Development of a Theoretically Informed Web-Based Mind-Body Wellness Intervention for Patients With Primary Biliary...

Area of Science:

• Behavioral Science
• Health Psychology
• Chronic Disease Management

Background:

• Mind-body interventions show promise for managing primary biliary cholangitis (PBC) symptom burden.
• Theoretical frameworks enhance intervention effectiveness.
• The Behaviour Change Wheel (BCW) and BCTv1 offer structured approaches for intervention development.

Purpose of the Study:

• To describe the theory-guided development of a 12-week mind-body wellness intervention for PBC.
• To illustrate the application of the BCW framework in designing a patient-centered intervention.

Main Methods:

• Intervention development followed BCW steps: specifying target behaviors, identifying barriers/facilitators (Capability, Opportunity, Motivation, Behaviour), selecting intervention functions, and choosing behavior change techniques.
• Qualitative data from inflammatory bowel disease patients and a PBC patient advisory team informed development.

Main Results:

• Barriers and facilitators to intervention participation were identified across capability, opportunity, and motivation domains.
• Specific intervention functions and behavior change techniques were selected to address identified barriers and facilitators.

Conclusions:

• The Peace Power Pack PBC intervention was created to aid individuals with PBC in managing their symptom burden.
• The use of theoretical frameworks ensures targeted intervention components and standardized reporting.