Table 1 Components of the online training programme and their relationship to constructs within the theory of planned behaviour and social cognitive theory
Module | Form and information content | Theoretical constructs | Behaviour change techniques |
|---|---|---|---|
Module 1: introduction to MaMT2D | Video recording of a professor of movement and metabolism introducing the programme and providing details of how and why MaMT2D was developed. Video recording of a consultant diabetologist and a diabetes specialist nurse providing an overview of why PA is important for the management of T2D | Symbolising (SCT) Attitudes and beliefs (TPB) Subjective norms (TPB) | Provide information on the consequences of behaviour in general (1) |
Modules 3 (metabolism and type 2 diabetes), 4 (physical activity in the care of type 2 diabetes) and 5 (physical activity and exercise) | Evidence-based information about the role of metabolism, PA and exercise in the context of type 2 diabetes | Symbolising (SCT) Attitudes/beliefs (TPB) Forethought (SCT) Intention (TPB) | Provide information on the consequences of behaviour in general (1) Provide feedback on performance (19) |
Module 6: using psychology to change physical activity behaviour | Evidence-based information on the use of psychological theory and theory-linked behaviour change techniques and counselling skills to change PA behaviour | Attitudes/beliefs (TPB) Forethought (SCT) Intention (TPB) | Provide information on the consequences of behaviour in general (1) |
Module 7: using behaviour change techniques to increase physical activity behaviour | Video demonstrations of a diabetes specialist nurse demonstrating the use of behaviour change techniques and behaviour change counselling techniques in practice with a mock patient | Symbolising (SCT) Observational Learning (SCT) Perceived Behavioural Control (TPB) and Self-efficacy (SCT) Subjective norms (TPB) | Self-monitoring of behaviour (16) Provide instruction on how to perform the behaviour (21) Model/demonstrate the behaviour (22) Environmental restructuring (24) Prompt practice (26) Motivational interviewing (37) General communication skills training (39) |
Module 8: screening before physical activity | Flowchart diagram demonstrating how to screen adults with T2D prior to PA/exercise | Self-regulation (SCT) Perceived behavioural control (TPB) and self-efficacy (SCT) | Provide instruction on how to perform the behaviour (21) |
End of modules 3, 4 and 5 quiz questions | Provides feedback on performance | Perceived behavioural control (TPB) and self-efficacy (SCT) | Provide feedback on performance (19) Provide rewards contingent on successful behaviour (12) |
Flowchart summary (crib sheet with prompts) of the protocol for use of the patient toolkit during diabetes review appointments | Prompts for healthcare professionals to use specific behaviour change skills and techniques | Symbolising (SCT) Perceived behavioural control (TPB) and self-efficacy (SCT) Intention (TPB) Self-regulation (SCT) | Teach to use prompts or cues (23) |