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  1. Article ; Online: Examining dietary self-talk content and context for discretionary snacking behaviour: a qualitative interview study.

    Rose, Jordan / Pedrazzi, Rebecca / Dombrowski, Stephan U

    Health psychology and behavioral medicine

    2022  Volume 10, Issue 1, Page(s) 399–414

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2022-04-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2720684-1
    ISSN 2164-2850 ; 2164-2850
    ISSN (online) 2164-2850
    ISSN 2164-2850
    DOI 10.1080/21642850.2022.2053686
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Barriers to nutritional pregnancy preparation and support needs in women and men: Qualitative study based on the Theoretical Domains Framework.

    Quayyum, Fareeha / Dombrowski, Stephan U

    Women's health (London, England)

    2021  Volume 17, Page(s) 17455065211042182

    Abstract: Purpose: Eating behaviours prior to conception may impact the health of the offspring at birth and throughout life. Women and men of childbearing age often follow a nutritionally poor preconception diet. Nutritional support before pregnancy has the ... ...

    Abstract Purpose: Eating behaviours prior to conception may impact the health of the offspring at birth and throughout life. Women and men of childbearing age often follow a nutritionally poor preconception diet. Nutritional support before pregnancy has the potential to improve the health of future offspring. This study examined barriers to nutritional preparation for pregnancy and perceived support needs of women and men of childbearing age.
    Design: Qualitative interviews based on the Theoretical Domains Framework.
    Setting: Online.
    Participants: Eligible individuals were (1) New Brunswick residents (all genders), (2) over 19 years old, and (3) intended to have offspring in the future.
    Methods: Interviews were conducted via online instant messenger and analysed thematically.
    Results: Interviews of participants (n = 19, age = 19-23 years, 14 women, 5 men) gave rise to five key theoretical domains: lack of knowledge; lack of beliefs about capabilities; suboptimal environmental context and resources; unfavourable social influences; and restrictive social roles. Suggestions to address pregnancy preparation support needs included healthcare professional consultations; accessible and credible references; increasing access to healthy food; proactive engagement; and gender-specific support.
    Conclusion: Women and men called for various types of preconception support to address identified barriers, ranging from healthcare professional advice and credible informational resources to broader interventions such as making healthy food more affordable and normalizing discussion of preconception health throughout the life course.
    MeSH term(s) Adult ; Female ; Health Personnel ; Humans ; Male ; Pregnancy ; Qualitative Research ; Referral and Consultation ; Young Adult
    Language English
    Publishing date 2021-08-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2274503-8
    ISSN 1745-5065 ; 1745-5057
    ISSN (online) 1745-5065
    ISSN 1745-5057
    DOI 10.1177/17455065211042182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Barriers to nutritional pregnancy preparation and support needs in women and men

    Fareeha Quayyum / Stephan U Dombrowski

    Women's Health, Vol

    Qualitative study based on the Theoretical Domains Framework

    2021  Volume 17

    Abstract: Purpose: Eating behaviours prior to conception may impact the health of the offspring at birth and throughout life. Women and men of childbearing age often follow a nutritionally poor preconception diet. Nutritional support before pregnancy has the ... ...

    Abstract Purpose: Eating behaviours prior to conception may impact the health of the offspring at birth and throughout life. Women and men of childbearing age often follow a nutritionally poor preconception diet. Nutritional support before pregnancy has the potential to improve the health of future offspring. This study examined barriers to nutritional preparation for pregnancy and perceived support needs of women and men of childbearing age. Design: Qualitative interviews based on the Theoretical Domains Framework. Setting: Online. Participants: Eligible individuals were (1) New Brunswick residents (all genders), (2) over 19 years old, and (3) intended to have offspring in the future. Methods: Interviews were conducted via online instant messenger and analysed thematically. Results: Interviews of participants (n = 19, age = 19–23 years, 14 women, 5 men) gave rise to five key theoretical domains: lack of knowledge; lack of beliefs about capabilities; suboptimal environmental context and resources; unfavourable social influences; and restrictive social roles. Suggestions to address pregnancy preparation support needs included healthcare professional consultations; accessible and credible references; increasing access to healthy food; proactive engagement; and gender-specific support. Conclusion: Women and men called for various types of preconception support to address identified barriers, ranging from healthcare professional advice and credible informational resources to broader interventions such as making healthy food more affordable and normalizing discussion of preconception health throughout the life course.
    Keywords Medicine ; R
    Subject code 360 ; 300
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Examining dietary self-talk content and context for discretionary snacking behaviour

    Jordan Rose / Rebecca Pedrazzi / Stephan U. Dombrowski

    Health Psychology and Behavioral Medicine, Vol 10, Iss 1, Pp 399-

    a qualitative interview study

    2022  Volume 414

    Abstract: Background: Consuming discretionary snack foods high in calories, salt, sugar or fat in between regular meals can have a negative impact on weight management and health. Despite the intention to refrain from discretionary snacking, individuals often ... ...

    Abstract Background: Consuming discretionary snack foods high in calories, salt, sugar or fat in between regular meals can have a negative impact on weight management and health. Despite the intention to refrain from discretionary snacking, individuals often report feeling tempted by snack foods. A cognitive process to resolve food choice related tension may be dietary self-talk which is one’s inner speech around dietary choice. This study aimed to understand the content and context of dietary self-talk before consuming discretionary snack foods.Methods: Qualitative semi-structured interviews based on Think-Aloud methods were conducted remotely. Participants answered open-ended questions and were presented with a list of 37 dietary self-talk items. Interview transcripts were analyzed thematically.Results: Interviews (n = 18, age: 19–54 years, 9 men, 9 women) confirmed the frequent use of dietary self-talk with all 37 content items endorsed. Reported use was highest for the self-talk items: ‘It is a special occasion’; ‘I did physical activity/exercise today’; and ‘I am hungry’. Three new items were developed, eight items were refined. Identified key contextual themes were: ‘reward’, ‘social’, ‘convenience’, ‘automaticity’, and ‘hunger’.Conclusions: This study lists 40 reasons people use to allow themselves to consume discretionary snack foods and identifies contextual factors of dietary-self talk. All participants reported using dietary self-talk, with variation in content, frequency and degree of automaticity. Recognising and changing dietary self-talk may be a promising intervention target for changing discretionary snacking behaviour.
    Keywords Dietary self-talk ; discretionary snack ; eating behaviour ; snacking ; think-aloud methods ; Medicine ; R ; Psychology ; BF1-990
    Subject code 910
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Self-control, goal interference, and the binge-watching experience

    Leonhard K. Lades / Lea Barbett / Michael Daly / Stephan U. Dombrowski

    Computers in Human Behavior Reports, Vol 7, Iss , Pp 100220- (2022)

    An event reconstruction study

    2022  

    Abstract: High-speed internet connections and online streaming services gave rise to the possibility to binge-watch multiple television shows in one sitting. Binge-watching can be characterized as a problematic behavior but also as an enjoyable way to engage with ... ...

    Abstract High-speed internet connections and online streaming services gave rise to the possibility to binge-watch multiple television shows in one sitting. Binge-watching can be characterized as a problematic behavior but also as an enjoyable way to engage with television shows. This study investigates whether self-control explains the valence of binge-watching experiences as measured using the event reconstruction method. The study tests whether lower levels of trait self-control predict higher levels of negative affect and lower levels of positive affect during binge-watching. Additionally, the study tests whether these relationships are mediated by situational aspects of self-control (plans, goal interference, or automaticity). Regression analyses show that participants with higher trait self-control report lower levels of tiredness, boredom, guilt, and sadness when binge-watching compared to less self-controlled participants. These associations are partly explained by binge-watching interfering less with higher order goals for highly self-controlled participants. Lower levels of trait self-control are also associated with a stronger increase in happiness on initiating binge-watching and increased feelings of guilt after binge-watching. Overall, the study suggests that binge-watching is particularly pleasant when it does not interfere with other goals, which is more likely the case for individuals with high trait self-control.
    Keywords Binge-watching ; Self-control ; Subjective well-being ; Event reconstruction method ; Electronic computers. Computer science ; QA75.5-76.95 ; Psychology ; BF1-990
    Subject code 150
    Language English
    Publishing date 2022-08-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Examining the role of sex on the benefits of muscle-strengthening activities for people living with obesity: A cross-sectional study.

    Keshavarz, Mohammad / Sénéchal, Martin / Dombrowski, Stephan U / Meister, Daniel / Bouchard, Danielle R

    Health science reports

    2022  Volume 5, Issue 4, Page(s) e720

    Abstract: Aims: To investigate the correlations between meeting the muscle-strengthening activities guideline, body fat %, and mortality for individuals living with obesity and to explore if these correlations are moderated by sex.: Methods: Data from 3915 ... ...

    Abstract Aims: To investigate the correlations between meeting the muscle-strengthening activities guideline, body fat %, and mortality for individuals living with obesity and to explore if these correlations are moderated by sex.
    Methods: Data from 3915 adults ‎(51.9% women; 48.1% men‎) living with obesity (body fat % ≥25 for men and ≥35 for women) from two cycles of the National Health and Nutrition Examination Survey (NHANES 2003-04/2005-06) were analyzed. Muscle-strengthening activities were self-reported via a questionnaire, body fat % was measured via Dual Energy X-ray, and mortality was obtained via administrative data for an average of 10 years.
    Results: 18.7% of men and 15.2% of women living with obesity met the muscle-strengthening activities guideline (
    Conclusion: Performing muscle-strengthening activities a minimum of two times per week does not impact body fat % or risk of mortality (over 10 years) differently in men or women living with obesity.
    Language English
    Publishing date 2022-07-04
    Publishing country United States
    Document type Journal Article
    ISSN 2398-8835
    ISSN (online) 2398-8835
    DOI 10.1002/hsr2.720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Informing interventions to improve uptake of adjuvant endocrine therapy in women with breast cancer: a theoretical-based examination of modifiable influences on non-adherence.

    Cahir, Caitriona / Bennett, Kathleen / Dombrowski, Stephan U / Kelly, Catherine M / Wells, Mary / Watson, Eila / Sharp, Linda

    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

    2023  Volume 31, Issue 3, Page(s) 200

    Abstract: Purpose: To inform intervention development, we measured the modifiable determinants of endocrine therapy (ET) non-adherence in women with breast cancer, using the Theoretical Domains Framework (TDF) and examined inter-relationships between these ... ...

    Abstract Purpose: To inform intervention development, we measured the modifiable determinants of endocrine therapy (ET) non-adherence in women with breast cancer, using the Theoretical Domains Framework (TDF) and examined inter-relationships between these determinants and non-adherence using the Perceptions and Practicalities Approach (PAPA).
    Methods: Women with stages I-III breast cancer prescribed ET were identified from the National Cancer Registry Ireland (N = 2423) and invited to complete a questionnaire. A theoretically based model of non-adherence was developed using PAPA to examine inter-relationships between the 14 TDF domains of behaviour change and self-reported non-adherence. Structural equation modelling (SEM) was used to test the model.
    Results: A total of 1606 women participated (response rate = 66%) of whom 395 (25%) were non-adherent. The final SEM with three mediating latent variables (LVs) (PAPA Perceptions: TDF domains, Beliefs about Capabilities, Beliefs about Consequences; PAPA Practicalities: TDF domain, Memory, Attention, Decision Processes and Environment) and four independent LVs (PAPA Perceptions: Illness intrusiveness; PAPA Practicalities: TDF domains, Knowledge, Behaviour Regulation; PAPA External Factors: TDF domain, Social Identity) explained 59% of the variance in non-adherence and had an acceptable fit (χ
    Conclusions: By underpinning future interventions, this model has the potential to improve ET adherence and, hence, reduce recurrence and improve survival in breast cancer.
    MeSH term(s) Female ; Humans ; Breast Neoplasms ; Adjuvants, Immunologic ; Adjuvants, Pharmaceutic ; Combined Modality Therapy ; Ireland
    Chemical Substances Adjuvants, Immunologic ; Adjuvants, Pharmaceutic
    Language English
    Publishing date 2023-03-04
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1134446-5
    ISSN 1433-7339 ; 0941-4355
    ISSN (online) 1433-7339
    ISSN 0941-4355
    DOI 10.1007/s00520-023-07658-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Text message conversations between peer supporters and women to deliver infant feeding support using behaviour change techniques: A qualitative analysis.

    Knox, Olivia / Parker, Denise / Johnson, Debbie / Dombrowski, Stephan U / Thomson, Gill / Clarke, Joanne / Hoddinott, Pat / Jolly, Kate / Ingram, Jenny

    Midwifery

    2023  Volume 127, Page(s) 103838

    Abstract: Objective: To analyse text message conversations between peer supporters (called Infant Feeding Helpers - IFHs) and new mothers using qualitative methods to understand how peer support can influence and support women's feeding experiences.: Design: ... ...

    Abstract Objective: To analyse text message conversations between peer supporters (called Infant Feeding Helpers - IFHs) and new mothers using qualitative methods to understand how peer support can influence and support women's feeding experiences.
    Design: Qualitative analysis of text messages conversations using both inductive thematic and deductive content approaches to coding. Thematic analysis of the text message transcripts and deductive content analysis was used to code if Behaviour Change Techniques (BCTs) were employed by IFHs in their interactions with women. BCTs coded in text messages were then compared with those tabulated from antenatal meeting recordings and documented in interview transcripts.
    Participants and setting: 18 primiparous women and 7 Infant Feeding Helpers from one community site in South-West England.
    Findings: Three key themes were identified in the18 text message conversations (1679 texts): 'breastfeeding challenges', 'mother-centred conversations', and 'emotional and practical support'. The core BCTs of 'social support' and 'changing the social environment' were found at least once in 17 (94 %) and 18 (100 %) text message conversations respectively. Meanwhile, 'instruction to perform the behaviour' was used at least once in over 50 % of conversations. Generally, the use of BCTs was greatest between birth and two weeks during a period of daily texts when women reported many feeding challenges. The number and range of BCTs used in text messages were similar to those documented in audio-recorded meetings and interview accounts.
    Conclusion and implications: Infant Feeding Helpers were able to provide engaging and successful breastfeeding peer support through text messages. Messaging was shown to be an appropriate and accessible method of delivering BCTs focussing on 'social support' and 'changing the social environment'. Peer supporters delivering BCTs via text messages is acceptable and appropriate to use if in-person support is limited due to unforeseen circumstances such as the COVID-19 pandemic.
    MeSH term(s) Infant ; Female ; Humans ; Pregnancy ; Text Messaging ; Pandemics ; Social Support ; Mothers/psychology ; Breast Feeding/psychology
    Language English
    Publishing date 2023-10-10
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1036567-9
    ISSN 1532-3099 ; 0266-6138
    ISSN (online) 1532-3099
    ISSN 0266-6138
    DOI 10.1016/j.midw.2023.103838
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Exploring the views and experiences of people recovering from a stroke about a new text message intervention to promote physical activity after rehabilitation-Keeping Active with Texting After Stroke: A qualitative study.

    Farre, Albert / Morris, Jacqui H / Irvine, Linda / Dombrowski, Stephan U / Breckenridge, Jenna P / Ozakinci, Gozde / Lebedis, Thérèse / Jones, Claire

    Health expectations : an international journal of public participation in health care and health policy

    2023  Volume 26, Issue 5, Page(s) 2013–2022

    Abstract: Background: Participating in exercise following a stroke is essential for recovery. When community-based rehabilitation services end, some people struggle to remain active. We codesigned Keeping Active with Texting After Stroke (KATS), a text message ... ...

    Abstract Background: Participating in exercise following a stroke is essential for recovery. When community-based rehabilitation services end, some people struggle to remain active. We codesigned Keeping Active with Texting After Stroke (KATS), a text message intervention to support home-based, self-directed plans to continue exercising. KATS delivers a series of automated text messages over a 12-week period from the point of discharge from National Health Service-funded therapy. The aim of this study was to explore the views and experiences of the first cohort of participants to complete the KATS intervention about the meaning, engagement, workability and worth of the intervention.
    Methods: We undertook a qualitative study, theoretically informed by Normalisation Process Theory. We conducted semi-structured telephone interviews with people with stroke from two Health Boards in Scotland. Data collection took place over two phases, with each participant being interviewed twice: first, halfway through intervention delivery (Week 6) and then again at the end of the intervention (Week 12). All interviews were audio-recorded, transcribed and analysed thematically.
    Results: A total of 24 interviews were conducted with 12 participants. Our findings were organised around four overarching analytical themes: (1) making sense of KATS: timing and complementarity in the rehabilitation journey; (2) engaging with KATS: connection and identification with others; (3) making KATS work: flexibility and tailorable guidance; (4) appraising the worth of KATS: encouragement and friendliness. Participants differentiated KATS from current rehabilitation practice, finding it relevant, fitting and worthwhile. Variations were reported in engagement with behaviour change techniques, but participants were able to tailor KATS use, making it work for them in different ways.
    Conclusions: Perceived benefits went beyond promoting physical activity, including feeling supported and connected. Future research will test the effectiveness of KATS in promoting physical activity and explore any associations with relevant social and emotional secondary outcomes.
    Patient or public contribution: A research funding proposal was developed in collaboration with five people with stroke and three spouses. After securing funding, six people with stroke were invited to join the project's Collaborative Working Group, alongside health professionals and stroke rehabilitation experts, to codevelop the intervention and support the feasibility study.
    MeSH term(s) Humans ; Text Messaging ; State Medicine ; Stroke/psychology ; Exercise ; Stroke Rehabilitation
    Language English
    Publishing date 2023-07-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2119434-8
    ISSN 1369-7625 ; 1369-6513
    ISSN (online) 1369-7625
    ISSN 1369-6513
    DOI 10.1111/hex.13809
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  10. Article: Keeping Active with Texting after Stroke (KATS): development of a text message intervention to promote physical activity and exercise after stroke.

    Irvine, Linda / Morris, Jacqui H / Dombrowski, Stephan U / Breckenridge, Jenna P / Farre, Albert / Ozakinci, Gozde / Lebedis, Thérèse / Jones, Claire

    Pilot and feasibility studies

    2023  Volume 9, Issue 1, Page(s) 105

    Abstract: Background: Post-stroke physical activity reduces disability and risk of further stroke. When stroke rehabilitation ends, some people feel abandoned by services and struggle to undertake physical activities that support recovery and health. The aim of ... ...

    Abstract Background: Post-stroke physical activity reduces disability and risk of further stroke. When stroke rehabilitation ends, some people feel abandoned by services and struggle to undertake physical activities that support recovery and health. The aim of this study was to codesign a novel text message intervention to promote physical activity among people with stroke and provide support when formal rehabilitation ends. This manuscript describes the intervention development processes that will inform future pilot and feasibility studies.
    Methods: The planned intervention was a series of text messages to be sent in a predetermined sequence to people with stroke at the end of rehabilitation. The intervention, underpinned by behaviour change theory and using salient behaviour change techniques, would provide daily messages offering encouragement and support for the uptake and maintenance of physical activity following stroke. The intervention was codesigned by a Collaborative Working Group, comprised of people with stroke, rehabilitation therapists, representatives from stroke charities and academics. A four-step framework was used to design the intervention: formative research on physical activity post-stroke, creation of the behaviour change text message intervention, pre-testing and refinement. Formative research included a review of the scientific evidence and interviews with community-dwelling people with stroke. Data generated were used by the Collaborative Working Group to identify topics to be addressed in the intervention. These were mapped to constructs of the Health Action Process Approach, and salient behaviour change techniques to deliver the intervention were identified. The intervention was rendered into a series of text messages to be delivered over 12 weeks. The draft intervention was revised and refined through an iterative process including review by people with stroke, their spouses, rehabilitation therapists and experts in the field of stroke. The messages encourage regular physical activity but do not prescribe exercise or provide reminders to exercise at specific times. They use conversational language to encourage engagement, and some are personalised for participants. Quotes from people with stroke provide encouragement and support and model key behaviour change techniques such as goal setting and coping planning.
    Discussion: Co-design processes were critical in systematically developing this theory and evidence-based intervention. People with stroke and rehabilitation therapists provided insights into perceived barriers post-rehabilitation and identified strategies to overcome them. The structured multistep approach highlighted areas for improvement through successive rounds of review. The intervention will be tested for acceptability, feasibility and effectiveness in future studies. This co-design approach could be used for interventions for other heath behaviours and with different populations.
    Language English
    Publishing date 2023-06-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2809935-7
    ISSN 2055-5784
    ISSN 2055-5784
    DOI 10.1186/s40814-023-01326-x
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