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dc.contributor.authorFaija, Cintia L
dc.contributor.authorGellatly, Judith; orcid: 0000-0002-5134-5581; email: Judith.l.gellatly@manchester.ac.uk
dc.contributor.authorBarkham, Michael
dc.contributor.authorLovell, Karina
dc.contributor.authorRushton, Kelly
dc.contributor.authorWelsh, Charlotte
dc.contributor.authorBrooks, Helen
dc.contributor.authorArdern, Kerry
dc.contributor.authorBee, Penny
dc.contributor.authorArmitage, Christopher J
dc.date.accessioned2021-06-17T09:59:07Z
dc.date.available2021-06-17T09:59:07Z
dc.date.issued2021-05-14
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624961/article.pdf?sequence=2
dc.identifier.citationImplementation science : IS, volume 16, issue 1, page 53
dc.identifier.urihttp://hdl.handle.net/10034/624961
dc.descriptionFrom Europe PMC via Jisc Publications Router
dc.descriptionHistory: ppub 2021-05-01, epub 2021-05-14
dc.descriptionPublication status: Published
dc.descriptionFunder: Programme Grants for Applied Research; Grant(s): RP-PG-1016-20010
dc.description.abstract<h4>Background</h4>Using frameworks such as the Behaviour Change Wheel to develop behaviour change interventions can be challenging because judgement is needed at various points in the process and it is not always clear how uncertainties can be resolved. We propose a transparent and systematic three-phase process to transition from a research evidence base to a behaviour change intervention. The three phases entail evidence synthesis, stakeholder involvement and decision-making. We present the systematic development of an intervention to enhance the quality of psychological treatment delivered by telephone, as a worked example of this process.<h4>Method</h4>In phase 1 (evidence synthesis), we propose that the capabilities (C), opportunities (O) and motivations (M) model of behaviour change (COM-B) can be used to support the synthesis of a varied corpus of empirical evidence and to identify domains to be included in a proposed behaviour change intervention. In phase 2 (stakeholder involvement), we propose that formal consensus procedures (e.g. the RAND Health/University of California-Los Angeles Appropriateness Methodology) can be used to facilitate discussions of proposed domains with stakeholder groups. In phase 3 (decision-making), we propose that behavioural scientists identify (with public/patient input) intervention functions and behaviour change techniques using the acceptability, practicability, effectiveness/cost-effectiveness, affordability, safety/side-effects and equity (APEASE) criteria.<h4>Results</h4>The COM-B model was a useful tool that allowed a multidisciplinary research team, many of whom had no prior knowledge of behavioural science, to synthesise effectively a varied corpus of evidence (phase 1: evidence synthesis). The RAND Health/University of California-Los Angeles Appropriateness Methodology provided a transparent means of involving stakeholders (patients, practitioners and key informants in the present example), a structured way in which they could identify which of 93 domains identified in phase 1 were essential for inclusion in the intervention (phase 2: stakeholder involvement). Phase 3 (decision-making) was able to draw on existing Behaviour Change Wheel resources to revisit phases 1 and 2 and facilitate agreement among behavioural scientists on the final intervention modules. Behaviour changes were required at service, practitioner, patient and community levels.<h4>Conclusion</h4>Frameworks offer a foundation for intervention development but require additional elucidation at each stage of the process. The decisions adopted in this study are designed to provide an example on how to resolve challenges while designing a behaviour change intervention. We propose a three-phase process, which represents a transparent and systematic framework for developing behaviour change interventions in any setting.
dc.languageeng
dc.rightsLicence for this article: cc by
dc.sourceissn: 1748-5908
dc.sourceessn: 1748-5908
dc.sourcenlmid: 101258411
dc.subjectImplementation
dc.subjectMental Health Services
dc.subjectTelephone
dc.subjectPsychological Interventions
dc.subjectIntervention Development
dc.subjectImproving Access To Psychological Therapies (Iapt)
dc.subjectBehaviour Change Wheel
dc.subjectRemote Working
dc.subjectGuided-self-help
dc.titleEnhancing the Behaviour Change Wheel with synthesis, stakeholder involvement and decision-making: a case example using the 'Enhancing the Quality of Psychological Interventions Delivered by Telephone' (EQUITy) research programme.
dc.typearticle
dc.date.updated2021-06-17T09:59:07Z


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