What makes an action plan "100% me"? Think aloud interviews about CVD prevention tools for varying health literacy needs.

Batcup, C; Bonner, C; Ayre, J

What makes an action plan "100% me"? Think aloud interviews about CVD prevention tools for varying health literacy needs.

Batcup, C Bonner, C Ayre, J

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Health Promot J Austr, 2023
Issue Date:: 2023-03-14

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Field	Value	Language
dc.contributor.author	Batcup, C
dc.contributor.author	Bonner, C
dc.contributor.author	Ayre, J https://orcid.org/0000-0002-5279-5189
dc.date.accessioned	2023-10-18T01:02:00Z
dc.date.available	2023-02-28
dc.date.available	2023-10-18T01:02:00Z
dc.date.issued	2023-03-14
dc.identifier.citation	Health Promot J Austr, 2023
dc.identifier.issn	1036-1073
dc.identifier.issn	2201-1617
dc.identifier.uri	http://hdl.handle.net/10453/172769
dc.description.abstract	ISSUE ADDRESSED: Health behaviour change can be difficult to maintain. Action plans can address this issue, however, there has been little qualitative research to understand how to optimise action plan interventions. This study explored how people engage with a specific type of action plan intervention, the "volitional help sheet," in a cardiovascular disease (CVD) prevention context. METHODS: Twenty adults in the target age for CVD risk assessment (45 to 74 years) with varying health literacy participated in interviews and created an action plan to change their behaviour. Transcripts were analysed using framework analysis. RESULTS: Participants described how engagement with plans was related to how personally relevant the target behaviour and the options within the plan were. Also important was participants visualising themselves enacting the plan when deciding which option to choose. Amongst participants who already engaged in a target behaviour, some did not perceive the plan was useful; others perceived the plan as a helpful prompt or a formalisation of existing plans. For some, the barriers to behaviour change were out of the scope of an action plan, highlighting the need for alternative supports. CONCLUSION: This study provides qualitative insights into unanticipated ways that people with varying health literacy use action plans, providing new guidance for future developers. SO WHAT?: Not all action plans are created equal. Careful selection of behavioural targets and plan options and encouraging users to imagine the plan may enhance user engagement. Alternative behaviour change strategies should be available if key barriers cannot be addressed by the plan.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Health Promot J Austr
dc.relation.isbasedon	10.1002/hpja.713
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.subject.classification	3210 Nutrition and dietetics
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.title	What makes an action plan "100% me"? Think aloud interviews about CVD prevention tools for varying health literacy needs.
dc.type	Journal Article
utslib.location.activity	Australia
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.date.updated	2023-10-18T01:01:59Z
pubs.publication-status	Published online

Abstract:

ISSUE ADDRESSED: Health behaviour change can be difficult to maintain. Action plans can address this issue, however, there has been little qualitative research to understand how to optimise action plan interventions. This study explored how people engage with a specific type of action plan intervention, the "volitional help sheet," in a cardiovascular disease (CVD) prevention context. METHODS: Twenty adults in the target age for CVD risk assessment (45 to 74 years) with varying health literacy participated in interviews and created an action plan to change their behaviour. Transcripts were analysed using framework analysis. RESULTS: Participants described how engagement with plans was related to how personally relevant the target behaviour and the options within the plan were. Also important was participants visualising themselves enacting the plan when deciding which option to choose. Amongst participants who already engaged in a target behaviour, some did not perceive the plan was useful; others perceived the plan as a helpful prompt or a formalisation of existing plans. For some, the barriers to behaviour change were out of the scope of an action plan, highlighting the need for alternative supports. CONCLUSION: This study provides qualitative insights into unanticipated ways that people with varying health literacy use action plans, providing new guidance for future developers. SO WHAT?: Not all action plans are created equal. Careful selection of behavioural targets and plan options and encouraging users to imagine the plan may enhance user engagement. Alternative behaviour change strategies should be available if key barriers cannot be addressed by the plan.

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http://hdl.handle.net/10453/172769