'Waste the Waist': the development of an intervention to promote changes in diet and physical activity for people with high cardiovascular risk

Gillison, Fiona, Greaves, Colin, Stathi, Afroditi, Ramsay, Rosemary, Bennett, Paul, Taylor, Gordon, Francis, Margaret and Chandler, Roger 2012, 'Waste the Waist': the development of an intervention to promote changes in diet and physical activity for people with high cardiovascular risk, British journal of health psychology, vol. 17, no. 2, pp. 327-345, doi: 10.1111/j.2044-8287.2011.02040.x.

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Title 'Waste the Waist': the development of an intervention to promote changes in diet and physical activity for people with high cardiovascular risk
Author(s) Gillison, Fiona
Greaves, Colin
Stathi, Afroditi
Ramsay, Rosemary
Bennett, PaulORCID iD for Bennett, Paul orcid.org/0000-0001-9174-3499
Taylor, Gordon
Francis, Margaret
Chandler, Roger
Journal name British journal of health psychology
Volume number 17
Issue number 2
Start page 327
End page 345
Total pages 19
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2012-05
ISSN 1359-107X
Keyword(s) Cardiovascular Diseases
Diet Therapy
Evidence-Based Medicine
Exercise Therapy
Life Style
Metabolic Syndrome X
Primary Health Care
Risk Reduction Behavior
Summary OBJECTIVES: To identify an evidence-based intervention to promote changes in diet and physical activity and adapt it for a UK primary care setting for people with high cardiovascular risk.

DESIGN: A three-stage mixed-methods design was used to facilitate a strategic approach to programme selection and adaptation.

METHOD: Stage 1: Criteria for scientific quality and local appropriateness were developed for the selection/adaptation of an intervention to promote lifestyle change in people of high cardiovascular risk through (1) patient interviews, (2) a literature search to extract evidence-based criteria for behavioural interventions, and (3) stakeholder consultation. Stage 2: Potential interventions for adaptation were identified and ranked according to their performance against the criteria developed in Stage 1. Stage 3: Intervention mapping (IM) techniques were used to (1) specify the behavioural objectives that participants would need to reach in order to attain programme outcomes, and (2) adapt the selected intervention to ensure that evidence-based strategies to target all identified behavioural objectives were included.

RESULTS: Four of 23 potential interventions identified met the 11 essential criteria agreed by a multi-disciplinary stakeholder committee. Of these, the Greater Green Triangle programme (Laatikainen et al., 2007) was ranked highest and selected for adaptation. The IM process identified 13 additional behaviour change strategies that were used to adapt the intervention for the local context.

CONCLUSIONS: IM provided a useful set of techniques for the systematic adaptation of an existing lifestyle intervention to a new population and context, and facilitated transparent working processes for a multi-disciplinary team.
Language eng
DOI 10.1111/j.2044-8287.2011.02040.x
Field of Research 110299 Cardiorespiratory Medicine and Haematology not elsewhere classified
1701 Psychology
1117 Public Health And Health Services
1608 Sociology
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, British Psychological Society
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089011

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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