Exam 6: Developing Exercise Interventions: Part 2

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An interventionist wants to evaluate the impact of their intervention that aims to help people with diabetes get active in their community. The intervention is being delivered by staff at a recreation center. The interventionist wants to know if the staff are delivering the intervention as intended. What RE-AIM domain is the interventionist interested in evaluating?

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Name and describe two methods that an intervention designer could use to select BCTs to include in their intervention.

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1. Theoretical Framework: One method that an intervention designer could use to select Behavior Change Techniques (BCTs) is to start with a theoretical framework. By grounding the intervention in a well-established theory of behavior change, such as the Theory of Planned Behavior or the Transtheoretical Model, the designer can identify specific BCTs that align with the theoretical constructs. For example, if the theoretical framework emphasizes the importance of self-efficacy in behavior change, the designer could select BCTs such as goal setting, action planning, and self-monitoring to address this construct.

2. Evidence-Based Practice: Another method for selecting BCTs is to rely on evidence-based practice. This involves reviewing the existing literature and research to identify BCTs that have been shown to be effective in changing the target behavior. By conducting a thorough review of the literature, the intervention designer can identify BCTs that have been consistently associated with positive behavior change outcomes. This approach ensures that the intervention is based on the best available evidence and increases the likelihood of its effectiveness.

By using these methods, an intervention designer can systematically select BCTs that are theoretically and empirically grounded, increasing the likelihood of the intervention's success in promoting behavior change.

An exerciser decides to get a GPS-enabled device to help them track their runs. What BCT is the exerciser using?

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List and describe key features of behavior change techniques.

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What is a BCT taxonomy and why was it created?

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Carol has set an exercise goal of going to the gym for 30 minutes three days per week to run on the treadmill. To avoid the abstinence violation effect, what behavior change technique should Carol use?

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Brandon wants to set a New Year's goal to be more active. He has never trained to run before but decides he wants to run a full marathon in his home town on March 1st. According to SMART goals, what would be the concern with Brandon's goal?

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Which of the following is FALSE about behavior change techniques?

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Describe two different modes of delivery that an interventionist could use. Describe how these two modes of delivery would change how the BCT of 'self-monitoring' is implemented in an intervention.

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Describe the difference between a lapse and relapse. Provide an example of a lapse and a relapse.

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Which of the following is NOT a mode of delivery?

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When using a motivational interviewing approach, who is the expert in the interaction?

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A personal trainer asks their clients to pair exercise behaviors with cues. For example, they suggested that their clients set an alarm on their phone three times a day and do 10 squats every time the alarm goes off. Which BCT is the trainer using?

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An interventionist is using motivational interviewing to help a client get more physically active. The client says, "I do not know how I will fit exercise into my busy schedule." According to motivational interviewing, what is this statement an example of?

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Describe the four basic principles used in Motivational Interviewing to enhance intrinsic motivation to change?

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What is the abstinence violation effect? How can the BCT of reframing help avoid this effect?

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Describe two ways an interventionist can maximize the effectiveness of informational messages used to promote physical activity.

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After conducting a behavioral analysis, an interventionist decides to target the intervention function of modeling. Which of the following BCTs could the interventionist use to target this intervention function?

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An intervention was developed to support people with chronic pain to exercise at their local gym two days per week. The intervention is being delivered by personal trainers over the phone using a motivational interviewing approach. You have been asked to design a RE-AIM evaluation of the intervention. Define each RE-AIM domain and explain how you would evaluate each domain for this intervention.

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