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Optimizing Making Every Contact Count (MECC) interventions: A strategic behavioral analysis
Catherine Haighton1, Dorothy Newbury-Birch2, Caroline Durlik3
1Faculty of Health and Life Sciences.
Summary
National interventions often miss opportunities to effectively support healthcare professionals in implementing Making Every Contact Count (MECC). Optimizing interventions requires incorporating more theoretically relevant behavior change techniques (BCTs) to address identified barriers.
Area of Science:
- Behavioral Science
- Health Services Research
- Intervention Science
Background:
- Making Every Contact Count (MECC) is a public health initiative aiming to embed prevention and behavior change conversations into routine healthcare.
- Effective implementation of MECC by healthcare professionals is crucial for public health impact but faces various barriers.
Purpose of the Study:
- To identify barriers and facilitators to MECC implementation among healthcare professionals.
- To analyze behavioral components within national MECC interventions.
- To assess the theoretical alignment of intervention components with identified barriers and facilitators.
Main Methods:
- A systematic review identified barriers and facilitators using the COM-B model and Theoretical Domains Framework (TDF).
- Content analysis of national MECC interventions in England utilized the Behavior Change Wheel (BCW) and BCT Taxonomy (BCTTv1).
- Intervention content was linked to systematically identified barriers.
Main Results:
- Key barriers to MECC implementation were related to Environmental Context, Beliefs About Capabilities, Knowledge, Beliefs About Consequences, Intentions, Skills, Social Role, and Emotions.
- National interventions employed an average of 5.1 BCW functions and 8.7 BCTs.
- A significant gap was found, with only 21% of potentially relevant BCTs used, and most BCTs targeting key barrier domains were absent.
Conclusions:
- Intervention developers can optimize MECC implementation support by integrating more theoretically relevant BCTs.
- Addressing identified barriers through targeted BCTs presents a missed opportunity in current national interventions.
- Future interventions should be refined to better align with the TDF and COM-B model to enhance MECC adoption.
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