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These determinants have been described by the Theory of Planned Behaviour (TPB) [ 37] and predict people´s behavioural intention [ 38] and maintained behaviour change [ 39, 40].
In the literature study determinants of maintained behaviour and habitual behaviour were explored.
In our study, the needs assessment included a literature study exploring theories and determinants of maintained behaviour.
Social support has been consistently reported as a predictor of maintained behaviour change in lifestyle promotion [ 24- 28].
To integrate results of FGDs and literature review, themes derived from the FGDs were linked to determinants of maintained behaviour found in literature.
A minority of respondents - 4 out of 22 - were found to have had successfully initiated and maintained behaviour change in response to their diagnosis.
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Patient factors that affected care included the difficulty in maintaining behaviour change.
Achieving and maintaining behaviour change within the ethical and practical constraints that typically operate remains a formidable challenge.
The most effective interventions for both initiating and maintaining behaviour change are those that act simultaneously at many different 'levels'levels
Having supportive others to talk, ask questions or receive honest feedback is critical to initiating and maintaining behaviour change [ 51].
The study specifically aimed at maintaining behaviour change, as previous studies have shown that improvements made directly post-treatment are rarely maintained during follow-up.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com