Enhancing community weight loss groups in a low socioeconomic status area: Application of the COM-B model and Behaviour Change Wheel.

Tytuł:: Enhancing community weight loss groups in a low socioeconomic status area: Application of the COM-B model and Behaviour Change Wheel.
Autorzy:: Coupe N; Faculty of Health and Medicine, Lancaster Medical School, Lancaster University, Lancaster, UK.; Faculty of Social Science, School of Psychology, University of Chester, Chester, UK.
Cotterill S; Division of Population Health, Health Services Research and Primary Care, Faculty of Biology, Medicine and Health, School of Health Sciences, Centre for Biostatistics, The University of Manchester, Manchester, UK.
Peters S; Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, Manchester Centre for Health Psychology, The University of Manchester, Manchester, UK.
Źródło:: Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2022 Oct; Vol. 25 (5), pp. 2043-2055. Date of Electronic Publication: 2021 Aug 04.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Oxford, UK : Wiley, c1998-
MeSH Terms:: Weight Loss*
Health Behavior*
Adult ; Humans ; Motivation ; Obesity/therapy ; Social Class
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Contributed Indexing:: Keywords: COM-B; goal setting; intervention design; low socioeconomic status; obesity; stakeholder
Entry Date(s):: Date Created: 20210805 Date Completed: 20221031 Latest Revision: 20221110
Update Code:: 20240105
PubMed Central ID:: PMC9615060
DOI:: 10.1111/hex.13325
PMID:: 34350682
: Czasopismo naukowe

Pełny tekst

Background: Obesity rates are higher among people of lower socioeconomic status. While numerous health behaviour interventions targeting obesity exist, they are more successful at engaging higher socioeconomic status populations, leaving those in less affluent circumstances with poorer outcomes. This highlights a need for more tailored interventions. The aim of this study was to enhance an existing weight loss course for adults living in low socioeconomic communities.
Methods: The Behaviour Change Wheel approach was followed to design an add-on intervention to an existing local authority-run weight loss group, informed by mixed-methods research and stakeholder engagement.
Results: The COM-B analysis of qualitative data revealed that changes were required to psychological capability, physical and social opportunity and reflective motivation to enable dietary goal-setting behaviours. The resulting SMART-C booklet included 6 weeks of dietary goal setting, with weekly behavioural contract and review.
Conclusion: This paper details the development of the theory- and evidence-informed SMART-C intervention. This is the first report of the Behaviour Change Wheel being used to design an add-on tool to enhance existing weight loss services. The process benefitted from a further checking stage with stakeholders.
(© 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.)

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