Telephone coaching interventions can use the HCA Model of Health Change as a practice framework to guide their conversations and to collect data to track intervention and behaviour change processes.
The RS approach will allow us to use the existing body of evidence to produce an explanatory understanding of how SM interventions work for disadvantaged populations and provide insights into how different contexts and intervention strategies interact with individual learning and behaviour change processes.
Details of the behaviour change processes targeted in the consultations are provided in Table 2.
While knowledge is considered an essential precursor for behaviour change processes [ 10], it may not be sufficient for change.
In dynamic tailoring, different assessment moments are used, making feedback on behaviour change processes possible [ 11, 12].
The implementation of evidence-based guidelines may sometimes be unsuccessful due to a lack of consideration of the theoretical behaviour change processes which may be involved [ 21].
Research has investigated socially, culturally and politically appropriate approaches to behaviour change in relation to tobacco use [ 26- 31] with social networks theorised to have a significant influence in the behaviour change processes [ 32- 36].
30 We will conduct literature searches for concepts related to SM interventions (concept mining) and for any middle-range theories that might help to illuminate key mechanisms for behaviour change processes in disadvantaged populations using SM interventions (theory mining).
Amongst the many and varied issues involved in this complex decision-making and behaviour change process there are clearly many barriers to engagement in physical activity a simple positive nudge in terms of availability, information, and choice may not be sufficiently powerful on its own, to tip the balance, particularly for hard-to-reach and health needy populations.
Clearly, it is imperative to engage clinicians (e.g., dermatologists, general practitioners, nurses, geneticists, genetic counsellors and psychologists) in the health behaviour change process, given that clinician recommendation was the strongest predictor of both CSE and SSE uptake.
