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

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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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