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Measuring behavior change technique delivery and receipt in physical activity behavioral interventions.
Rehabilitation Psychology ( IF 3.713 ) Pub Date : 2022-03-17 , DOI: 10.1037/rep0000440
Femke Hoekstra 1 , Delaney Collins 1 , Miranda Dinwoodie 1 , Jasmin K Ma 2 , Kathleen A Martin Ginis 1
Affiliation  

PURPOSE/OBJECTIVE Research on physical activity behavioral support has mainly focused on measuring the absence or presence of behavior change techniques (BCTs) delivered by a counselor. We present a method to measure BCT delivery and receipt in physical activity behavioral support interventions. RESEARCH METHOD/DESIGN The method was developed and tested using transcripts from behavior change counseling sessions delivered as part of a theory- and evidence-based physical activity intervention for adults with disabilities. Using existing methods, a new method was developed to code counselor and clients' verbal statements (BCTs and other statements). Two coders independently coded 30 transcripts of audio-recorded counseling sessions. Interrater reliability was assessed using percentage agreement and Prevalence Adjusted Bias Adjusted Kappa (PABAK). RESULTS Forty-eight codes were developed for counselor statements (35 BCT delivery and 13 other statements) and 46 codes for client statements (34 BCT receipt and 12 other statements). The average interrater reliability was considered nearly perfect for the counselor statements (84% agreement; PABAK = .98) and client statements (86% agreement; PABAK = .98). The BCT delivered and received were most frequently related to Goals and Planning (counselor:36%, client:35%), Support Strategies (counselor:21%, client:17%) and Self Belief (counselor:13%, client:24%). CONCLUSIONS/IMPLICATIONS This study presents a reliable coding method to measure BCT delivery and receipt in physical activity behavioral support interventions. The method can be used to enhance intervention fidelity assessment and study interactions between counselors and clients with and without disabilities. Measuring and evaluating BCT delivery and receipt can provide new insights into what types of behavioral support work best under which circumstances. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

测量身体活动行为干预中的行为改变技术交付和接收。

目的/目标 关于身体活动行为支持的研究主要集中在衡量辅导员提供的行为改变技术 (BCT) 的缺失或存在。我们提出了一种测量身体活动行为支持干预中 BCT 交付和接收的方法。研究方法/设计 该方法是使用行为改变咨询会议的成绩单开发和测试的,该会议是针对残疾成年人的基于理论和证据的身体活动干预的一部分。使用现有方法,开发了一种新方法来编码顾问和客户的口头陈述(BCT 和其他陈述)。两名编码员独立编码了 30 份录音咨询会议记录。使用百分比一致性和患病率调整偏差调整 Kappa (PABAK) 评估评估者间信度。结果 为顾问报表开发了 48 个代码(35 个 BCT 交付和 13 个其他报表)和 46 个客户报表代码(34 个 BCT 收据和 12 个其他报表)。咨询员陈述(84% 一致;PABAK = .98)和客户陈述(86% 一致;PABAK = .98)的平均评估者信度被认为几乎完美。交付和接收的 BCT 最常与目标和计划(顾问:36%,客户:35%)、支持策略(顾问:21%,客户:17%)和自我信念(顾问:13%,客户:24 %)。结论/意义 本研究提出了一种可靠的编码方法,用于测量身体活动行为支持干预中的 BCT 交付和接收。该方法可用于增强干预保真度评估和研究顾问与残疾和非残疾客户之间的互动。衡量和评估 BCT 的交付和接收可以提供新的见解,了解哪些类型的行为支持在哪些情况下最有效。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2022-03-17
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