Using a behaviour change techniques taxonomy to identify active ingredients within trials of implementation interventions for diabetes care View Full Text


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Article Info

DATE

2015-04-23

AUTHORS

Justin Presseau, Noah M Ivers, James J Newham, Keegan Knittle, Kristin J Danko, Jeremy M Grimshaw

ABSTRACT

BackgroundMethodological guidelines for intervention reporting emphasise describing intervention content in detail. Despite this, systematic reviews of quality improvement (QI) implementation interventions continue to be limited by a lack of clarity and detail regarding the intervention content being evaluated. We aimed to apply the recently developed Behaviour Change Techniques Taxonomy version 1 (BCTTv1) to trials of implementation interventions for managing diabetes to assess the capacity and utility of this taxonomy for characterising active ingredients.MethodsThree psychologists independently coded a random sample of 23 trials of healthcare system, provider- and/or patient-focused implementation interventions from a systematic review that included 142 such studies. Intervention content was coded using the BCTTv1, which describes 93 behaviour change techniques (BCTs) grouped within 16 categories. We supplemented the generic coding instructions within the BCTTv1 with decision rules and examples from this literature.ResultsLess than a quarter of possible BCTs within the BCTTv1 were identified. For implementation interventions targeting providers, the most commonly identified BCTs included the following: adding objects to the environment, prompts/cues, instruction on how to perform the behaviour, credible source, goal setting (outcome), feedback on outcome of behaviour, and social support (practical). For implementation interventions also targeting patients, the most commonly identified BCTs included the following: prompts/cues, instruction on how to perform the behaviour, information about health consequences, restructuring the social environment, adding objects to the environment, social support (practical), and goal setting (behaviour). The BCTTv1 mapped well onto implementation interventions directly targeting clinicians and patients and could also be used to examine the impact of system-level interventions on clinician and patient behaviour.ConclusionsThe BCTTv1 can be used to characterise the active ingredients in trials of implementation interventions and provides specificity of content beyond what is given by broader intervention labels. Identification of BCTs may provide a more helpful means of accumulating knowledge on the content used in trials of implementation interventions, which may help to better inform replication efforts. In addition, prospective use of a behaviour change techniques taxonomy for developing and reporting intervention content would further aid in building a cumulative science of effective implementation interventions. More... »

PAGES

55

References to SciGraph publications

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  • 2014-05-24. Improving Diabetes care through Examining, Advising, and prescribing (IDEA): protocol for a theory-based cluster randomised controlled trial of a multiple behaviour change intervention aimed at primary healthcare professionals in IMPLEMENTATION SCIENCE
  • <error retrieving object. in <ERROR RETRIEVING OBJECT
  • 2012-11-15. Are Interventions to Promote Sun-Protective Behaviors in Recreational and Tourist Settings Effective? A Systematic Review with Meta-analysis and Moderator Analysis in ANNALS OF BEHAVIORAL MEDICINE
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    http://scigraph.springernature.com/pub.10.1186/s13012-015-0248-7

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    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1043774873

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25900104


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    37 active ingredients
    38 addition
    39 behavior
    40 behaviour change techniques
    41 capacity
    42 care
    43 categories
    44 change techniques
    45 clarity
    46 clinicians
    47 consequences
    48 content
    49 credible sources
    50 cues
    51 cumulative science
    52 decision rules
    53 detail
    54 diabetes
    55 diabetes care
    56 effective implementation interventions
    57 efforts
    58 emphasise
    59 environment
    60 example
    61 feedback
    62 goal setting
    63 guidelines
    64 health consequences
    65 healthcare system
    66 helpful means
    67 identification
    68 impact
    69 implementation interventions
    70 information
    71 ingredients
    72 instruction
    73 intervention
    74 intervention content
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    76 knowledge
    77 labels
    78 lack
    79 lack of clarity
    80 literature
    81 means
    82 objects
    83 outcomes
    84 outcomes of behavior
    85 patient behavior
    86 patients
    87 possible behavior change techniques
    88 prompts/cues
    89 prospective use
    90 providers
    91 psychologists
    92 quarter
    93 random sample
    94 replication efforts
    95 review
    96 rules
    97 samples
    98 science
    99 setting
    100 social environment
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    102 source
    103 specificity
    104 specificity of content
    105 study
    106 such studies
    107 support
    108 system
    109 system-level interventions
    110 systematic review
    111 taxonomy
    112 technique
    113 trials
    114 use
    115 utility
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