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Authors Title
S. Dombrowski, P.
Campbell, H. Cheyne, Effectiveness of motivational
9 M. Maxwell, R.
O'Carroll, A. Pollock, interviewing on adult behaviour
change: an overview of reviews
B. Williams
H. Frost1, 3
M. Johnston, L.
Connell, A. Rothman, Links between behaviour change
17 M.P. Kelly, M. de techniques and mechanisms of action:
Bruin, R. Carey, S. expert consensus
Michie
J. McLellan, P.
Campbell, H. Cheyne,
H. Frost, A. Gavine, S. Long-term effects of healthcare
MacGillivray, M. professional behaviour change
18 Maxwell interventions: a systematic review of
O'Carroll4, A. Cochrane reviews
Pollock2, J. Presseau6,
B. Williams3, 4, S.
Dombrowski4
R. Schwarzer, M. Mechanisms of health behaviour
19 Gholami, G. Zhou, P. change with dental hygiene as an
Lhakhang example
S. Michie, M.
A. Rothman, The application of theory to designing
25 Johnston, and evaluating interventions to change
M. Kelly, M. de Bruin, behaviour
R. Carey, L. Connell
For 302 (19%) of the Round 3 links, there was > 90% agreement
that a given BCT was (a) linked or (b) not linked to a given
mechanism of action. Ten BCT-mechanism of action links had
100% agreement, including: Goal Setting to Behavioural
Regulation, Discrepancy between Current
Behaviour and Goal to Feedback Processes and Social Reward to
Reinforcement. There was high disagreement for some BCT
mechanism of action links. For example, approximately 40% of
experts judged the BCT Habit Formation 'definitely' to change
behaviour through (a) Intention, and (b) Skills, while a similar
percentage judged that these were 'definitely not' linked.
The results revealed that: a) the Type I error was low for both
metaclassification trees and metaregression trees; b) meta-
regression trees without weights showed the highest detection
rates, and c) the required number of studies depended on the
number of study characteristics, the magnitude of interaction,
and the residual heterogeneity. Based on the results, user
guidelines for meta-CART were formulated, such as, the
minimum number of studies should be 40 and the number of
features may exceed 20.
Sr. No. Authors Title
Adherence to diabetes
S. Vluggen, N. medication: perspectives of
3 Schaper, C. Hoving, patients and professionals on
H. de Vries adherence and involved
cognitions
J. Lacroix, A. van
Halteren, J. van
Lieshout, L. Bremer Challenges and learnings of
implementing a medication
6 - van der Heiden, adherence
M. Teichert, M. service in clinical practice
Hilbink -
Smolders
A. Chan, A.
Stewart, J. Patient acceptability and reliability
20 Harrison, P. Black, of an electronic adherence
E. Mitchell, J. intervention in asthma
Foster
E. Crayton, M.
Fahey, M. Psychological determinants of
medication adherence in stroke
26 Ashworth, S.J.
Besser, J. survivors: a systematic review of
Weinman1, A.
Wright observational studies
150 patients with chronic low back pain (CLBP) were recruited
from London-based hospitals (60% female; mean age 50
years, range 24 - 79 years). EARS items were developed based
on literature searches, focus groups and interviews with CLBP
patients, physiotherapists and
psychologists. Exploratory factor analysis was used to assess
the underlying factor structure of the EARS. Intraclass
correlation coefficients and item response theory were used
to assess reliability.
One hundred and one children (mean age 8.9 years, 51% male)
participated. Median preventer adherence was 30% of prescribed (25th
percentile 17%, 75th percentile 48%). Four factors were statistically
significantly associated with adherence: female sex (12% greater
adherence), Asian ethnicity (19% greater adherence versus non-Asian
ethnicities), living with a lower number of people in the household
(adherence decreased by 3% per person), and younger age at diagnosis
(adherence decreased by 3% for every later year of diagnosis) (all
p<0.02).
Diabetes medication adherence was 77.1% per mMPR and 72.3% per
MARS-5. Only 58.4% were classified as adherent per both
measurements; correlation was weak (kappa coefficient
0.142). Self-reported adherence was associated with weight loss. Both
measurements were associated with improved glycemic control. No
association was found between medication beliefs or
diabetes drug class and adherence.
Seventeen RCTs were identified for inclusion. There was significant
heterogeneity in sampling, measurement, intervention approaches and
analytical approaches among the identified
studies. These included interventions employing combination pills, self-
monitoring of BP and mHealth components. The most common
theoretical domains targeted were 'Environment Context and Resources'
(87% of studies). "Memory, Attention and Decision Processes" (82.6% of
studies) and 'Social Influences' (60.9% of studies). Several individual
domains and clusters of domains were associated with outcomes in
univariate
analyses.
Most (>90%) rated the device easy to use. Qualitative reports were high
for device acceptability and across five other themes, including effect on
medication use and on asthma control. The majority of devices passed
pre-issue (84%) and return (87%) reliability testing. The most common
error was failure to record one or more inhaler doses taken.
The base case and sensitivity scenarios showed that AIMS was dominant
to TAU: lower costs and more effective. The incremental quality adjusted
life years varied between 0.022 and 0.049, and the incremental costs
varied from Euro - 226 to Euro -1777. These results are robust for
changes in important model parameters.
143 respondents were included in the analysis. Social resources were
not associated with neither medication adherence nor lifestyle
adherence. Routinization skills did have a positive effect on both types of
adherence. Having time-management skills was related to both
medication and lifestyle adherence. Daily routine was important for
medication adherence while planning was positively related to lifestyle
adherence.