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Table 5 Identification of the possible BCTs that could be used in the intervention

From: Development of a behavior change intervention to improve physical activity adherence in individuals with metabolic syndrome using the behavior change wheel

TDF domains

IF identified

BCTs identified

Does the BCT meet the APEASE criteria?

Knowledge

Education

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

Information about health consequences (5.1)

Yes

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

Prompts/cues (7.1)

No, it may be ineffective based on previous physical activity intervention experience

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

Biofeedback (2.6)

No, it may be ineffective based on previous physical activity intervention experience

Antecedents (4.2)

No, it may be ineffective based on previous physical activity intervention experience

Behavior regulation

Education

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Prompts/cues (7.1)

Yes

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Training

Demonstration of the behavior (6.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Instruction on how to perform a behavior (4.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on the behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Behavioral practice/rehearsal (8.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Modelling

Demonstration of the behavior (6.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Enablement

Social support (practical) (3.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (behavior) (1.1)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (outcome) (1.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

  

Problem solving (1.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Action planning (1.4)

No, it may be ineffective based on previous physical activity intervention experience

  

Self-monitoring of behavior (2.3)

Yes

  

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

  

Review behavior goal(s) (1.5)

No, it may be ineffective based on previous physical activity intervention experience

  

Review outcome goal(s) (1.7)

No, it may be ineffective based on previous physical activity intervention experience

  

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Behavioral practice/rehearsal (8.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Environmental restructuring

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

 

Prompts/cues (7.1)

Yes

 

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

 

Enablement

Social support (practical) (3.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (behavior) (1.1)

Yes

  

Goal setting (outcome) (1.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

  

Problem solving (1.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Action planning (1.4)

No, it may be ineffective based on previous physical activity intervention experience

  

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

  

Review behavior goal(s) (1.5)

No, it may be ineffective based on previous physical activity intervention experience

  

Review outcome goal(s) (1.7)

No, it may be ineffective based on previous physical activity intervention experience

Skills

Training

Demonstration of the behavior (6.1)

Yes

  

Instruction on how to perform a behavior (4.1)

Yes

  

Feedback on the behavior (2.2)

Yes

  

Feedback on outcome(s) of behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

  

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Behavioral practice/rehearsal (8.1)

Yes

  

Graded tasks (8.7)

No, it may be ineffective based on previous physical activity intervention experience

  

Habit reversal (8.4)

No, it may be ineffective based on previous physical activity intervention experience

  

Body changes (12.6)

No, it may be ineffective based on previous physical activity intervention experience

  

Habit formation (8.3)

No, it may be ineffective based on previous physical activity intervention experience

Environmental context and resources

Training

Demonstration of the behavior (6.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Instruction on how to perform a behavior (4.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on the behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Behavioral practice/rehearsal (8.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Environmental restructuring

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

 

Prompts/cues (7.1)

Yes

 

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

 

Enablement

Social support (practical) (3.2)

Yes

  

Goal setting (behavior) (1.1)

Yes

  

Goal setting (outcome) (1.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

  

Problem solving (1.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Action planning (1.4)

No, it may be ineffective based on previous physical activity intervention experience

  

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

  

Review behavior goal(s) (1.5)

No, it may be ineffective based on previous physical activity intervention experience

  

Review outcome goal(s) (1.7)

No, it may be ineffective based on previous physical activity intervention experience

  

Restructuring the physical environment (12.2)

No, it is expensive for intervention designers

  

Discriminative (learned) cue (7.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Prompts / cues (7.1)

Yes

  

Restructuring the social environment (12.2)

Yes

  

Avoidance / changing exposure to cues for the behavior (12.3)

No, it may be ineffective based on previous physical activity intervention experience

Social/professional role and identity

Education

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Prompts/cues (7.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Persuasion

Credible source (9.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Modelling

Demonstration of the behavior (6.1)

No, it may be ineffective based on previous physical activity intervention experience

Optimism

Education

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Prompts/cues (7.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Persuasion

Credible source (9.1)

Yes

 

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Modelling

Demonstration of the behavior (6.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Enablement

Social support (practical) (3.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (behavior) (1.1)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (outcome) (1.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

  

Problem solving (1.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Action planning (1.4)

No, it may be ineffective based on previous physical activity intervention experience

  

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

  

Review behavior goal(s) (1.5)

No, it may be ineffective based on previous physical activity intervention experience

  

Review outcome goal(s) (1.7)

No, it may be ineffective based on previous physical activity intervention experience

  

Verbal persuasion to boost self-efficacy (15.1)

No, it may be ineffective based on previous physical activity intervention experience

Intention

Education

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Prompts/cues (7.1)

Yes

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Persuasion

Credible source (9.1)

Yes

 

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity experience

 

Incentivization

Feedback on behavior (2.2)

Yes

 

Feedback on outcome(s) of behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Monitoring of behavior by others without evidence of feedback (2.5)

No, it may be ineffective based on previous physical activity intervention experience

 

Monitoring outcome of behavior by others without evidence of feedback (2.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

Yes

 

Modelling

Demonstration of the behavior (6.1)

Yes

 

Commitment (1.9)

Yes

 

Behavioral contract (1.8)

Yes

Goals

Education

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Prompts/cues (7.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Persuasion

Credible source (9.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

Yes

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Incentivization

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Monitoring of behavior by others without evidence of feedback (2.5)

No, it may be ineffective based on previous physical activity intervention experience

 

Monitoring outcome of behavior by others without evidence of feedback (2.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

No, health care professionals are reluctant to remind individuals to monitor behavior through incentivization

 

Modelling

Demonstration of the behavior (6.1)

Yes

 

Enablement

Social support (practical) (3.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (behavior) (1.1)

Yes

  

Goal setting (outcome) (1.3)

Yes

  

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

  

Problem solving (1.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Action planning (1.4)

Yes

  

Self-monitoring of behavior (2.3)

No,

  

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

  

Review behavior goal(s) (1.5)

Yes

  

Review outcome goal(s) (1.7)

No, it may be ineffective based on previous physical activity intervention experience

Emotion

Persuasion

Credible source (9.1)

No, it may be ineffective based on previous physical activity experience

 

Information about social and environmental consequences (5.3)

No, not practicable in this context, as the intervention does not focus on social and environmental consequences

 

Information about health consequences (5.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of the behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Incentivization

Feedback on behavior (2.2)

No, it may be ineffective based on previous physical activity intervention experience

 

Feedback on outcome(s) of behavior (2.7)

No, it may be ineffective based on previous physical activity intervention experience

 

Monitoring of behavior by others without evidence of feedback (2.5)

No, it may be ineffective based on previous physical activity intervention experience

 

Monitoring outcome of behavior by others without evidence of feedback (2.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

 

Modelling

Demonstration of the behavior (6.1)

No, it may be ineffective based on previous physical activity intervention experience

 

Enablement

Social support (practical) (3.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (behavior) (1.1)

No, it may be ineffective based on previous physical activity intervention experience

  

Goal setting (outcome) (1.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Adding objects to the environment (12.5)

No, it is expensive for intervention designers

  

Problem solving (1.2)

No, it may be ineffective based on previous physical activity intervention experience

  

Action planning (1.4)

No, it may be ineffective based on previous physical activity intervention experience

  

Self-monitoring of behavior (2.3)

No, it may be ineffective based on previous physical activity intervention experience

  

Restructuring the physical environment (12.1)

No, it is expensive for intervention designers

  

Review behavior goal(s) (1.5)

No, it may be ineffective based on previous physical activity intervention experience

  

Review outcome goal(s) (1.7)

No, it may be ineffective based on previous physical activity intervention experience

  

Reduce negative emotions (11.2)

Yes

  

Emotional consequences (5.6)

Yes

  

Self-assessment of affective consequences (5.4)

No, it may be ineffective based on previous physical activity intervention experience

  

Social support (emotional) (3.3)

Yes