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Behaviour Change Theories and Techniques for Promoting Physical Activity Among Older People

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Abstract

Health psychology theories help us understand human health behaviour (e.g. physical activity) and provide frameworks for developing interventions (e.g. to increase physical activity levels). Of the many theories developed, the ones most commonly used in the context of behaviour change have been identified as: the Transtheoretical Model, the Theory of Planned Behaviour, Social Cognitive Theory, the Information-Motivation-Behavioural-Skills Model, the Health Belief Model, Self-Determination Theory, the Health Action Process Approach and Social Learning Theory. This chapter outlines each of these theories and considers their application and usefulness in the context of promoting physical activity in older adults. Older adults remain an underrepresented group in research studies making it difficult to establish which techniques should be used with this group.

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References

  • Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckman (Eds.), Action-control: From cognition to behavior (pp. 11–39). Heidelberg: Springer.

    Chapter  Google Scholar 

  • Allan, J. L., Sniehotta, F. F., & Johnston, M. (2013). The best laid plans: Planning skill determines the effectiveness of action plans and implementation intentions. Annals of Behavioral Medicine, 46(1), 114–120. https://doi.org/10.1007/s12160-013-9483-9.

    Article  Google Scholar 

  • Bandura, A. (1995). Self efficacy in changing societies. New York: Cambridge University Press.

    Book  Google Scholar 

  • Becker, M. H. (1974). The health belief model and personal health behavior. Health Education Monographs., 2(4), 324–508.

    Article  Google Scholar 

  • Bélanger-Gravel, A., Godin, G., & Amireault, S. (2013). A meta-analytic review of the effect of implementation intentions on physical activity. Health Psychology Review, 7(1), 23–54. https://doi.org/10.1080/17437199.2011.560095.

    Article  Google Scholar 

  • Bridle, C., Riemsma, R. P., Pattenden, J., Sowden, A. J., Mather, L., Watt, I. S., & Walker, A. (2005). Systematic review of the effectiveness of health behavior interventions based on the transtheoretical model. Psychology & Health, 20(3), 283–301. https://doi.org/10.1080/08870440512331333997.

    Article  Google Scholar 

  • Bully, P., Sánchez, Á., Zabaleta-del-Olmo, E., Pombo, H., & Grandes, G. (2015). Evidence from interventions based on theoretical models for lifestyle modification (physical activity, diet, alcohol and tobacco use) in primary care settings: A systematic review. Preventive Medicine, 76(Supplement), S76–S93. https://doi.org/10.1016/j.ypmed.2014.12.020.

    Article  Google Scholar 

  • Carpenter, C. J. (2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669. https://doi.org/10.1080/10410236.2010.521906.

    Article  Google Scholar 

  • Caudroit, J., Stephan, Y., & Le Scanff, C. (2011). Social cognitive determinants of physical activity among retired older individuals: An application of the health action process approach. British Journal of Health Psychology, 16(Pt 2), 404–417. https://doi.org/10.1348/135910710x518324.

    Article  Google Scholar 

  • Chang, S. J., Choi, S., Kim, S.-A., & Song, M. (2014). Intervention strategies based on information-motivation-behavioral skills model for health behavior change: A systematic review. Asian Nursing Research, 8(3), 172–181. https://doi.org/10.1016/j.anr.2014.08.002.

    Article  Google Scholar 

  • Chase, J. A. (2013). Physical activity interventions among older adults: A literature review. Research & Theory for Nursing Practice, 27(1), 53–80.

    Article  Google Scholar 

  • Conner, M., Norman, P., & Bell, R. (2002). The theory of planned behavior and healthy eating. Health Psychology, 21(2), 194–201.

    Article  Google Scholar 

  • Davis, R., Campbell, R., Hildon, Z., Hobbs, L., & Michie, S. (2015). Theories of behaviour and behaviour change across the social and behavioural sciences: A scoping review. Health Psychology Review, 9(3), 323–344. https://doi.org/10.1080/17437199.17432014.17941722. Epub 17432014 Aug 17437198.

    Article  Google Scholar 

  • Deci, E., & Ryan, R. (2007). Self-determination theory: Basic psychological needs in motivation, development, and wellness. New York: The Guilford Press.

    Google Scholar 

  • Deci, E., & Ryan, R. (2008). Self-determination theory: A macrotheory of human motivation, development and health. Canadian Psychology/Psychologie Canadienne, 49(3), 182–185.

    Article  Google Scholar 

  • Donnelly, T. T., Al Suwaidi, J., Al Enazi, N. R., Idris, Z., Albulushi, A. M., Yassin, K., et al. (2012). Qatari women living with cardiovascular diseases-challenges and opportunities to engage in healthy lifestyles. Health Care for Women International, 33(12), 1114–1134. https://doi.org/10.1080/07399332.07392012.07712172.

    Article  Google Scholar 

  • Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behavior: An introduction to theory and research. Reading: Addison-Wesley.

    Google Scholar 

  • Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.

    Article  Google Scholar 

  • Fisher, J. D., Fisher, W. A., Misovich, S. J., Kimble, D. L., & Malloy, T. E. (1996). Changing AIDS risk behavior: Effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychology, 15, 114–123.

    Article  Google Scholar 

  • Fitzpatrick, S. E., Reddy, S., Lommel, T. S., Fischer, J. G., Speer, E. M., Stephens, H., et al. (2008). Physical activity and physical function improved following a community-based intervention in older adults in Georgia senior centers. Journal of Nutrition for the Elderly, 27(1–2), 135–154. https://doi.org/10.1080/01639360802060223.

    Article  Google Scholar 

  • French, D. P., Olander, E. K., Chisholm, A., & Mc Sharry, J. (2014). Which behaviour change techniques are most effective at increasing older adults’ self-efficacy and physical activity behaviour? A systematic review. Annals of Behavioral Medicine, 48(2), 225–234. https://doi.org/10.1007/s12160-014-9593-z.

    Article  Google Scholar 

  • Freund, A. M. (2006). Age-differential motivational consequences of optimization versus compensation focus in younger and older adults. Psychology & Aging, 21(2), 240–252. https://doi.org/10.1037/0882-7974.21.2.240.

    Article  Google Scholar 

  • Gellert, P., Ziegelmann, J. P., Krupka, S., Knoll, N., & Schwarzer, R. (2014a). An age-tailored intervention sustains physical activity changes in older adults: A randomized controlled trial. International Journal of Behavioral Medicine, 21(3), 519–528. https://doi.org/10.1007/s12529-013-9330-1.

    Article  Google Scholar 

  • Gellert, P., Ziegelmann, J. P., Krupka, S., Knoll, N., & Schwarzer, R. (2014b). An age-tailored intervention sustains physical activity changes in older adults: A randomized controlled trial. International Journal of Behavioral Medicine, 21(3), 519–528. https://doi.org/10.1007/s12529-013-9330-1.

    Article  Google Scholar 

  • Gourlan, M., Bernard, P., Bortolon, C., Romain, A. J., Lareyre, O., Carayol, M., et al. (2016). Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomised controlled trials. Health Psychology Review, 10(1), 50–66. https://doi.org/10.1080/17437199.2014.981777.

    Article  Google Scholar 

  • Hall, P. A., Zehr, C. E., Ng, M., & Zanna, M. P. (2012). Implementation intentions for physical activity in supportive and unsupportive environmental conditions: An experimental examination of intention–behavior consistency. Journal of Experimental Social Psychology, 48(1), 432–436. https://doi.org/10.1016/j.jesp.2011.09.004.

    Article  Google Scholar 

  • Hall, P. A., Zehr, C., Paulitzki, J., & Rhodes, R. (2014). Implementation intentions for physical activity behavior in older adult women: An examination of executive function as a moderator of treatment effects. Annals of Behavioral Medicine, 48(1), 130–136. https://doi.org/10.1007/s12160-013-9582-7.

    Article  Google Scholar 

  • Hardeman, W., Johnston, M., Johnston, D., Bonetti, D., Wareham, N., & Kinmonth, A. L. (2010). Application of the theory of planned behaviour in behaviour change interventions: A systematic review. Psychology & Health, 17(2), 123–158. https://doi.org/10.1080/08870440290013644a.

    Article  Google Scholar 

  • Hutchison, A. J., Breckon, J. D., & Johnston, L. H. (2009). Physical activity behavior change interventions based on the transtheoretical model: A systematic review. Health Education Behaviour, 36(5), 829–845.

    Article  Google Scholar 

  • Kosma, M., & Cardinal, B. J. (2016). The Transtheoretical model, physical activity, and falls risks among diverse older adults. Activities, Adaptation & Aging, 40(1), 35–52. https://doi.org/10.1080/01924788.2016.1127051.

    Article  Google Scholar 

  • Leake, D., & Black, R. (2005). Essential tools: Improving secondary education and transition for youth with disabilities. Cultural and linguistic diversity: Implications for transition personnel. Minneapolis: ICI Publications Office.

    Google Scholar 

  • Lee, M., Kim, M. J., Suh, D., Kim, J., Jo, E., & Yoon, B. (2016). Feasibility of a self-determination theory-based exercise program in community-dwelling south Korean older adults: Experiences from a 13-month trial. Journal of Aging and Physical Activity, 24(1), 8–21. https://doi.org/10.1123/japa.2014-0056.

    Article  Google Scholar 

  • Mairki, A., Bauer, G. F., Nigg, C. R., Conca-Zeller, A., & Gehring, T. M. (2006). Transtheoretical model-based exercise counselling for older adults in Switzerland: Quantitative results over a 1-year period. Sozial- und Präventivmedizin, 51(5), 273–280.

    Article  Google Scholar 

  • McDonald, S., O’Brien, N., White, M., & Sniehotta, F. F. (2015). Changes in physical activity during the retirement transition: A theory-based, qualitative interview study. International Journal of Behavioral Nutrition and Physical Activity, 12, 25. https://doi.org/10.1186/s12966-015-0186-4.

    Article  Google Scholar 

  • Michie, S., & Johnston, M. (2013). Behavior change techniques. In M. D. Gellman & J. R. Turner (Eds.), Encyclopaedia of behavioral medicine (pp. 182–187). New York: Springer.

    Google Scholar 

  • Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6, 42. https://doi.org/10.1186/1748-5908-6-42.

    Article  Google Scholar 

  • Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., et al. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46(1), 81–95. https://doi.org/10.1007/s12160-013-9486-6.

    Article  Google Scholar 

  • Michie, S., West, R., Campbell, R., Brown, J., & Gainforth, H. (2014). ABC of behaviour change theories. London: Silverback Publishing.

    Google Scholar 

  • Morgan, K., & McGee, H. (2016). Quality of life. In Y. Benyamini, M. Johnston, & E. Karademas (Eds.), Health assessment. Boston: Hogrefe Publishing. http://hogrefe.ciando.com/img/books/extract/161676452X_lp.pdf.

  • Nyman, S. R., Goodwin, K., Kwasnicka, D., & Callaway, A. (2016). Increasing walking among older people: A test of behaviour change techniques using factorial randomised N-of-1 trials. Psychology & Health, 31(3), 313–330. https://doi.org/10.1080/08870446.2015.1088014.

    Article  Google Scholar 

  • Osborn, C. Y., Amico, R., Fisher, W. A., Egede, L. E., & Fisher, J. D. (2010). An information—motivation—behavioral skills analysis of diet and exercise behavior in Puerto Ricans with diabetes. Journal of Health Psychology, 15(8), 1201–1213.

    Article  Google Scholar 

  • Prochaska, J. O., & DiClemente, C. C. (1984). The Transtheoretical approach: Crossing traditional boundaries of therapy. Homewood: Dow Jones Irwin.

    Google Scholar 

  • Prochaska, J. O., & Prochaska, J. M. (2011). Behavior change. In C. Heverling & T. Reilly (Eds.), Population health creating a culture of wellness. Burlington: Jones & Bartlett Learning, LLC.

    Google Scholar 

  • Rhodes, R. E., & de Bruijn, G.-J. (2013). How big is the physical activity intention–behaviour gap? A meta-analysis using the action control framework. British Journal of Health Psychology, 18, 296–309. https://doi.org/10.1111/bjhp.12032.

    Article  Google Scholar 

  • Rosenstock, I. (1974). Historical origins of the health belief model. Health Education Monographs., 2(4), 354–386.

    Article  Google Scholar 

  • Rosenstock, I. (1990). The health belief model: Explaining health behavior through expectancies. In K. Glanz, F. M. Lewis, & B. Rimer (Eds.), Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass.

    Google Scholar 

  • Schwarzer, R. (1992). Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 217–243). Washington, DC: Hemisphere Publishing Corp.

    Google Scholar 

  • Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology: An International Review, 57, 1–29. https://doi.org/10.1111/j.1464-0597.2007.00325.x

    Google Scholar 

  • Sniehotta, F. F., Presseau, J., & Araújo-Soares, V. (2014). Time to retire the theory of planned behaviour. Health Psychology Review, 8(1), 1–7.

    Article  Google Scholar 

  • Sniehotta, F. F., Presseau, J., & Araújo-Soares, V. (2015). On the development, evaluation and evolution of health behaviour theory. Health Psychology Review, 9(2), 176–189. https://doi.org/10.1080/17437199.2015.1022902.

    Article  Google Scholar 

  • Stretcher, V. J., Champion, V. L., & Rosenstock, L. M. (1997). The health belief model and health behavior. In D. S. Goshman (Ed.), Handbook of health behavior research (Vol. 1, pp. 71–91). New York: Plenum Press.

    Google Scholar 

  • Teixeira, P. J., Carraça, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012). Exercise, physical activity, and self-determination theory: A systematic review. The International Journal of Behavioral Nutrition and Physical Activity, 9, 78–78. https://doi.org/10.1186/1479-5868-9-78.

    Article  Google Scholar 

  • Triandis, H. C. (1989). Cross-cultural studies of individualism and collectivism. Nebraska Symposium on Motivation, 37, 43–133.

    Google Scholar 

  • van Stralen, M. M., de Vries, H., Mudde, A. N., Bolman, C., & Lechner, L. (2011). The long-term efficacy of two computer-tailored physical activity interventions for older adults: Main effects and mediators. Health Psychology, 30(4), 442–452. https://doi.org/10.1037/a0023579.

    Article  Google Scholar 

  • Warner, L. M., Wolff, J. K., Ziegelmann, J. P., Schwarzer, R., & Wurm, S. (2016). Revisiting self-regulatory techniques to promote physical activity in older adults: Null-findings from a randomised controlled trial. Psychology & Health, 1–21. https://doi.org/10.1080/08870446.2016.1185523.

  • Webb, T. L., & Sheeran, P. (2007). How do implementation intentions promote goal attainment? A test of component processes. Journal of Experimental Social Psychology, 43, 295–302.

    Article  Google Scholar 

  • West, R. (2005). Time for a change: Putting the transtheoretical (stages of change) model to rest. Addiction, 100(58), 1036–1039.

    Google Scholar 

  • White, K. M., Terry, D. J., Troup, C., Rempel, L. A., Norman, P., Mummery, K., et al. (2012). An extended theory of planned behavior intervention for older adults with type 2 diabetes and cardiovascular disease. Journal of Aging & Physical Activity, 20(3), 281–299.

    Article  Google Scholar 

  • Young, M. D., Plotnikoff, R. C., Collins, C. E., Callister, R., & Morgan, P. J. (2014). Social cognitive theory and physical activity: A systematic review and meta-analysis. Obesity Reviews, 15(12), 983–995. https://doi.org/10.1111/obr.12225.

    Article  Google Scholar 

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Morgan, K., Tan, M.P. (2018). Behaviour Change Theories and Techniques for Promoting Physical Activity Among Older People. In: Nyman, S., et al. The Palgrave Handbook of Ageing and Physical Activity Promotion. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-71291-8_11

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