Multiple Behavior Change in Diet and Activity: A Randomized Controlled Trial Using Mobile Technology by Bonnie Spring, Kristin Schneider, H.G. McFadden, Jocelyn Vaughn, Andrea T. Kozak, Malaina Smith, Arlen C. Moller, Leonard H. Epstein, Andrew DeMott, Donald Hedeker, Juned Siddique, and Donald M. LloyDonald M.
Multiple behavior change modules.
Implementation strategies combining multiple behavior change interventions are recommended, but the understanding of how and why the behavior change interventions influence staff behavior is limited.
Linking each TDF domain to multiple behavior change techniques facilitates efficient identification of optimal learning techniques for a given gap by educators and KT strategists.
The high amount of physical activity guidance seems to lead to a diminished opportunity for dietary change, so the guidance in CLIs should be well-balanced to assist multiple behavior change.
Future studies should consider use of theory and multiple behavior change techniques associated with clinically significant improvements in HbA1c, including structured training for care providers on the delivery of behavioural interventions.
Multiple behavior change is touted as an economical and efficient way of reducing health risk [ 51], however the necessity of combining treatment for depression and obesity goes beyond economy and efficiency.
However, training by itself has often not been enough to create lasting change, and it is suggested that the implementation of teamwork should combine multiple behavior change interventions (BCIs) such as staff training, physical changes to the work environment, and management support [ 11].
There were a number of strengths to this study including: validated and reliable outcome measures that have been used over the telephone; a theory-based multiple behavior change intervention; a high rate of intervention delivery; a potentially low-cost, high-reach intervention; and a high level of interest and satisfaction with the intervention.
Hence, these findings suggest the importance of interventions in the child's immediate social environment to support multiple-behavior change.
