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Published on: February 19, 2021
Optimizing implementation: elucidating the role of behavior change techniques and corresponding strategies on
Eveline M Dubbeldeman1, Mathilde R Crone2,3, Jessica Christina Kiefte-de Jong2,4
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands. E.M.Dubbeldeman@lumc.nl.
Behavior change techniques (BCTs) combined with strategies positively influence implementation performance in youth care. This study verified expert hypotheses, showing BCT-strategy combinations enhance determinants and guideline implementation.
Area of Science:
- Implementation Science
- Healthcare Management
- Behavioral Psychology
Background:
- Behavior Change Techniques (BCTs) are key components of implementation strategies.
- Previous Delphi studies proposed BCT-strategy combinations to influence determinants and guideline implementation in youth care.
- These hypotheses required practical verification.
Purpose of the Study:
- To empirically test the influence of BCT-strategy combinations on determinants and implementation performance in youth care.
- To assess perceptions of practitioners and management professionals regarding these combinations.
- To validate previously formulated implementation hypotheses.
Main Methods:
- Cross-sectional study involving 104 practitioners and 34 management professionals in youth (health)care.
- Data collection via questionnaires on BCT-strategy combinations, determinants, and implementation performance.
- Statistical analyses including Chi-squared tests and regression analyses.
Main Results:
- Most management professionals perceived positive influence of BCT-strategy combinations on implementation performance.
- Half of the BCT-strategy combinations were perceived by practitioners to positively influence determinants and implementation.
- Absence of BCT-strategy combinations correlated with skepticism about their potential influence.
Conclusions:
- Several BCT-strategy combinations are perceived to enhance implementation performance among youth care professionals.
- Advocates for clear description of implementation objectives and frameworks detailing BCTs, strategies, and change processes.
- Emphasizes understanding these processes for targeted interventions, optimized resource allocation, and successful implementation in youth care.
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