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'Around the edges': using behaviour change techniques to characterise a multilevel implementation strategy for a fall

S McHugh1, C Sinnott2, E Racine3

  • 1School of Public, University College Cork, Cork, Ireland. s.mchugh@ucc.ie.

Implementation Science : IS
|August 22, 2018
PubMed
Summary

This study used the Behaviour Change Technique (BCT) Taxonomy to analyze a fall prevention program

Keywords:
Behaviour changeFall preventionImplementationIntervention contentQualitative

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Area of Science:

  • Implementation Science
  • Behavioural Science
  • Public Health Interventions

Background:

  • Evidence-based healthcare interventions require effective implementation strategies for successful adoption.
  • Current implementation strategies are often poorly described, hindering understanding and refinement.
  • Characterizing the active components of strategies is crucial for testing and improving implementation.

Purpose of the Study:

  • To examine if the Behaviour Change Technique (BCT) Taxonomy can characterize a multilevel implementation strategy for a fall prevention program.
  • To identify and describe the Behaviour Change Techniques (BCTs) employed within the strategy across different stakeholder levels.

Main Methods:

  • Analysis of project documents, interviews with stakeholders, and observations of training sessions.
  • Utilized the TIDieR framework to describe the strategy and its operational levels (organizational, professional, patient).
  • Applied the BCT Taxonomy to identify specific techniques and mapped them to intervention functions.

Main Results:

  • Identified 21 out of 93 possible Behaviour Change Techniques (BCTs) across organizational, professional, and patient levels.
  • Restructuring the social environment was the most common BCT at the organizational level.
  • The professional level showed the most BCTs, targeting multidisciplinary teams with instruction and demonstration, and referrers with environmental additions.

Conclusions:

  • The Behaviour Change Technique (BCT) Taxonomy effectively described behavioral components of the multilevel implementation strategy.
  • Fewer BCTs were identified at the organizational level compared to the professional level.
  • Additional frameworks may be necessary to fully describe implementation strategies encompassing organizational or systems-level changes.