Table 3 Links between components of OK Diabetes intervention and principles of self-management
Behaviour change: the principles of effective interventions [29] | |
|---|---|
Principle | Place in intervention programme (see Additional files 1, 2 and 3) |
Helping people to understand the short-, medium- and longer term consequences of health-related behaviour | Review with participants—‘Looking after my diabetes’ |
Helping people to feel positive about the benefits of changing their behaviour | Discuss plan for change in general terms—‘I am going to…’ |
Building the person’s confidence in their ability to make and sustain changes | Encourage positive action planning |
Recognising how social contexts and relationships may affect a person’s behaviour | Review participant’s life—social network, named supporter and helpers |
Helping plan changes in terms of easy steps over time | Make a weekly plan |
Identifying and planning for situations that might undermine the changes people are trying to make (including planning explicit ‘if–then’ coping strategies to prevent relapse) | Build ‘if–then’ thinking into action plan |
Encouraging people to make a personal commitment to adopt health-enhancing behaviours by setting (and recording) achievable goals in particular contexts, over a specified time | Write goals on visible board |
Helping people to use self-regulation techniques (such as self-monitoring, progress review, relapse management and goal revision) to encourage learning from experience | Identify personal rewards for success |
Encouraging people to engage the support of others to help them to maintain their behaviour-change goals | Supporter pack and flash cards |