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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    38 addition
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    42 care
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    45 clarity
    46 clinicians
    47 consequences
    48 content
    49 credible sources
    50 cues
    51 cumulative science
    52 decision rules
    53 detail
    54 diabetes
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    56 effective implementation interventions
    57 efforts
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    59 environment
    60 example
    61 feedback
    62 goal setting
    63 guidelines
    64 health consequences
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    66 helpful means
    67 identification
    68 impact
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    76 knowledge
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    78 lack
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    82 objects
    83 outcomes
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    85 patient behavior
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    92 quarter
    93 random sample
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    103 specificity
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    105 study
    106 such studies
    107 support
    108 system
    109 system-level interventions
    110 systematic review
    111 taxonomy
    112 technique
    113 trials
    114 use
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