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Developed by a team of health psychology researchers at The University of Manchester and The University of Liverpool.

Here is some of the foundational work underpinning the TENTPEGS tool kit.
  • Evaluations of change in health professional confidence and likelihood of using the TENTPEGS toolkit in practice.
  • Translation of the evidence-based identifying theory-aligned behavior change techniques into usable and useful communication tools for health professionals (i.e. to explain what these bullets are referring to).
  • Systematic reviews of existing behavior change interventions.
  • Qualitative work with health professionals and medical educators to identify existing barriers to engaging in effective behavior change talk in practice.
  • Exploration and tailoring of the TENTPEGS training to online and face-to-face training formats.

Chisholm A, Hart J, Mann K, Perry M, Duthie H, Rezvani L, Peters S. Investigating the feasibility and acceptability of health psychology-informed obesity training for medical students. Psychology, Health & Medicine 2016, 21:368-376.

Chisholm A, Hart J, Mann KV, Peters S. Development of a behavior change communication tool for medical students: The ‘Tent Pegs’ booklet. . Patient Education and Counseling 2013.

Chisholm A, Hart J, Mann KV, Harkness E, Peters S. Preparing medical students to facilitate lifestyle changes with obese patients: A systematic review of the literature. Academic Medicine 2012, 87:1 -12.

Fillingham A, Peters S, Chisholm A, Hart J. Early training in tackling patient obesity: A systematic review of nurse education. Nurse Education Today 2013.

Chisholm A, Hart J, Lam V, Peters S. Current challenges of behavior change talk for medical professionals and trainees. Patient Education and Counseling 2012, 87:389-394.

Chisholm A, Mann K, Peters S, Hart J. Are medical educators following General Medical Council guidelines on obesity education: if not why not? BMC Medical Education 2013, 13:53.

Hart J, Chisholm A, Furber C, Cutforth R, Mann K, Peters S. Online education about lifestyle behaviour change talk: Adaptation of a teaching session based on psychological theory (Tent Pegs). 2013.


TENTPEGS is a tool kit for health professionals to guide conversations with patients about making healthy lifestyle changes.