Theory in practice: identifying theory-based techniques in health coaches' tailored feedback during a weight loss intervention

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dc.check.date2021-05-02
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorRyan, Kathleen
dc.contributor.authorMurphy, Lisa Ellen
dc.contributor.authorLinehan, Conor
dc.contributor.authorDockray, Samantha
dc.contributor.funderIrish Research Councilen
dc.contributor.funderS3 Connected Health, Irelanden
dc.date.accessioned2020-07-01T11:57:10Z
dc.date.available2020-07-01T11:57:10Z
dc.date.issued2020-05-02
dc.date.updated2020-07-01T11:25:42Z
dc.description.abstractObjective: A taxonomy of ninety-three functionally different behaviour change techniques (BCTs) has been identified. However, it is not fully clear how these and other theory-based techniques are applied in the day-to-day practice of people delivering health behaviour change interventions. This study examines feedback provided by expert health coaches in a behavioural weight-loss intervention, to describe; a) what theory-based techniques are used in sessions, b) which techniques are used most frequently, c) what occurs in sessions, beyond existing theory-based techniques. Main Outcome Measures: Theory-based techniques (BCTs/tailoring strategies); relational/content-based techniques. Design: 10 tailored feedback videos from two health coaches were coded using a hybrid thematic analysis approach. Theory-based techniques were coded deductively; content not matching definitions of theory-based techniques but that addressed a determinant of behaviour change were coded inductively and relational codes were connected into themes. Results: Seventeen BCTs were coded M = 20.88 times (range:1–109). Eight tailoring techniques were coded M = 25.25 times (range:1–91). Relational themes included; ‘Autonomous interpersonal coaching style,’ ‘Supportive accountability,’ and ‘Coach as expert’. Additional behavioural techniques were also identified. Conclusion: This work highlights what and how theory-based techniques are implemented in a weight-loss intervention, drawing attention to the role of tailoring techniques and health coaches in supporting behaviour change.en
dc.description.sponsorshipIrish Research Council and S3 Connected Health [Grant Number EPSPG/2016/182]en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRyan, K., Murphy, L. E., Linehan, C., Dockray, S. (2020) 'Theory in practice: identifying theory-based techniques in health coaches' tailored feedback during a weight loss intervention', Psychology and Health. doi: 10.1080/08870446.2020.1748629en
dc.identifier.doi10.1080/08870446.2020.1748629en
dc.identifier.eissn1476-8321
dc.identifier.issn0887-0446
dc.identifier.journaltitlePsychology and Healthen
dc.identifier.urihttps://hdl.handle.net/10468/10188
dc.language.isoenen
dc.publisherTaylor & Francis Groupen
dc.rights© 2020, Taylor & Francis Group, LLC. All rights reserved. This is an Accepted Manuscript of an item published by Taylor & Francis in Psychology and Health on 2 May 2020, available online: https://doi.org/10.1080/08870446.2020.1748629en
dc.subjectHealth behaviour changeen
dc.subjectTailoringen
dc.subjectBehaviour change techniquesen
dc.subjectBCTsen
dc.subjectHuman supporten
dc.subjectHealth coachesen
dc.subjectImplementationen
dc.subjectWeight lossen
dc.subjectBehaviour change theoryen
dc.titleTheory in practice: identifying theory-based techniques in health coaches' tailored feedback during a weight loss interventionen
dc.typeArticle (peer-reviewed)en
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