A Practical Guide on Behaviour Change Support for Self-Managing Chronic Disease

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This open access book is a valuable resource for students in health and other professions and practicing professionals interested in supporting effective change in self-management behaviors in chronic disease, such as medication taking, physical activity and healthy eating.

Developed under the auspices of the Train4Health project, funded by the Erasmus+ program of the European Union, the book contains six chapters written by international contributors from different disciplines. Chapter one introduces the competencies necessary for delivering effective behavior change support, based on an established program of work, and related learning outcomes. The four following chapters describe how these competencies can be acquired, focusing on concepts and theories, assessing self-management behaviors, implementing change strategies and person-centered communication, using a practical approach. The last chapter points out supplementary learning resources, developed as part of the Train4Health project.

Author(s): Mara Pereira Guerreiro, Isa Brito Félix, Marta Moreira Marques
Publisher: Springer
Year: 2023

Language: English
Pages: 139
City: Cham

Foreword
Preface
Introduction
Acknowledgements
Contents
Contributors
Abbreviations
Contents
Contents
Contents
Chapter 1: Interprofessional Learning Outcomes-Based Curriculum to Support Behaviour Change in Persons Self-Managing Chronic Disease
1.1 The Interprofessional Train4Health Competency Framework
1.2 From Behaviour Change Competencies to a Learning Outcomes-Based Curriculum
1.3 Practical Considerations About the Learning Outcomes-Based Curriculum
References
Chapter 2: Concepts and Theories in Behaviour Change to Support Chronic Disease Self-Management
2.1 Health Behaviours and Behaviour Determinants
2.2 Behaviour Change Theories and Models
2.3 COM-B Model: A Model to Guide Interventions
References
Chapter 3: Identifying and Assessing Self-Management Behaviours
3.1 Target Behaviours for the Self-Management of Chronic Diseases
3.1.1 Type 2 Diabetes
3.1.1.1 Diet
3.1.1.2 Physical Activity
3.1.1.3 Smoking Cessation
3.1.1.4 Medication Adherence
3.1.1.5 Symptom Monitoring and Management
3.1.2 Chronic Obstructive Pulmonary Disease
3.1.2.1 Physical Activity
3.1.2.2 Smoking Cessation
3.1.2.3 Medication Adherence
3.1.2.4 Symptom Monitoring and Management
3.1.3 Arterial Hypertension
3.1.3.1 Diet
3.1.3.2 Physical Activity
3.1.3.3 Smoking Cessation
3.1.3.4 Medication Adherence
3.1.4 Heart Failure
3.1.4.1 Diet
3.1.4.2 Physical Activity
3.1.4.3 Smoking Cessation
3.1.4.4 Medication Adherence
3.1.4.5 Symptom Monitoring and Management
3.1.5 Obesity
3.1.5.1 Diet
3.1.5.2 Physical Activity
3.1.5.3 Medication Adherence
3.1.6 Asthma
3.1.6.1 Diet
3.1.6.2 Smoking Cessation
3.1.6.3 Medication Adherence
3.1.6.4 Symptom Monitoring and Management
3.1.7 Ischaemic Heart Disease
3.1.7.1 Diet
3.1.7.2 Physical Activity
3.1.7.3 Smoking Cessation
3.1.7.4 Medication Adherence
3.1.7.5 Symptom Monitoring and Management
3.2 Assessing Target Behaviours in the Self-Management of Chronic Diseases
3.2.1 Diet
3.2.2 Physical Activity
3.2.3 Medication Adherence
3.2.4 Smoking Cessation
References
Chapter 4: Implementing Behaviour Change Strategies
4.1 Opportunities and Barriers to Implementing Change in Target Behaviours
4.1.1 Behaviour Determinants
4.1.1.1 Diet Including Alcohol Intake
4.1.1.2 Physical Activity
4.1.1.3 Smoking Cessation
4.1.1.4 Medication Adherence
4.1.2 Assessing Behaviour Determinants Using Appropriate Measures
4.2 Tailoring Behaviour Change Techniques in the Development of an Intervention Plan
4.2.1 Behaviour Change Techniques to Support Chronic Disease Self-Management
4.2.2 Tailoring Behaviour Change Techniques
4.2.3 Selecting Behaviour Change Techniques According to the Length of the Intervention
References
Chapter 5: Communication and Person-Centred Behaviour Change
5.1 Overview of Key Concepts
5.1.1 Patient Empowerment
5.1.2 Person-Centredness
5.1.3 Shared Decision-Making
5.1.4 Health Literacy and Education
5.2 Providing Person-Centred Behaviour Change Support
5.2.1 Basic Communication Skills
5.2.2 Optimising Verbal Language
5.2.3 Coping Skills to Manage Chronic Disease
5.2.4 Structuring the Interaction: The ABCD Approach
5.2.4.1 First Encounter
5.2.4.2 Follow-Up Encounters
References
Chapter 6: Supplementary Online Resources for the Development of Behaviour Change Support Competencies
6.1 Case Study Toolkits
6.2 Web Application to Simulate Behaviour Change Support
References
Index