Present knowledge and future directions: Musings on GMCB interventions

Abstract

Much of the research on group-mediated cognitive behavioural interventions (GMCB) suggests that they are effective at increasing physical activity (PA) adherence, improving physical function, and enhancing social cognitive outcomes across diverse populations (e.g., sedentary older adults, postnatal mothers, and spinal cord injury patients). The use of cognitive-behavioural and group dynamics models to produce social-cognitive and behavioural change follows the recommendations of Cartwright (1951), Bandura (1997), Meichenbaum & Turk, (1987) and the PA intervention literature (e.g., Artinian et al, 2010). Despite GMCB's potential as a PA intervention, questions remain regarding its widespread application. For example, is the GMCB amenable to knowledge translation (KT), the dynamic process by which research findings are integrated into everyday practice? Glasgow and Emmons (2007) suggest potential barriers to successful KT implementation of health-related interventions fall under three categories: (1) intervention characteristics, (2) characteristics of the target setting, and (3) research design. GMCB KT will be discussed relative to these. Some GMCB characteristics make it attractive for implementation, but do barriers constrain this potential? Feasibility of the GMCB model to overcome common KT barriers will be examined. Directions for future GMCB research will be offered (e.g., measuring cohesion/collaboration; persistence).

Acknowledgments: Supported by Canada Research Chair Training Fund