-to-face component included (yes) | For studies with personal contact, whether or not this personal contact was conducted face-to-face (instead of e.g. over telephone) | Emmons et al. [28] included a counselling session in-person with a health advisor using motivational interviewing approaches to help support them to eat more healthily | |
Number of behaviours targeted (multiple focus) | Whether the study aimed to change one behaviour (e.g. diet only) or multiple behaviours (e.g. diet and physical activity) | Jackson et al. [29] focused on participants making healthy changes to both diet and physical activity | |
Decreased effectiveness DIET |
2.2 Feedback on behaviour* | Monitor and provide informative or evaluative feedback on performance of the behaviour (e.g. form, frequency, duration, intensity)* | Elder et al. [36] provided individualised written feedback to participants from an earlier assessment e.g. their current diet compared to national norms |
7.1 Prompts and cues* | Introduce or define environmental or social stimulus with the purpose of prompting or cueing the behaviour. The prompt or cue would normally occur at the time or place of performance* | Participants in Tessaro et al.’s study [30] received a portion magnet and wheel to put in their kitchen to remind them of healthy portion sizes | |
5.6 Information about emotional consequences* | Provide information (e.g. written, verbal, visual) about emotional consequences of performing the behaviour* | Gans et al. [37] included a video with testimonials from members of the target audience, who emphasised that eating healthier helps in feeling good about yourself and feeling better | |
Increased effectiveness PHYSICAL ACTIVITY |
8.1 Behavioral practice/ rehearsal* | Prompt practice or rehearsal of the performance of the behaviour one or more times in a context or at a time when the performance may not be necessary, in order to increase habit and skill* | Marcus et al. [31] included tailored written mailings which advised participants, for example, to make time for a ten minute walk one or two times each week, to help them build confidence that they can make exercise part of their weekly routine |
4.1 Instruction on how to perform a behavior* | Advise or agree on how to perform the behaviour (includes ‘Skills training’)* | Dangour et al.’s physical activity program for older adults [32] included physical activity group training sessions where trained instructions guided participants in how to conduct activities e.g. warming up, chair stands, modified squats and arm pull-ups with rubber bands. | |
WHERE: Study setting (community or at home, not in health setting) | Whether the study was set in the community, a health setting or at participants’ home | Olvera et al.’s 12 week exercise program [33] took place in community centres in the park, park playgrounds and grocery stores, as well as at school facilities, e.g. the school gym, playground or cafeteria | |
Number of behaviors targeted (single focus) | Whether the study aimed to change one behavior (e.g. physical activity only) or multiple behaviours (e.g. diet and physical activity) | Dutton et al.’s intervention [34] focused solely on increasing women’s physical activity | |
Decreased effectiveness PHYSICAL ACTIVITY | 4.2 Information about antecedents* | Provide information about antecedents (e.g. social and environmental situations and events, emotions, cognitions) that reliably predict performance of the behaviour* | Chang et al. [35] provided examples of triggers relating to eating and being active in the environment as part of their behaviour change intervention |