Review: lasting health behaviour changes began with critical self appraisal and small steps that led to an identity shift.

STUDY SELECTION AND ASSESSMENT Articles or dissertations were selected if they were qualitative reports, addressed turning points or a process of change in health behaviour over time, and were grounded in or supported by observational or verbatim qualitative data. 2 reviewers independently coded study findings in categories of main concept, pre-change influences, turning point, and steps in the change process. Categories were refined through discussion as inductive coding and analysis unfolded.