Development of an Individualized WeChat Mini Program-based Intervention to Increase Adherence to Dietary Recommendations Applying the Behaviour Change Wheel Among Individuals with Metabolic Syndrome

Overview

Journal Ann Med

Publisher Informa Healthcare

Specialty General Medicine

Date 2023 Oct 29

PMID 37898907

Authors

Dandan Chen

Jing Shao

Hui Zhang

Jingjie Wu

Erxu Xue

Pingping Guo

Leiwen Tang

Nianqi Cui

Xiyi Wang

Liying Chen

Zhihong Ye

Affiliations

Soon will be listed here.

Abstract

Background: Metabolic Syndrome (MetS) is a serious public health issue. Dietary changes form the core of MetS treatment. The adherence to dietary recommendations is critical for reducing the severity of MetS components and preventing complications. However, the adherence to dietary recommendations was not adequate among adults with MetS. This study utilizes the Behaviour Change Wheel (BCW) to develop an individualized WeChat mini program-based behavioural change intervention aimed at strengthening adherence to dietary recommendations in people with MetS.

Methods: The BCW theory was used to design an individualized WeChat mini program-based behavioural change intervention. A descriptive qualitative study was conducted to identify the determinants of adherence to dietary recommendations in individuals with MetS. The study was conducted at the health promotion centre of a prominent general university hospital in Zhejiang, China. Subsequently, the intervention functions (IFs) and policy categories were selected following the identified determinants. Afterwards, behaviour change techniques (BCTs) were chosen to translate into potential intervention strategies, and the delivery mode was determined.

Results: Our study identified fifteen barriers to improve the adherence to dietary recommendations in this population. These were linked with six IFs: education, training, persuasion, enablement, modelling, and environmental restructuring. Then, twelve BCTs were linked with the IFs and fifteen barriers. The delivery mode was a WeChat mini program. After these actions, an individualized WeChat mini program-based behavioural change intervention was developed to enhance adherence to dietary recommendations for individuals with MetS.

Conclusions: The BCW theory helped scientifically and systematically develop an individualized WeChat mini program-based behavioural change intervention for individuals with MetS. In the future, our research team will refine and upgrade the WeChat mini program and then test the usability and effectiveness of the individualized WeChat mini program-based behavioural change intervention program.

Citing Articles

Nutrition Management Miniprograms in WeChat: Evaluation of Functionality and Quality.

Sun H, Wu Y, Sun J, Zhou W, Xu Q, Hu D JMIR Hum Factors. 2024; 11:e56486.

PMID: 39264331 PMC: 11412088. DOI: 10.2196/56486.

Influence of exercise prescription intervention based on WeChat on glycolipid metabolism and fitness of suboptimal-health teachers.

Duan Y, Li S, Su Q, Xu S, Lu G Medicine (Baltimore). 2024; 103(21):e38167.

PMID: 38788028 PMC: 11124765. DOI: 10.1097/MD.0000000000038167.

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