Use of the Behaviour Change Wheel to design an intervention to improve the implementation of family-centred care in adult audiology services

Ekberg, Katie; Timmer, Barbra H B; Schuetz, Simone; Hickson, Louise

doi:10.1080/14992027.2020.1844321

Cited by 26 publications

(19 citation statements)

References 27 publications

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“…We also ensured that decisions were not made by the research team alone, and that our clinical partner representatives were involved in all decision-making processes. As noted by Ekberg et al [40], we too found that the descriptions of individual BCTs were sometimes ambiguous and did not always re ect the complexity of what was required for the BCT to successfully promote behaviour change. It may have been helpful during the design process if the BCW provided more in-depth descriptions of each BCT and guidance on how they might best be implemented.…”

Section: Strengths and Challenges Of The Bcw Modelmentioning

confidence: 67%

“…The BCW has been widely used to develop interventions that are both acceptable to users and effective in achieving their aims. These include interventions designed to optimise changes in health behaviours such as audiologists' engaging in shared goal planning for adults with hearing loss [38,39], and audiology clinic staff's application of family centred practices [40]. As the application of the BCW varies according to the target behaviour(s), intended population and implementation setting, published examples of its use contribute to the ongoing development and re nement of the method.…”

Section: A Theoretically Driven Behaviour Change Interventionmentioning

confidence: 99%

“…Additionally, despite the highly comprehensive and systematic approach of the BCW model, there are points in the process where the researcher must make a series of subjective and pragmatic decisions (such as selecting the key barriers and enablers to focus on). This challenge has been noted by other research groups [40,50], and like them, we used the APEASE criteria to guide decision making. We also ensured that decisions were not made by the research team alone, and that our clinical partner representatives were involved in all decision-making processes.…”

Section: Strengths and Challenges Of The Bcw Modelmentioning

confidence: 99%

“…Similarly, when developing CRANIUM, Mangurian et al [45] noted the bene ts of gaining feedback from multidisciplinary staff during the course of the intervention design to maximize engagement and feasibility of the resultant intervention. We adopted a similar multi-stakeholder approach to Ekberg et al [40] and Mangurian et al [45], in that (i) our research team comprised audiology and psychology researchers and clinicians, (ii) the focus of our intervention (target behaviours) were selected and de ned by the intended bene ciaries of the intervention (adults with hearing loss) [21], and (iii) during the process of intervention design we engaged clinical, administration and managerial staff employed by our partner clinic (implementation site) as well as external referral partners including general practitioners and psychologists. Bull et al [46] reported on applying the BCW across multiple teams and multiple sites with a combined intervention.…”

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confidence: 99%

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Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Bennett

Bucks

Saulsman

et al. 2022

Preprint

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Objective: This study describes the development of an intervention to increase the frequency of audiologists’ asking about and providing information regarding mental wellbeing within adult audiology services.Design: The Behaviour Change Wheel (BCW), an eight-step systematic process, was followed to develop the intervention. Reports describing the first four steps are published elsewhere. This report describes the final four steps and details the intervention developed.Results: A multifaceted intervention was developed to change audiologists’ behaviours relating to providing mental wellbeing support to adults with hearing loss. Specifically, three behaviours were targeted: (1) asking clients about their mental wellbeing; (2) providing general information on the mental wellbeing impacts of hearing loss; and (3) providing personalised information on managing the mental wellbeing impacts of hearing loss. A variety of intervention functions and behaviour change techniques were incorporated into the intervention, including instruction and demonstration, information about others approval, adding objects to the environment, use of prompts/cues, and endorsement from credible sources. Conclusion: This study is the first to use the Behaviour Change Wheel to develop an intervention targeting mental wellbeing support behaviours in audiologists and confirms the usability and usefulness of the approach in a complex area of clinical care. The systematic development of the Ask, Inform, Manage, Encourage, Refer (AIMER) intervention will facilitate a thorough evaluation of its effectiveness in the next phase of this work.

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Section: Strengths and Challenges Of The Bcw Modelmentioning

confidence: 67%

Section: A Theoretically Driven Behaviour Change Interventionmentioning

confidence: 99%

Section: Strengths and Challenges Of The Bcw Modelmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Bennett

Bucks

Saulsman

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…The BCW, COM-B and the TDF have between them been used to develop multiple interventions relevant to older people including audiology [42,77], pressure care [78], stroke [79], rheumatoid arthritis [80], lower back pain [81], and multimorbidity medication management [82]. In regards to ACP, COM-B and the TDF have been used to develop community-based intervention strategies to support ACP education and participation [83].…”

Section: Discussionmentioning

confidence: 99%

Development of a theory-based intervention to increase cognitively able frail elders’ engagement with advance care planning using the behaviour change wheel

Combes

Forbes

Gillett

et al. 2021

BMC Health Serv Res

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Background Advance care planning (ACP) conversations support people to think about, discuss and document their beliefs, values and preferences regarding future care. This process means that should the person loose capacity in the future, care can be provided, consistent with their personal values and beliefs. The ACP process is particularly relevant for older people living with frailty (frail elders) as they are vulnerable to sudden deterioration. However, ACP is rarely undertaken by frail elders. The aim of this study was to develop an intervention to increase multidisciplinary health and social care professionals’ (H&SCPs) engagement of cognitively able, domestic-dwelling frail elders with ACP. Methods Intervention development was guided by the Medical Research Council framework for complex interventions and the Behaviour Change Wheel. Multiple methods were used to understand ACP barriers and enablers: a systematic integrative review, a survey (n = 73 H&SCPs), and semi-structured interviews (n = 10 frail elders, n = 8 family members). A conceptual model, developed from the integrative review, underpinned data collection for the survey and interviews. Synthesis of this data, including patient and public involvement, was then used to identify H&SCPs behaviours that needed to change for ACP to be implemented and decide content and implementation for the intervention. Results Following the Behaviour Change Wheel system, and based on the findings of the review, survey and interviews, the prototype intervention, Conversations on Living and Dying (CLaD), was developed. The CLaD prototype consisted of one 3.5-hour educational skills session for H&SCPs supported by a toolkit. Content focussed on the relevance of ACP for frail elders, experience of ACP by frail elders, and strategies H&SCPs could adopt to encourage frail elders’ engagement with ACP. Strategies include recognising the importance of relationships and living well now, preparing frail elders for ACP conversations and starting ACP early. Participants who took part in initial prototype refinement reported that the intervention helped them think differently about ACP and encouraged them to engage with frail elders. Conclusions The use of behavioural theory enabled the development of CLaD, an evidence-based, theory-driven, person-centred intervention to support ACP engagement with frail elders. While feasibility testing is required, initial prototype refinement demonstrated that H&SCPs found the intervention to be acceptable, engaging, and clinically valuable in their practice with frail elders and their families.

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A Roadmap for Modifying Clinician Behavior to Improve the Detection of Cognitive Impairment

2022

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A staggering number of individuals live with cognitive decline. Primary care providers are ideally situated to detect the first signs of cognitive decline, but many persons remain undiagnosed. This limits their access to appropriate care. Unfortunately, the timely diagnosis of mild cognitive impairment or dementia in primary care is difficult to achieve. There is a great need for interventions to address this problem. This article applies an implementation science framework, the Behavioral Change Wheel, to evaluate the factors that influence detection of cognitive impairment in primary care and proposes candidate interventions for future study.

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Use of the Behaviour Change Wheel to design an intervention to improve the implementation of family-centred care in adult audiology services

Cited by 26 publications

References 27 publications

Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Development of a theory-based intervention to increase cognitively able frail elders’ engagement with advance care planning using the behaviour change wheel

A Roadmap for Modifying Clinician Behavior to Improve the Detection of Cognitive Impairment

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