Self-management-TDF barriers (BCTs) | KT Intervention | Actions |
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Knowledge - Patients believe that they know enough about SMS Behavioural change techniques: Information regarding behaviour, outcome. | - Standardized materials as tools to introduce the concept of SMS | - Context: the majority of patients believe that exercise is the core component of self-management strategies (SMS) - Aim: to introduce and maximize the patients’ knowledge on SMS - Opportunities: • Distribute educational materials to patients summarizing the components of SMS, and emphasizing ways to initiate/sustain life style changes • Webinar to provide information on SMS • Provide information on SMS on social media (e.g. Facebook) |
Environmental Context and Resources - Lack of time to use self-management among patients - Not receiving educational materials Behavioural change techniques: (Environmental Changes; Time management) | - Standardized electronic or printed materials as tools for facilitating the use of SMS - Persuasive communication | - Context: Lack of time is a barrier to using SMS - Aim: helping patients better manage their time to use SMS - Opportunity: • Encouraging patients to seek advice from clinicians/interns on ways to manage their time to be able to use SMS (before going to work/school, at lunch time, going to the gym …) • Provide patients with educational materials (paper based and e-pamphlets) summarizing the key components of self-management • Webinar and videos to provide information on SMS |
Emotion - Feeling of anxiety/ frustrating regarding use SMS Behavioural change techniques: (Stress Management, Social support (emotional); Coping strategies) | - Modeling, demonstration of behaviour by others | - Context: patients stated that they have some anxiety and concern regarding performing therapeutic exercises improperly - Aim: minimizing the anxiety among patients by providing them with materials summarizing the prescribed exercises - Opportunities: • Webinar and videos to provide information about the SMS and to demonstrate home exercises • Having them speak to other patients who have been successful ✓ create a patient video to share stories on successful strategies on how to integrate SMS into daily schedule |
Memory, attention & decision making - Few patients were not involved in the decision making - Remembering to do SMS is challenging Behavioural change techniques: planning/implementation; Prompts/Triggers/Cues; Motivational Interviewing | - Persuasive communication and information regarding behavioural outcomes - Provision of information - Instructions - Reminders | - Context: Some patients were not involved in the decision making process. Many patients have difficulty in remembering the SMS components - Aim: to facilitate the involvement of patients in the decision making process, and to remind patients about the use of SMS - Opportunities: • Distribute educational/instructional materials to patients to facilitate the shared decision making • Encourage patients to be actively involved in the decision making process by using the principles of BAP • Webinar to provide suggestions on ways of implementing SMS • Social media to provide information on SMS • Send patients reminders to use SMS via: ▪ E-mail ▪ Phone call (ex. when confirming next appointment) |
Behavioural Regulation - Some patients don’t use SMS as much as they should Behavioural change techniques: planning/implementation; Prompts/Triggers/Cues | - Reminders - Persuasive communication | - Context: Some patients do not use SMS as often as they should - Aim: to understand why they don’t and motivate patients to use SMS more regularly - Opportunities: • Encourage clinicians/interns to help patients form a SMART plan to self-manage • Encourage patients to put Post-it notes near their computer, automated recalls on their cell phone and/or lap-top • Send patients reminders to use SMS via: ▪ E-mail ▪ Phone call |