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Bellwood, Paule

University of British Columbia

Changing human behaviour is complex, especially in the context of chronic disease management; it can present challenges to patients, providers, and the entire healthcare system. This dissertation was guided by the sociotechnical systems approach. It adapted and applied multiple methodologies to explore behaviour change at different levels of chronic disease management, specifically: the Lead User Method, the Theory of Distributed Cognition, sociotechnical systems theory, the Theoretical Domains Framework, Personas, i* Framework, and the Behaviour Change Technique Taxonomy v1. Methods used within the dissertation included semi-structured co-creative interviews and a rapid prototyping and co-design process. A primary aim of the dissertation was to document existing practice and inform behaviour change challenges for physical activity prescription in primary care. A secondary aim of the dissertation was to explore a theoretical and methodological basis for behaviour change strategies for physical activity prescription in primary care. A novel method was developed and piloted offering a practical way of addressing behaviour change interventions in primary care settings and viewing behaviour change within primary care from a sociotechnical systems perspective. It also provided a way to document and inform improvements to the process for prescribing physical activity in primary care by using a visual approach to the discussion where lead users co-design potential solutions to identified problems. The system-level goal model and behaviour change technique clusters were created to inform the potential design of an information technology tool that would support behaviour change interventions in primary care aimed at increasing physical activity levels as a way to manage non-communicable diseases. Future work stemming from this research has the potential to address the complexity of human behaviour change from a sociotechnical systems perspective both within different settings of primary care and beyond the context of primary care.

Text

2023-10-12

Attribution-NonCommercial-NoDerivatives 4.0 International

http://hdl.handle.net/2429/86138

Experimental Medicine

University of British Columbia

UBCV

http://creativecommons.org/licenses/by-nc-nd/4.0/