Dear David,



You've just outed another lurker...



I was part of a team that recently provided Public Health England with advice on behaviour change. In part, we had to identify 'active ingredients' in effective interventions. We found Michie's work on Behaviour Change Techniques to be a useful route in (e.g. http://www.ncbi.nlm.nih.gov/pubmed/21678185).



The middling nature of the theories involved - e.g. setting goals, self-monitoring, reviewing progress, etc - was very useful to us. They also seem to be a bit closer to the ground than those mentioned in your email.



All the best,



Fraser Battye



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-----Original Message-----

From: Realist and Meta-narrative Evidence Synthesis: Evolving Standards [mailto:[log in to unmask]] On Behalf Of Geoff Wong

Sent: 12 February 2014 12:25

To: [log in to unmask]

Subject: Middle-range theories for behavioural change



I've moved this message across from another thread so the all replies on it are located in one place.

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Hi All,







Another “lurker” stepping out of the shadows for the first time on this platform, prompted by this most recent thread.







I am an academic GP in Glasgow using realist synthesis for my PhD on the role of primary care in the management of co-morbid obesity. My focus is on interventions aimed at primary healthcare professionals to increase the identification and referral of individuals with obesity and obesity-related co-morbidities (what works, for whom, why, etc).  I am still in the early “initial programme theory” stage, but am struggling to find a suitable mid-range theory of behaviour change.  I know that O’Campo et al (2011) found that social cognitive theory fitted well with their conceptual framework in interventions to increase intimate partner violence screening and referral, but this is quite a different context.  I am also considering candidacy theory (Dixon-Woods et al, 2006), which describes the ways in which people's eligibility for medical attention and intervention is jointly negotiated between individuals and health services and includes the role of health professionals in acknowledging, or not, someone's "right" to be supported and referred and how prior encounters with health services influence patients' future help-seeking behaviour.  It is not, however, a theory of behaviour change as such…







Any thoughts or suggestions gratefully received.







Best wishes,



David







Dr David N Blane

CSO Clinical Academic Fellow in General Practice



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