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

dc.contributor.authorMcHugh, Sheena M.
dc.contributor.authorSinnott, C.
dc.contributor.authorRacine, Emmy
dc.contributor.authorTimmons, Suzanne
dc.contributor.authorByrne, M.
dc.contributor.authorKearney, Patricia M.
dc.contributor.funderCentre for Ageing Research and Development in Irelanden
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2019-11-23T07:29:07Z
dc.date.available2019-11-23T07:29:07Z
dc.date.issued2018-08-20
dc.description.abstractBackground: 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.sponsorshipHealth Research Board (RL/2013/7, RL/2013/8)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid113en
dc.identifier.citationMcHugh, 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/s13012-018-0798-6en
dc.identifier.doi10.1186/s13012-018-0798-6en
dc.identifier.endpage13en
dc.identifier.issn1748-5908
dc.identifier.issued1en
dc.identifier.journaltitleImplementation Scienceen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9207
dc.identifier.volume13en
dc.language.isoenen
dc.publisherBiomed Central, Springer Natureen
dc.relation.urihttps://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.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectImplementationen
dc.subjectIntervention contenten
dc.subjectBehaviour changeen
dc.subjectFall preventionen
dc.subjectQualitativeen
dc.title‘Around the edges’: Using behaviour change techniques to characterise a multilevel implementation strategy for a fall prevention programmeen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 5 of 6
Loading...
Thumbnail Image
Name:
s13012-018-0798-6.pdf
Size:
1.46 MB
Format:
Adobe Portable Document Format
Description:
Published version
Loading...
Thumbnail Image
Name:
13012_2018_798_MOESM1_ESM.pdf
Size:
172.87 KB
Format:
Adobe Portable Document Format
Description:
Supplementary file 1
Loading...
Thumbnail Image
Name:
13012_2018_798_MOESM2_ESM.pdf
Size:
177.13 KB
Format:
Adobe Portable Document Format
Description:
Supplementary file 2
Loading...
Thumbnail Image
Name:
13012_2018_798_MOESM3_ESM.pdf
Size:
189.09 KB
Format:
Adobe Portable Document Format
Description:
Supplementary file 3
Loading...
Thumbnail Image
Name:
13012_2018_798_MOESM4_ESM.pdf
Size:
328.42 KB
Format:
Adobe Portable Document Format
Description:
Supplementary file 4
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description: