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.contributor.funder	Centre for Ageing Research and Development in Ireland	en
dc.contributor.funder	Health Research Board	en
dc.date.accessioned	2019-11-23T07:29:07Z
dc.date.available	2019-11-23T07:29:07Z
dc.date.issued	2018-08-20
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.description.status	Peer reviewed	en
dc.description.version	Published Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	113	en
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.doi	10.1186/s13012-018-0798-6	en
dc.identifier.endpage	13	en
dc.identifier.issn	1748-5908
dc.identifier.issued	1	en
dc.identifier.journaltitle	Implementation Science	en
dc.identifier.startpage	1	en
dc.identifier.uri	https://hdl.handle.net/10468/9207
dc.identifier.volume	13	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

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

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