U.S. flag

An official website of the United States government

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.

Galdas P, Darwin Z, Fell J, et al. A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN). Southampton (UK): NIHR Journals Library; 2015 Aug. (Health Services and Delivery Research, No. 3.34.)

Cover of A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN)

A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN).

Show details

Appendix 11Behavioural change techniques classification for quantitative studies

TABLE 47

Male-only trials intervention descriptions and BCT categories

First author, year, countrySelf-management intervention descriptionBCT categories
Adsett 1989,79 CanadaTraining in progressive muscle relaxation, monitoring practice and strategies for stressful situations. Education on hypertension, lifestyle and stress. Patients were given a take-home tape of first relaxation session for home practice and kept daily logs. Compliance was assessed weekly2.3 Self-monitoring of behaviour
2.2 Feedback on behaviour
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Education (same as relaxation group) on hypertension, lifestyle and stress. Weekly logs of activities, food intake and exercise were kept and reviewed weekly2.2 Feedback on behaviour
2.3 Self-monitoring of behaviour
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Allen 1990,46 USAPatients were trained to perform blood glucose tests at least 36 times per month. Proficiency was checked prior to the start of study and throughout. Each patient was also instructed on a diet, which largely focused on increasing fibre intake. Booklets on diet and weight loss were provided and compliance was checked at 3 and 6 months1.2 Problem-solving
2.4 Self-monitoring of outcome of behaviour
2.6 Biofeedback
2.7 Feedback on outcome of behaviour
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Bennett 1991,71 UKStress management training: small groups were educated on blood pressure, stress and relaxation techniques, self-instruction techniques, cognitive restructuring and meditation. Sessions involved role-play and group problem-solving. Participants were set behavioural assignments and kept a diary1.1 Goal-setting
1.2 Problem-solving
2.4 Self-monitoring of outcomes of behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
13.2 Framing/reframing
Type A behaviour management: same content as stress management training. Additionally, specific attention was paid to the identification and modification of type A behaviours including time urgency management and anger control1.1 Goal-setting
1.2 Problem-solving
2.4 Self-monitoring of outcomes of behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
13.2 Framing/reframing
Berglund 2007,89 SwedenThe training programme involved light physical fitness training, relaxation, breathing exercises and pelvic floor exercises. A booster session was held after 2 months4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Information on prostate cancer, treatment and potential side effects was provided in the form of lectures. Opportunities for group discussion and demonstration of products for incontinence and sexual aid formed part of the sessions3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
The third intervention combined the physical and information programmes3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Bosley 1989,47 USAEducation on stress, emotional arousal and hypertension. Participants were trained to monitor own behaviour and physiological responses in stressful situations. Group practice, identification of faulty appraisal, recognition of inaccurate labelling of situations and home practice formed part of the intervention2.3 Self-monitoring of behaviour
2.2 Feedback on behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
9.1 Credible source
11.2 Reduce negative emotions
Presentation on the dynamics of stress and hypertension, followed by group discussion sessions on how to handle stressful situations3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
9.1 Credible source
11.2 Reduce negative emotions
Bourke 2011,72 UKSupervised aerobic and resistance exercise training and self-directed exercise. Incorporating exercise into daily activities and available support structures were explored for each patient. All participants received a nutrition advice pack, which recommended reductions in saturated fat and refined carbohydrates, increased fibre and moderate alcohol consumption. Small group healthy eating seminars were also held1.1 Goal-setting
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Burgio 2006,48 USAA single session of biofeedback to learn pelvic floor control, reinforced with verbal instructions. Patients were provided with written instructions of 45 pelvic floor exercise and encouraged to continue at home in various positions and to integrate into daily activities1.4 Action planning
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Carmack Taylor 2006,66 USACognitive behavioural skills training including self-monitoring, goal-setting, problem-solving to overcome barriers, cognitive restructuring and self-rewards to integrate physical activity into daily life. Patients self-monitored and were followed up to solve issues and set new goals1.1 Goal-setting
2.3 Self-monitoring of behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Facilitated group discussion on various topics: diet and prostate cancer, side effects of treatment and sexuality. Expert speakers presented at some sessions3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
Cockcroft 198174 and 1982,73 UKRehabilitation centre-based exercise including stationary cycle pedalling, rowing machines, swimming and daily walks. Recommended home exercises included stair climbing and level walking1.1 Goal-setting
2.3 Self-monitoring of behaviour
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
8.7 Graded tasks
Culos-Reed 2010,80 CanadaGroup exercise tailored to ability consisting of walking, stretching and light resistance work. Exercise equipment was provided to facilitate home-based exercise. Peer support was encouraged and education/discussion sessions were held on goal-setting, monitoring behaviour, overcoming barriers, role of positive attitude, social support, relapse support and nutrition1.1 Goal-setting
1.2 Problem-solving
2.2 Feedback on behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
11.2 Reduce negative emotions
Daubenmier 2006,49 USAA plant-based vegan diet with 10% of calories from fat, 3 hours of moderate exercise per week and 1 hour of stress management practice per day. Participants attended a 1-week retreat to familiarise with the intervention. Subsequently, weekly support group meetings were held to enhance programme adherence1.1 Goal-setting
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
11.2 Reduce negative emotions
Gallagher 198451 and 1987,50 USADiet with an unspecified calorie intake consisting of three meals per day and a snack avoiding refined sugars and saturated fats. Education on the diet and dietary consultations occurred every 3 months2.2 Feedback on behaviour
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
Garcia 199785 and 2004,86 SpainEducation and training on hypertension, relaxation and problem-solving. Patients received a self-help book, problem-solving sheets, relaxation tapes and recording sheets to track medication use and stressful events. Homework assignments were set and reviewed by a therapist1.2 Problem-solving
2.2 Feedback on behaviour
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
12.5 Adding objects to the environment
Giesler 2005,52 USAA programme of symptom management and psychoeducational strategies. The intervention focused primarily on sexual and urinary problems, bowel dysfunction, cancer worry, dyadic adjustment and depression1.2 Problem-solving
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
9.1 Credible source
12.5 Adding objects to the environment
Gifford 1998,53 USASelf-care education sessions covering evaluating symptoms, seeking care for new symptoms, medication use and problems, communication skills with caregiver/health professionals, coping with symptoms using CBT and relaxation. Additionally exercise, fitness programmes, nutrition plans and goal-setting. Interaction was encouraged through role-playing, information sharing and other forms of participation1.1 Goal-setting
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Gourley 1998,54 and Solomon 1998,55 USAA pharmacist provided regular assessment and educational interventions to optimise disease management. Patients’ questions and concerns were also managed3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
Guell 2000,81 CanadaBreathing retraining and relaxation techniques, low-level stair walking, flat surface exercise, stationary cycle pedalling and walking with arm and leg co-ordination. Education sessions covered anatomy, basic respiratory physiology, nature of the disease and interventions. Physiotherapy for effective cough and postural drainage was offered1.1 Goal-setting
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
8.7 Graded tasks
Fernandez 2009,84 SpainRespiratory education combined with inspiratory, upper-limb and lower-limb muscular training. Training logs were kept and patients were followed up by a physiotherapist. Educational materials were also provided on exercises4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Haynes 1976,82 CanadaEach patient was interviewed to identify habits and tailor medication taking. Loaned blood pressure devices were provided and BP and medication taking were tracked. During fortnightly follow-ups, if BP had lowered, financial credit was given towards owning the BP device. Patients were also praised and encouraged on progress1.1 Goal-setting
1.4 Action planning
2.4 Self-monitoring of outcome of behaviour
2.7 Feedback on outcome of behaviour
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
10.8 Incentive (outcome)
10.10 Reward (outcome)
Heisler 2010,56 USAAction plans were generated based on individual laboratory and blood pressure results. Each patient was then paired with a peer and encouraged to make regular contact, with automated reminders. Each pair received training on communication skills and topic guides for phone calls. In addition, three optional group sessions to raise queries, discuss concerns and review action plan progress were held1.1 Goal-setting
1.4 Action planning
2.2 Feedback on behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Klocek 2005,90 PolandExercise consisting of warm-up, then consistent workload training on a cycle ergometer (60% maximal heart rate for age) and post-training relaxation4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Exercise consisting of warmup, interval training with gradually increasing workload on a cycle ergometer and post-training relaxation4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Koukouvou 2004,91 GreeceA gradually modified physical training programme incorporating stationary cycling, walking or jogging, calisthenics, stair climbing and step-aerobic exercises. Resistance exercises were added in after the first 3 months4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Leehey 2009,57 USAEducation and instruction on walking, shoe selection and developing a walking programme. Gradually increasing treadmill walking and unsupervised home based walking programme. Patients were followed up and monitored by staff1.1 Goal-setting
1.4 Action planning
2.3 Self-monitoring of behaviour
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
8.7 Graded tasks
Lepore 1999,58 USAPatients and partners were invited to expert lecture and question sessions followed by separate peer discussions for men and wives. Topics were prostate cancer overview, nutrition and exercise, side effects, stress management, communication and intimacy, and follow-up care. Those missing meetings received a tape recording of the lecture and any handouts3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
9.1 Credible source
11.2 Reduce negative emotions
Lepore 2003,59 USAExpert-delivered lectures on prostate cancer biology and epidemiology, control of physical side effects, nutrition, stress and coping, relationships and sexuality, follow-up care and future health concerns. Printed materials were provided in each lecture and 10 minutes of questions were permitted, minimising group discussion5.1 Information about health consequences
9.1 Credible source
12.5 Adding objects to the environment
Expert lectures as above as well as facilitated group discussion with a male psychologist for men and separate discussion for partners with a female oncology nurse3.1 Social support (unspecified)
5.1 Information about health consequences
9.1 Credible source
12.5 Adding objects to the environment
Lucy 1994,60 USAPsychosocial support, monitoring of health, stress, mood and interpersonal satisfaction. Monitored weekly over the phone. Information and education on HIV/AIDS. Referrals to other services when appropriate2.5 Monitoring without feedback
3.1 Social support (unspecified)
5.1 Information about health consequences
McGavin 1977,76 and 1976,75 UKHome stair-climbing exercises, starting from a minimum of two steps up and down for 2 minutes, building to 10 steps for 10 minutes. Participants recorded their progress and the programme was reviewed after 2 weeks and monthly thereafter1.1 Goal-setting
2.3 Self-monitoring of behaviour
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
8.7 Graded tasks
Mishel 2002,61 USAPatients’ concerns directed the skills training. Strategies included information, cognitive reframing, directing to local resources, problem-solving techniques, encouragement and patient–doctor communication skills to enhance participation in care1.2 Problem-solving
3.1 Social support (unspecified)
13.2 Framing/reframing
Patients’ concerns directed the skills training. Strategies included information, cognitive reframing, directing to local resources, problem-solving techniques, encouragement and patient–doctor communication skills to enhance participation in care. In addition the spouse or family support member also received weekly phone calls1.2 Problem-solving
3.1 Social support (unspecified)
13.2 Framing/reframing
Moynihan 1998,77 UKA cognitive and behavioural treatment programme, designed for cancer patients, covering current problems, coping strategies, muscle relaxation, raising self-esteem, overcoming feelings of helplessness and promoting a ‘fighting spirit’1.2 Problem-solving
3.1 Social support (unspecified)
11.2 Reduce negative emotions
Mueller 2007,62 USAPatients resided at a rehabilitation centre for 1 month, undertaking cycling and walking. Exercise levels were adjusted accordingly4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
Parker 1984,63 USAIntensive education programme covering disease process, therapies and medication, joint protection and conservation, coping with psychological stresses and unproven treatment methods4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
11.2 Reduce negative emotions
Parker 2009,64 USAIndividual clinical psychologist sessions and stress management guides covering relaxation skills (60% of the time), problem-focused coping strategies, having realistic recovery expectations and an imagined exposure of day of surgery. Further information on cancer and the adverse effects of treatment were also provided1.2 Problem-solving
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
11.2 Reduce negative emotions
12.5 Adding objects to the environment
15.2 Mental rehearsal of successful performance
Individual clinical psychologist sessions providing support to patients3.3 Social support (emotional)
Puente-Maestu 200088 and 2003,87 SpainEach participant was supplied with a pedometer and asked to walk 3–4 km in 1 hour, 4 days per week. Subjects were followed up and encouraged to continue with training during a maintenance phase. During this period, patients were interviewed every 3 months to reinforce compliance. Education sessions were also held on medication use and nutrition1.1 Goal-setting
1.2 Problem-solving
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
6.1 Demonstration of behaviour
8.1 Behavioural practice/rehearsal
12.5 Adding objects to the environment
Sackett, 1975,83 CanadaEnhanced access to physicians through free appointments during work hours and reimbursement for 90% of prescription drug costs. Education audiotapes and booklet on hypertension, effect on organs, health, life expectancy, therapy benefits and compliance skills. Education reinforcement occurred periodically4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
12.5 Adding objects to the environment
Scura 2004,65 USAThe programme consisted of telephone-based HCP support with structured educational components3.1 Social support (unspecified)
Wakefield 2008,67 USANurse telephone support covering patient activation and partnerships, health information, monitoring of symptoms and compliance strategies in regard to heart failure2.7 Feedback on outcomes of behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
Nurse video-telephone support covering patient activation and partnerships, health information, monitoring of symptoms and compliance strategies in regard to heart failure2.7 Feedback on outcomes of behaviour
3.1 Social support (unspecified)
4.1 Instruction on how to perform behaviour
5.1 Information about health consequences
Weber 2004,68 USAPatients were matched with a peer (long-term survivor of prostate cancer) to provide social support following surgery for prostate cancer. Dyads were matched on race3.1 Social support (unspecified)
Weber 2007,69 USAMen were paired with support partners (survivors of prostate cancer who had undergone radical prostatectomy) and encouraged to discuss thoughts and feelings on diagnosis and sexual/urinary side effects. Discussions were held away from loved ones at a location which was suitable for private conversations3.1 Social support (unspecified)
White 1986,70 USAThe programme facilitated peer interaction and support through idea sharing and advice to manage disease. Weekly serum glucose levels were posted and discussed. Education was provided on the adverse effects of hyperglycaemic and hypoglycaemic reactions, importance of weight control and exercise1.2 Problem-solving
2.2 Feedback on behaviour
2.3 Self-monitoring of behaviour
2.6 Biofeedback
2.7 Feedback on outcomes of behaviour
3.1 Social support (unspecified)
5.1 Information about health consequences
6.1 Demonstration of behaviour
9.1 Credible source
10.4 Social reward
Windsor 2004,78 UKA home-based programme of moderate intensity involving continuous walking for at least 30 minutes. All patients kept a log of activity and the exercise group was contacted to encourage adherence1.1 Goal-setting
2.3 Self-monitoring of behaviour
3.1 Social support
4.1 Instruction on how to perform behaviour
10.5 Social incentive

BP, blood pressure.

Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Galdas et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK311065

Views

  • PubReader
  • Print View
  • Cite this Page
  • PDF version of this title (3.9M)

Other titles in this collection

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...