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. 2020 May 13;22(5):e15989. doi: 10.2196/15989

Table 2.

Reasons for exclusion of behavior change techniques following study 1.

Behavior change technique Reason for exclusion
8.4. Habit reversal Missing taking medication was not thought to be habit; therefore it was thought there was no habit to reverse in the sense psychologists think of habits
11.3. Conserving mental resources Participants couldn’t find a way to operationalize this that wasn’t also habit formation. In addition, there was concern that suggesting people with type 2 diabetes focus on medication adherence alone could devalue other important lifestyle messages (eg, diet and physical activity) that are also key to diabetes self-management
12.2. Restructuring the social environment Participants found it hard to structure messages that didn’t seem to suggest stopping seeing people
13.1. Identification of self as a role model Participants did not feel a single health behavior such as taking medication as prescribed constituted an identity and therefore would be hard to model oneself as a role model
13.2. Framing/reframing Hard to use without interaction; would need to know how someone is framing to start with in order to initiate change. This was not thought to be possible in a text message
13.3. Incompatible beliefs Thought to be better used in a therapeutic situation rather than via text message
15.3. Focus on past success Designed to react to what someone has said, this would be difficult to deliver outside of a therapeutic situation as the text message system would not know if someone had had past successes or not