The daily enactment of behavior change techniques among physically active university students with physical disabilities and chronic conditions

BACKGROUND: While behavior change techniques (BCTs) support physical activity (PA) behavior change, further examination aimed at understanding their enactment is needed. PURPOSE: This study aimed to examine the daily enactment of BCTs and the factors that impact their daily usage. METHODS: Using experience sampling methods, we sampled 53 university students (Mage = 22 years; SDage = 3.93 years) from McGill (n = 40) and Queen's (n = 13) University to examine BCT usage among university students with physical disabilities and chronic conditions. A daily online survey was delivered for 10 consecutive days where participants answered a checklist of 28 BCTs, a modified 6-item Capability, Opportunity, and Motivation (COM) questionnaire and questions on situational disruptions. Descriptive analysis summarized BCT usage, COM, and contextual factors. A generalized linear mixed model examined the relationship between demographic variables, COM, and contextual factors on the usage of BCTs. RESULTS: On average, participants used 11 BCTs daily, while 22 distinct BCTs were used over the 10 days. The most frequently used BCTs were task crafting and goal integration. The least used BCTs included self-monitoring and obtaining information on how to perform PA. Women were more likely than men to enact certain BCTs, while students with physical disabilities were less likely than those with chronic conditions to enact others. Participants reported higher daily capability and opportunity to use BCTs compared to motivation. Situational disruptions such as personal commitments (eg, work) followed by flare-ups (eg, pain) were frequently reported. Motivation and opportunity predicted the usage of 15 to 24 BCTs, while capability predicted the usage of 2 BCTs. CONCLUSION: Our findings provide valuable context on BCT enactment, thereby improving the structure of future PA behavior change interventions.

Behavior change · Checklist · Experience sampling method · Goal setting · Physical activity · Physical therapy · Situational ethics · Applied Psychology · Behavioral Health and Interventions · Health Policy Implementation Science · Medicine · Physical Activity and Health · Psychology · Social Psychology

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