{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:08:23Z","timestamp":1788959303290,"version":"build-2803163510"},"reference-count":69,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"unspecified","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009360","name":"King\u2019s College London","doi-asserted-by":"publisher","award":["NA"],"award-info":[{"award-number":["NA"]}],"id":[{"id":"10.13039\/100009360","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/R020876\/1"],"award-info":[{"award-number":["MR\/R020876\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,28]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Non-communicable diseases (NCDs) are major contributors to morbidity and mortality in Thailand, yet the effectiveness of lifestyle counselling within routine practice is underexplored. This rapid realist review examined how, for whom and under what circumstances lifestyle counselling supports behaviour change among Thai adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Rapid realist review following guidance from the Realist and Meta-narrative Evidence Synthesis: Evolving Standards (RAMESES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Lifestyle counselling and health-coaching interventions for NCD prevention and management delivered in Thai primary care, community settings or digitally supported programmes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Six international and Thai databases (Scopus, Google Scholar, ProQuest, PubMed, EMBASE (Ovid) and ThaiJo) were searched for studies published between 2005 and 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>Empirical studies involving adults (\u226518 years) in Thailand that described lifestyle counselling or coaching interventions for NCD-related prevention or management and reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>Data were extracted to identify contexts (C), mechanisms (M), outcomes (O) and equity considerations. These were synthesised into context\u2013mechanism\u2013outcome configurations (CMOCs) and helped to form programme theories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>16 studies were included. 19 explanatory configurations were identified across six mechanisms: self-efficacy, social support, motivation, accountability, emotional resilience and relevance and engagement. These mechanisms and programme theories (PTs) were supported by family-centred education, routine self-monitoring with feedback, culturally or literacy-tailored materials and brief stress-regulation strategies. Barriers included low health and digital literacy, conflicting norms, short programme duration and rural workforce constraints. Facilitators included plain-language materials, low-tech or hybrid follow-up, co-designed dietary strategies and task-sharing with village health volunteers and family members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This rapid realist review identified six PTs, suggesting that the operation of lifestyle counselling interventions for non-communicable diseases in Thailand may be influenced by cultural norms, family and community support, village health volunteers and health service capacity. The findings highlight the potential importance of sustained follow-up, cultural and literacy tailoring and accessible modes of delivery in supporting behaviour change and self-management across different contexts. These PTs provide insight into how lifestyle counselling may operate in Thailand and may inform future research and the refinement of lifestyle counselling interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-115071","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T12:40:21Z","timestamp":1788957621000},"page":"e115071","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["How lifestyle counselling supports behaviour change among Thai adults with non-communicable diseases: a rapid realist review"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9337-4843","authenticated-orcid":false,"given":"Bonan","family":"Chen","sequence":"first","affiliation":[{"name":"Institution of Psychiatry, Psychology and Neuroscience, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4206-9164","authenticated-orcid":false,"given":"Chaisiri","family":"Angkurawaranon","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2991-2578","authenticated-orcid":false,"given":"Iliatha","family":"Papachristou Nadal","sequence":"additional","affiliation":[{"name":"Division of Care in Long Term Conditions, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"2026090905401396000_16.9.e115071.1","unstructured":"World Health Organization . 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Thailand\u2019s 1 million village health volunteers \u2013 \u201cunsung heroes\u201d \u2013 are helping guard communities nationwide from COVID-19. Geneva World Health Organization; 2025. Available: https:\/\/www.who.int\/thailand\/news\/feature-stories\/detail\/thailands-1-million-village-health-volunteers-unsung-heroes-are-helping-guard-communities-nationwide-from-covid-19"},{"key":"2026090905401396000_16.9.e115071.24","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph182010782","article-title":"Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand","volume":"18","author":"Sritart","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2026090905401396000_16.9.e115071.25","first-page":"187","article-title":"Thailand\u2019s Challenges of Achieving Health Equity in the Era of Non-Communicable Disease","volume":"26","author":"Potempa","year":"2022","journal-title":"Pac Rim Int J Nurs Res"},{"key":"2026090905401396000_16.9.e115071.26","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302041r"},{"key":"2026090905401396000_16.9.e115071.27","doi-asserted-by":"publisher","DOI":"10.1037\/a0024509"},{"key":"2026090905401396000_16.9.e115071.28","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmac004"},{"key":"2026090905401396000_16.9.e115071.29","unstructured":"Bandura A . Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs (NJ): Prentice Hall, 1986."},{"key":"2026090905401396000_16.9.e115071.30","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1037\/a0012801","article-title":"Self-determination theory: A macrotheory of human motivation, development, and health","volume":"49","author":"Deci","year":"2008","journal-title":"Canadian Psychology \/ Psychologie Canadienne"},{"key":"2026090905401396000_16.9.e115071.31","doi-asserted-by":"publisher","DOI":"10.1258\/1355819054308530"},{"key":"2026090905401396000_16.9.e115071.32","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-8-103"},{"key":"2026090905401396000_16.9.e115071.33","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-11-21"},{"key":"2026090905401396000_16.9.e115071.34","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-069765","article-title":"Circumstances that promote social connectedness in older adults participating in intergenerational programmes with adolescents: a realist review","volume":"13","author":"Simionato","year":"2023","journal-title":"BMJ Open"},{"key":"2026090905401396000_16.9.e115071.35","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1177\/17449871241261668","article-title":"The effect of a self-management programme on blood pressure levels among people with hypertension: a randomised controlled trial","volume":"29","author":"Polsook","year":"2024","journal-title":"J Res Nurs"},{"key":"2026090905401396000_16.9.e115071.36","unstructured":"Prajaknate P , Kachentawa K . Self-management of Individuals with Noncommunicable Diseases during Covid-19: The Role of eHealth Literacy, Self-efficacy, Social Support, Perceived Risk and Health Information Seeking Behavior. NIDA Dev J 2022. 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The effects of meditation-healing exercise in elderly who are living with non-communicable disease in bangkok and surabaya. 2019."},{"key":"2026090905401396000_16.9.e115071.43","unstructured":"Chotisiri L , Trongsakul T , Yamarat K , et al . The effects of integrated laughter, mild physical activity and dietary self-control on blood pressure and serum lipid profile among hypertensive patients in community-based care, Pathum Thani. Thailand J Health Res 2017;241\u20138. 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Motivating ncds patients with better dietary experience. In: Experiencing and Envisioning Food. Boca Raton: CRC Press, 2024: 63\u20138.","DOI":"10.1201\/9781003386858-9"},{"key":"2026090905401396000_16.9.e115071.50","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.diabres.2016.11.013","article-title":"Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes","volume":"123","author":"Wichit","year":"2017","journal-title":"Diabetes Res Clin Pract"},{"key":"2026090905401396000_16.9.e115071.51","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.08.015"},{"key":"2026090905401396000_16.9.e115071.52","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1007\/s11096-022-01389-5","article-title":"Family support-based intervention using a mobile application provided by pharmacists for older adults with diabetes to improve glycaemic control: a randomised controlled trial","volume":"44","author":"Poonprapai","year":"2022","journal-title":"Int J Clin Pharm"},{"key":"2026090905401396000_16.9.e115071.53","doi-asserted-by":"crossref","first-page":"1447747","DOI":"10.3389\/fpubh.2024.1447747","article-title":"Factors influencing digital health literacy among older adults: a scoping review","volume":"12","author":"Shi","year":"2024","journal-title":"Front Public Health"},{"key":"2026090905401396000_16.9.e115071.54","doi-asserted-by":"crossref","unstructured":"Sriprachot N , Seangpraw K , Ong-Artborirak P . . 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