Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities

Annelies Overwijk; Annette A.J. van der Putten; Cees P. van der Schans; Mariël Willems; Thessa I.M. Hilgenkamp; Aly Waninge

doi:10.1111/jar.12845

Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities

Annelies Overwijk^*, Annette A.J. van der Putten, Cees P. van der Schans, Mariël Willems, Thessa I.M. Hilgenkamp, Aly Waninge

^*Corresponding author for this work

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Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Background: Behaviour change techniques (BCTs) can be employed to support a healthy lifestyle for people with intellectual disabilities. The aim of this study is to determine whether and which BCTs are used by direct support professionals (DSPs) for supporting healthy lifestyle behaviour of people with moderate to profound intellectual disabilities. Method: Direct support professionals (n = 18) were observed in their daily work using audio-visual recordings. To code BCTs, the Coventry Aberdeen London Refined (CALO-RE-NL) taxonomy was employed. Results: Direct support professionals used 33 BCTs out of 42. The most used BCTs were as follows: ‘feedback on performance’, ‘instructions on how to perform the behaviour’, ‘doing together’, ‘rewards on successful behaviour’, ‘reward effort towards behaviour’, ‘DSP changes environment’, ‘graded tasks’, ‘prompt practice’ and ‘model/demonstrate behaviour’. Conclusions: Although a variety of BCTs is used by DSPs in their support of people with moderate to profound intellectual disabilities when facilitating healthy lifestyle behaviour, they rely on nine of them.

Original language	English
Pages (from-to)	1048-1056
Number of pages	9
Journal	Journal of Applied Research in Intellectual Disabilities
Volume	34
Issue number	4
DOIs	https://doi.org/10.1111/jar.12845
Publication status	Published - Jul 2021

Bibliographical note

Funding information: This study was funded by the Dutch organization for health research and development, ZonMw, in the program ‘Gewoon Bijzonder, Nationaal Programma Gehandicapten’ (grant number: 80-84500-98-118) and the ‘Innovatie Werkplaats Active Ageing van mensen met VB’, a collaboration between the Hanze University of Applied Sciences, Alfa-college, and care provider organizations for people with intellectual disabilities.

Publisher Copyright:
© 2020 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd

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Overwijk, A., van der Putten, A. A. J., van der Schans, C. P., Willems, M., Hilgenkamp, T. I. M., & Waninge, A. (2021). Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 34(4), 1048-1056. https://doi.org/10.1111/jar.12845

@article{d07b0f733e13417396143ba525debaf0,

title = "Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities",

abstract = "Background: Behaviour change techniques (BCTs) can be employed to support a healthy lifestyle for people with intellectual disabilities. The aim of this study is to determine whether and which BCTs are used by direct support professionals (DSPs) for supporting healthy lifestyle behaviour of people with moderate to profound intellectual disabilities. Method: Direct support professionals (n = 18) were observed in their daily work using audio-visual recordings. To code BCTs, the Coventry Aberdeen London Refined (CALO-RE-NL) taxonomy was employed. Results: Direct support professionals used 33 BCTs out of 42. The most used BCTs were as follows: {\textquoteleft}feedback on performance{\textquoteright}, {\textquoteleft}instructions on how to perform the behaviour{\textquoteright}, {\textquoteleft}doing together{\textquoteright}, {\textquoteleft}rewards on successful behaviour{\textquoteright}, {\textquoteleft}reward effort towards behaviour{\textquoteright}, {\textquoteleft}DSP changes environment{\textquoteright}, {\textquoteleft}graded tasks{\textquoteright}, {\textquoteleft}prompt practice{\textquoteright} and {\textquoteleft}model/demonstrate behaviour{\textquoteright}. Conclusions: Although a variety of BCTs is used by DSPs in their support of people with moderate to profound intellectual disabilities when facilitating healthy lifestyle behaviour, they rely on nine of them.",

author = "Annelies Overwijk and {van der Putten}, {Annette A.J.} and {van der Schans}, {Cees P.} and Mari{\"e}l Willems and Hilgenkamp, {Thessa I.M.} and Aly Waninge",

note = "Funding information: This study was funded by the Dutch organization for health research and development, ZonMw, in the program {\textquoteleft}Gewoon Bijzonder, Nationaal Programma Gehandicapten{\textquoteright} (grant number: 80-84500-98-118) and the {\textquoteleft}Innovatie Werkplaats Active Ageing van mensen met VB{\textquoteright}, a collaboration between the Hanze University of Applied Sciences, Alfa-college, and care provider organizations for people with intellectual disabilities. Publisher Copyright: {\textcopyright} 2020 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd",

year = "2021",

month = jul,

doi = "10.1111/jar.12845",

language = "English",

volume = "34",

pages = "1048--1056",

journal = "Journal of Applied Research in Intellectual Disabilities",

issn = "1360-2322",

publisher = "Wiley-Blackwell Publishing Ltd",

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Overwijk, A, van der Putten, AAJ, van der Schans, CP, Willems, M, Hilgenkamp, TIM & Waninge, A 2021, 'Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities', Journal of Applied Research in Intellectual Disabilities, vol. 34, no. 4, pp. 1048-1056. https://doi.org/10.1111/jar.12845

Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities. / Overwijk, Annelies; van der Putten, Annette A.J.; van der Schans, Cees P. et al.
In: Journal of Applied Research in Intellectual Disabilities, Vol. 34, No. 4, 07.2021, p. 1048-1056.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities

AU - Overwijk, Annelies

AU - van der Putten, Annette A.J.

AU - van der Schans, Cees P.

AU - Willems, Mariël

AU - Hilgenkamp, Thessa I.M.

AU - Waninge, Aly

N1 - Funding information: This study was funded by the Dutch organization for health research and development, ZonMw, in the program ‘Gewoon Bijzonder, Nationaal Programma Gehandicapten’ (grant number: 80-84500-98-118) and the ‘Innovatie Werkplaats Active Ageing van mensen met VB’, a collaboration between the Hanze University of Applied Sciences, Alfa-college, and care provider organizations for people with intellectual disabilities. Publisher Copyright: © 2020 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd

PY - 2021/7

Y1 - 2021/7

N2 - Background: Behaviour change techniques (BCTs) can be employed to support a healthy lifestyle for people with intellectual disabilities. The aim of this study is to determine whether and which BCTs are used by direct support professionals (DSPs) for supporting healthy lifestyle behaviour of people with moderate to profound intellectual disabilities. Method: Direct support professionals (n = 18) were observed in their daily work using audio-visual recordings. To code BCTs, the Coventry Aberdeen London Refined (CALO-RE-NL) taxonomy was employed. Results: Direct support professionals used 33 BCTs out of 42. The most used BCTs were as follows: ‘feedback on performance’, ‘instructions on how to perform the behaviour’, ‘doing together’, ‘rewards on successful behaviour’, ‘reward effort towards behaviour’, ‘DSP changes environment’, ‘graded tasks’, ‘prompt practice’ and ‘model/demonstrate behaviour’. Conclusions: Although a variety of BCTs is used by DSPs in their support of people with moderate to profound intellectual disabilities when facilitating healthy lifestyle behaviour, they rely on nine of them.

AB - Background: Behaviour change techniques (BCTs) can be employed to support a healthy lifestyle for people with intellectual disabilities. The aim of this study is to determine whether and which BCTs are used by direct support professionals (DSPs) for supporting healthy lifestyle behaviour of people with moderate to profound intellectual disabilities. Method: Direct support professionals (n = 18) were observed in their daily work using audio-visual recordings. To code BCTs, the Coventry Aberdeen London Refined (CALO-RE-NL) taxonomy was employed. Results: Direct support professionals used 33 BCTs out of 42. The most used BCTs were as follows: ‘feedback on performance’, ‘instructions on how to perform the behaviour’, ‘doing together’, ‘rewards on successful behaviour’, ‘reward effort towards behaviour’, ‘DSP changes environment’, ‘graded tasks’, ‘prompt practice’ and ‘model/demonstrate behaviour’. Conclusions: Although a variety of BCTs is used by DSPs in their support of people with moderate to profound intellectual disabilities when facilitating healthy lifestyle behaviour, they rely on nine of them.

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DO - 10.1111/jar.12845

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SN - 1360-2322

VL - 34

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JO - Journal of Applied Research in Intellectual Disabilities

JF - Journal of Applied Research in Intellectual Disabilities

IS - 4

ER -

Use of behaviour change techniques by direct support professionals to support healthy lifestyle behaviour for people with moderate to profound intellectual disabilities

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