A remote behaviour change service for increasing physical activity in people with chronic lung conditions: intervention development using the Behaviour Change Wheel

Peel, Jenna, Webb, Justin and Jones, Arwel (2020) A remote behaviour change service for increasing physical activity in people with chronic lung conditions: intervention development using the Behaviour Change Wheel. Perspectives in Public Health, 140 (1). pp. 16-21. ISSN 1757-9139

Abstract

Aims
This paper reports the systematic development of a remote intervention delivered by the British Lung Foundation to support inactive people with chronic lung conditions to increase their physical activity levels, using the Behaviour Change Wheel (BCW).

Method
An iterative approach was taken to intervention development guided by the eight steps outlined by the BCW and supported by a reviewing of the existing literature and stakeholder discussions.

Results
The final intervention was designed to improve the capability, opportunity and motivation of inactive people with chronic lung conditions to increase their physical activity levels. The resulting intervention includes a 12-month telephone (health coaching) intervention, alongside the provision of printed and digital resources. The intervention incorporates the intervention functions of education, enablement, modelling, environmental restructuring, persuasion, and training, with service delivery supported by communications and marketing and the use of existing guidelines. The intervention incorporates twenty-eight Behaviour Change Techniques.

Conclusions
The BCW enabled the systematic and comprehensive development of a multicomponent, remote intervention to increase physical activity in inactive people with chronic lung conditions. An assessment of the feasibility and potential impact of this new British Lung Foundation service is underway in England, to evaluate its impact on physical activity and the potential scalability.

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