scholarly journals Using the Behaviour Change Wheel to identify barriers and enablers to the delivery of webchat counselling for young people

2021 ◽  
Author(s):  
Maria Giulia Richiello ◽  
Geoffrey Mawdsely ◽  
Leslie Morrison Gutman
Keyword(s):  
Young People ◽  
Behaviour Change ◽  
Barriers And Enablers ◽  
Behaviour Change Wheel

scholarly journals Barriers and enablers to influenza vaccination uptake in adults with chronic respiratory conditions: Applying the behaviour change wheel to specify multi-levelled tailored intervention content

2020 ◽  
Author(s):  
Allyson J Gallant ◽  
Paul Flowers ◽  
Karen Deakin ◽  
Nicola Cogan ◽  
Susan Rasmussen ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Behaviour Change ◽  
Vaccine Uptake ◽  
List Type ◽  
Factors Affecting ◽  
Vaccination Uptake ◽  
Barriers And Enablers ◽  
Behaviour Change Wheel ◽  
Intervention Content ◽  
Multi Level

AbstractObjectivesTo specify future intervention content to enhance influenza vaccination uptake using the Behaviour Change Wheel (BCW).DesignCross-sectional, multi-modal data collection and subsequent behaviourally informed analysis and expert stakeholder engagement.MethodsContent analysis was initially used to identify barriers and enablers to influenza vaccination from nine semi-structured focus groups, 21 individual interviews and 101 open-ended survey responses. Subsequently, the Theoretical Domains Framework (TDF) and the BCW were used to specify evidence-based and theoretically-informed future intervention content in the form of preliminary recommendations. Finally, drawing on the APEASE criteria, expert stakeholders refined our recommendations to yield a range of multi-levelled potentially actionable ideas.ResultsThe TDF domain of ‘Beliefs about Consequences’ was the most frequently mapped domain with themes relating to ‘perceptions of side effects (barrier)’ and ‘feeling protected from catching flu (enabler)’. The next most important domain was ‘Environmental Context and Resources’ with themes relating to ‘time constraints (barrier)’ and ‘receiving reminders to vaccinate (enabler)’. Next, ‘Social Influences’ was identified with themes relating to ‘encouragement from others (enabler)’, followed by ‘Emotion’ with themes relating to ‘fear of needles (barrier)’. These factors mapped to seven of the nine intervention functions and 22 identified behaviour change techniques (BCTs). Stakeholders reduced an initial 26 recommendations to 21.ConclusionsOur comprehensive analyses showed that the factors affecting vaccine uptake were multifaceted and multileveled. The study suggested a suite of complementary multi-level intervention components may usefully be combined to enhance vaccination uptake involving a range of diverse actors, intervention recipients and settings.Statement of ContributionWhat is already known on this subject?Uptake of the influenza vaccination in those with an “at-risk” health condition is low and has been decreasing year on year.The reasons for vaccine hesitancy are complex and involve psychological, social and contextual factors.There is a lack of theory-based intervention content aimed at increasing influenza vaccination uptake.What does this study add?This study showed that the factors affecting vaccine uptake were multifaceted and multileveled. They could be theorised as relating to the TDF domains of ‘Beliefs about Consequences’, ‘Environmental Context and Resources’, ‘Social Influences’ and ‘Emotion’.With the help of key stakeholders the study suggested a suite of complementary multi-level intervention components may be most useful to enhance vaccination compliance involving a range of diverse actors, intervention recipients and settings.Mass and social media interventions, and interactions between recipients and healthcare providers should include clear and concise information about vaccine side-effects and directly address misinformation. Community-based vaccination delivery methods should be enhanced by modifying traditional and adopting novel approaches.

scholarly journals Breaking through the barriers to recruit research participants in community settings: a qualitative exploration using the Theoretical Domains Framework and Behaviour Change Wheel

2020 ◽  
Author(s):  
Jennie Rose ◽  
Jane Akister ◽  
Fiona Maxton ◽  
Sarah Anne Redsell
Keyword(s):  
Behaviour Change ◽  
Service User ◽  
Theoretical Domains Framework ◽  
Professional Role ◽  
Service Users ◽  
Barriers And Enablers ◽  
Behaviour Change Wheel ◽  
Health Visitors ◽  
Community Midwives ◽  
Specific Barriers

Abstract Background Recruitment of pregnant or postnatal women and young families into health research is a challenge. Community midwives and health visitors are well placed to invite service users to participate, but evidence suggests that they do not always invite all potentially eligible service users. Our aim was to use the Theoretical Domains Framework to explore health visitors’ and community midwives’ perceived barriers and enablers to approaching service users about participation in research and to use the Behaviour Change Wheel to suggest theory-based strategies to improve future recruitment. Methods Health visitors and community midwives working in four NHS Trusts and one community partnership in England were invited to complete an anonymous, online survey. The sample comprised health visitors (n=39) and community midwives (n=22). Qualitative data from open-ended questions about recruitment behaviour informed by the Theoretical Domains Framework were analysed using directed content analysis and inductive coding to identify salient Theoretical Domains Framework domains and specific barriers and enablers. Strategies to address these barriers and enablers were identified using the Behaviour Change Wheel. Results Six key Theoretical Domains Framework domains were identified as salient to service user approach: (a) environmental context and resources; (b) social/professional role and identity; (c) social influences; (d) goals; (e) beliefs about capabilities; (f) knowledge. Intervention strategies were identified to address specific barriers (insufficient time and staff capacity, inadequate study materials, rejection of the study’s relevance to practitioners’ role, negative influence of researchers and managers, and competing priorities) and to leverage specific enablers (additional staff resource, the relevance of service user approach to professional role, positive influence of team members, managers and researchers, and a belief in the link between service user approach and improvements in healthcare). Conclusions This study provides new insights into why community midwives and health visitors do, and do not, invite service users to participate in research. Using the Theoretical Domains Framework and the Behaviour Change Wheel we identified that resourcing and social support for staff together with education and communication about the health benefits of approaching service users about research participation are key to improving research recruitment involving these health professionals.

scholarly journals Improving centre-based group exercise participation of older adults using the behaviour change wheel

2021 ◽  
Vol 10 (1) ◽  
pp. e001078
Author(s):  
Boon Chong Kwok ◽  
Wai Pong Wong ◽  
Louisa Remedios
Keyword(s):  
Older Adults ◽  
Behaviour Change ◽  
Participation Rate ◽  
Community Dwelling ◽  
Participation Rates ◽  
Group Exercise ◽  
Exercise Participation ◽  
Behaviour Change Wheel ◽  
Wheel Model ◽  
Community Dwelling Older Adults

An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Based on a needs analysis from a prior project, this paper reports on strategies implemented to improve the daily centre-based group exercise participation rate among community-dwelling older adults. Using the behaviour change wheel model, participant motivation domains were identified as primary gaps, while the psychological capability and physical opportunity were categorised as secondary gaps. A logic model was used to design a project to respond to these identified gaps and guide the evaluation approach. Three strategies were implemented over a 4-week period and reviewed at 6 months: (1) promotion of the exercise classes, (2) delayed rewards for participation and (3) health ambassadors. Evaluation findings highlighted that more resources were needed for the training of community-dwelling older adult healthcare ambassadors in the use of motivational interviewing. The interventions were found to be efficacious in increasing daily group exercise participation rate at the centre, from an average of three to nine participants per day over the 4 weeks. Furthermore, more than 60% of these participants achieved the WHO’s weekly minimum exercise recommendation for older adults (150 min moderate-intensity physical activity). To increase the engagement of older adults in physical activity or exercise participation, we recommend the use of behaviour change wheel model and the use of community-based health ambassadors. In conclusion, the project found improved daily centre-based group physical exercise participation rates when all the domains in the behaviour change wheel model were addressed.

‘No one ever asked us’: a feasibility study assessing the co-creation of a physical activity programme with adolescent girls

2019 ◽  
Vol 27 (3) ◽  
pp. 34-43
Author(s):  
Méabh Corr ◽  
Elaine Murtagh
Keyword(s):  
Physical Activity ◽  
Data Collection ◽  
Behaviour Change ◽  
Adolescent Girls ◽  
Retention Rate ◽  
Controlled Trial ◽  
Activity Level ◽  
Health Concern ◽  
Post Intervention ◽  
Behaviour Change Wheel

Background: Globally, the poor activity level of adolescent girls is a public health concern. Little research has involved adolescents in the design of interventions. This study assessed the feasibility of involving girls in the co-creation of an activity programme. Methods: Thirty-one students (15–17 years old) were recruited from a post-primary school. The Behaviour Change Wheel guided intervention design, providing insights into participants’ capability, opportunity and motivation for change. Step counts and self-reported physical activity levels were recorded pre- and post-intervention. Feasibility benchmarks assessed recruitment, data collection, acceptability and adherence. Results: Activity and educational sessions were delivered for six weeks during physical education class. Average attendance was 87% (benchmark = 80%). Eligibility was 61% (benchmark = 60%). There was a 100% retention rate (benchmark = 90%). All participants ( n = 31) completed baseline measures and 71% ( n = 22) completed post-measures. 54% ( n = 17) of students completed pedometer measurements, with 32% ( n = 10) having complete data. Average daily steps were 13,121 pre-intervention and 14,128 post-intervention ( p > 0.05). Data collection was feasible, receiving a mean score > 4/5 (benchmark > 3.5/5). Conclusions: The Behaviour Change Wheel can be used to co-create an activity programme with adolescent girls. Predetermined benchmarks, except for pedometer recordings, were reached or exceeded, providing evidence for the need of a randomised controlled trial to test effectiveness.

scholarly journals A co-production approach guided by the Behaviour Change Wheel to develop an intervention for reducing sedentary behaviour after stroke

2020 ◽  
Author(s):  
Jennifer Hall ◽  
Sarah Morton ◽  
Jessica Hall ◽  
David J Clarke ◽  
Claire F Fitzsimons ◽  
...  
Keyword(s):  
Sedentary Behaviour ◽  
Behaviour Change ◽  
Intervention Development ◽  
Inpatient Setting ◽  
Stroke Survivors ◽  
Behaviour Change Wheel ◽  
Target Behaviour ◽  
Service Staff ◽  
Stroke Services ◽  
Production Approach

Abstract Background: Stroke survivors are highly sedentary; thus, breaking up long uninterrupted bouts of sedentary behaviour could have substantial health benefit. However, there are no intervention strategies specifically aimed at reducing sedentary behaviour tailored for stroke survivors. The purpose of this study was to use co-production approaches to develop an intervention to reduce sedentary behaviour after stroke.Methods: A series of five co-production workshops with stroke survivors, their caregivers, stroke service staff, exercise professionals, and researchers were conducted in parallel in two stroke services (England and Scotland). Workshop format was informed by the Behaviour Change Wheel (BCW) framework for developing interventions and incorporated systematic review and empirical evidence. Taking an iterative approach, data from activities and audio recordings were analysed following each workshop and findings used to inform subsequent workshops, to inform both the activities of the next workshop and ongoing intervention development.Findings: Co-production workshop participants (n = 43) included 17 staff, 14 stroke survivors, six caregivers, and six researchers. The target behaviour for stroke survivors is to increase standing and moving, and the target behaviour for caregivers and staff is to support and encourage stroke survivors to increase standing and moving. The developed intervention is primarily based on co-produced solutions to barriers to achieving the target behaviour. The developed intervention includes 34 behaviour change techniques. The intervention is to be delivered through stroke services, commencing in the inpatient setting and following through discharge into the community. Participants reported that taking part in intervention development was a positive experience. Conclusions: To our knowledge, this is the first study that has combined the use of co-production and the BCW to develop an intervention for use in stroke care. In-depth reporting of how a co-production approach was combined with the BCW framework, including the design of bespoke materials for workshop activities, should prove useful to other researchers and practitioners involved in intervention development in stroke.

Exploring deprescribing opportunities for community pharmacists using the Behaviour Change Wheel

2020 ◽  
Vol 16 (12) ◽  
pp. 1746-1753
Author(s):  
Clara Korenvain ◽  
Linda D. MacKeigan ◽  
Katie N. Dainty ◽  
Sara J.T. Guilcher ◽  
Lisa M. McCarthy
Keyword(s):  
Behaviour Change ◽  
Community Pharmacists ◽  
Behaviour Change Wheel
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