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Navigating behavioural change: insights from prompts self-authored by individuals during a digital multiple health behaviour intervention trial
RISE Research Institutes of Sweden, Bioeconomy and Health, Food Research and Innovation. RISE Research Institutes of Sweden, Bioeconomy and Health, Sustainable Materials and Packaging. Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.ORCID iD: 0000-0002-4730-6328
Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Sweden, Department of Medical Specialist, Motala Hospital, Sweden.
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2025 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 384, article id 118599Article in journal (Refereed) Published
Abstract [en]

Digital multiple health behaviour interventions could reduce the prevalence of behavioural risk factors for several non-communicable diseases, but their design could be improved through better understanding of how individuals navigate behavioural change. Using a mixed-methods approach, this study evaluated 2657 prompts that were written by individuals (N = 722) for their personal use while taking part in a digital multiple health behaviour intervention trial. This unique data reflects individuals’ thoughts and feelings whilst actively trying to change, rather than post-hoc descriptions or explanations thereof. Inductive qualitative analysis was used to evaluate the prompts and extract themes within the material; then correspondence analysis was used to test whether these themes manifested differently across four behavioural categories (alcohol consumption, tobacco use, healthy diet, physical activity). Six main themes, each with subthemes, were identified (Encouragement & Motivation, Implementing Change, Self-Focus, Mindset, Negotiation Style, and Specific Motives), which reflect nuances in the concept of self-regulation and align well with behavioural change theory. People favoured different approaches to change depending on the target behavioural category, which were broadly discriminated by dimensions of action vs inaction and external/impersonal vs internal/personal focus. This work reveals the various ways individuals approach and navigate changing their health behaviours. Inclusion of self-authoring modules in digital interventions may offer individuals an opportunity to develop skills and know-how gained through intervention engagement, and remind themselves of personal reasons to change.

Place, publisher, year, edition, pages
Elsevier Ltd , 2025. Vol. 384, article id 118599
Keywords [en]
Behavioural change, Digital intervention, Health, Mixed methods, Self-efficacy, Self-regulation, Thematic analysis, lifestyle, noncommunicable disease, public health, risk factor, alcohol consumption, Article, autoregulation, behavior change, change theory, controlled study, correspondence analysis, female, health behavior, healthy diet, human, intervention study, male, motivation, physical activity, prevalence, qualitative analysis, adult, drinking behavior, exercise, health promotion, middle aged, procedures, psychology, qualitative research, Alcohol Drinking, Humans
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:ri:diva-79347DOI: 10.1016/j.socscimed.2025.118599Scopus ID: 2-s2.0-105016483857OAI: oai:DiVA.org:ri-79347DiVA, id: diva2:2017331
Funder
Swedish Cancer Society, Cancerfonden, 20 0883 Pj; 23 2888 Pj; PI: Marcus BendtsenForte, Swedish Research Council for Health, Working Life and Welfare, 2018-01410
Note

Article; Granskad

This study was funded by The Swedish Cancer Society (Cancerfonden, 20 0883 Pj; 23 2888 Pj; PI: Marcus Bendtsen) and is an extension of the MoBILE research program which is funded by the Swedish Research Council for Health, Working Life and Welfare (Grant number 2018-01410).

Available from: 2025-11-28 Created: 2025-11-28 Last updated: 2025-12-22Bibliographically approved

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Collier, Elizabeth S

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