Integrating COM-B and the person-based approach to develop an ACT based therapy programme to raise self-determination in adolescents with obesity

BMC Health Services Research

Research

Gail Thornton¹  Julian P. Hamilton-Shield²  Elanor C. Hinton²  Jennifer S. Cox²  Aidan Searle² 

[1] Ms Gail Thornton, Patient & Public Involvement Representative, Bristol, UK;National Institute for Health Research Bristol Biomedical Research Centre Diet and Physical Activity Theme, University Hospitals Bristol NHS Foundation Trust and University of Bristol, BS8 1TU, Bristol, UK;

关键词: ACT;    Obesity;    Adolescents;    Clinical;    Self-determination;    Behaviour change;   

DOI  :  10.1186/s12913-023-09930-6

 received in 2022-05-25, accepted in 2023-08-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThis paper details the development of the Adolescent Intrinsic Motivation ‘AIM2Change’ intervention to support weight-management in young people previously unable to make changes whilst attending a tier 3 weight management service for children and young people. AIM2Change is an acceptance and commitment therapy based intervention that will be delivered one-to-one online over a seven-week period.MethodsTo develop this intervention, we have triangulated results from a qualitative research study, patient and public involvement groups (PPI) and a COM-B (capability, opportunity, motivation, behaviour) analysis, in a method informed by the person-based approach.ResultsThe integrated development approach yielded a broad range of perspectives and facilitated the creation of a tailored intervention to meet the needs of the patient group whist remaining pragmatic and deliverable.ConclusionsThe next steps for this intervention will be in-depth co-development of the therapy sessions with service users, before implementing a proof of concept trial.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 1