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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].
They concluded that two major challenges to the success of WHP programs were getting high participation rates and maintaining behaviour change over time.
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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Interventions for caregivers need to take into account the stage of illness and whether interpersonal maintaining behaviours such as accommodation, expressed emotion or family division are present.
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].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com