‘Around the edges’: Using behaviour change techniques to characterise a multilevel implementation strategy for a fall prevention programme

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dc.contributor.author McHugh, Sheena M.
dc.contributor.author Sinnott, C.
dc.contributor.author Racine, Emmy
dc.contributor.author Timmons, Suzanne
dc.contributor.author Byrne, M.
dc.contributor.author Kearney, Patricia M.
dc.date.accessioned 2019-11-23T07:29:07Z
dc.date.available 2019-11-23T07:29:07Z
dc.date.issued 2018-08-20
dc.identifier.citation McHugh, S., Sinnott, C., Racine, E., Timmons, S., Byrne, M. and Kearney, P.M. (2018) ‘Around the edges’: using behaviour change techniques to characterise a multilevel implementation strategy for a fall prevention programme. Implementation science, 13(1), 113. (13pp). doi:10.1186/s13012-018-0798-6 en
dc.identifier.volume 13 en
dc.identifier.issued 1 en
dc.identifier.startpage 1 en
dc.identifier.endpage 13 en
dc.identifier.issn 1748-5908
dc.identifier.uri http://hdl.handle.net/10468/9207
dc.identifier.doi 10.1186/s13012-018-0798-6 en
dc.description.abstract Background: Implementation strategies are needed to ensure that evidence-based healthcare interventions are adopted successfully. However, strategies are generally poorly described and those used in everyday practice are seldom reported formally or fully understood. Characterising the active ingredients of existing strategies is necessary to test and refine implementation. We examined whether an implementation strategy, delivered across multiple settings targeting different stakeholders to support a fall prevention programme, could be characterised using the Behaviour Change Technique (BCT) Taxonomy. Methods: Data sources included project plans, promotional material, interviews with a purposive sample of stakeholders involved in the strategy’s design and delivery and observations of staff training and information meetings. Data were analysed using TIDieR to describe the strategy and determine the levels at which it operated (organisational, professional, patient). The BCT Taxonomy identified BCTs which were mapped to intervention functions. Data were coded by three researchers and finalised through consensus. Results: We analysed 22 documents, 6 interviews and 4 observation sessions. Overall, 21 out a possible 93 BCTs were identified across the three levels. At an organisational level, identifiable techniques tended to be broadly defined; the most common BCT was restructuring the social environment. While some activities were intended to encourage implementation, they did not have an immediate behavioural target and could not be coded using BCTs. The largest number and variety of BCTs were used at the professional level to target the multidisciplinary teams delivering the programme and professionals referring to the programme. The main BCTs targeting the multidisciplinary team were instruction on how to perform the (assessment) behaviour and demonstration of (assessment) behaviour; the main BCT targeting referrers was adding objects to the environment. At the patient level, few BCTs were used to target attendance. Conclusion: In this study, several behaviour change techniques were evident at the individual professional level; however, fewer techniques were identifiable at an organisational level. The BCT Taxonomy was useful for describing components of a multilevel implementation strategy that specifically target behaviour change. To fully and completely describe an implementation strategy, including components that involve organisational or systems level change, other frameworks may be needed. en
dc.description.sponsorship Health Research Board (RL/2013/7, RL/2013/8) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Biomed Central, Springer Nature en
dc.relation.uri https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0798-6
dc.rights © The Author(s) 2018. his article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Implementation en
dc.subject Intervention content en
dc.subject Behaviour change en
dc.subject Fall prevention en
dc.subject Qualitative en
dc.title ‘Around the edges’: Using behaviour change techniques to characterise a multilevel implementation strategy for a fall prevention programme en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Sheena McHugh, School of Public Helalth, University College Cork, Cork, Ireland. +353-21-490-3000 Email: s.mchugh@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Centre for Ageing Research and Development in Ireland en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Implementation Science en
dc.internal.IRISemailaddress s.mchugh@ucc.ie en
dc.identifier.articleid 113 en


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© The Author(s) 2018. his article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as © The Author(s) 2018. his article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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