Table 4 Content of behaviour change intervention and behaviour change techniques by relevant domains of the Theoretical Domains Framework (TDF)
From: Development of a behaviour change intervention: a case study on the practical application of theory
TDF domain | Behaviour change intervention content | Techniques for behaviour change chosen to address domain |
|---|---|---|
Knowledge | Burden/prognosis/pathophysiology of OA, experience of patients with OA of general practice | Information provision to address gaps in knowledge about: |
● The nature and management of OA | ||
● NICE OA recommendations | ||
NICE OA guidance, efficacy OA treatments | ● The model OA consultation | |
Rationale for making the diagnosis of OA clinically and for giving the diagnosis | ||
Rationale for self-care of OA, support for self-care and patient centre consulting | ||
OA Guidebook and the model OA consultation | ||
Skills | Assessing ideas/concerns and expectations/treatment preferences | Rehearsal of relevant skills; graded task starting with easy tasks; increasing skills (problem-solving) to: |
Making a clinical diagnosis of OA | ● Enhance GP consultation skills for OA | |
Giving the diagnosis/explaining OA and its treatment (use of language) | ||
Use of NICE recommended treatments | ||
Promoting OA Guidebook and nurse follow-up appointment | ||
Social/professional role and identity | Attitudes to guidelines and NICE OA guidance | Social process of encouragement, pressure and support to: |
Attitudes to support for self-care (potential conflict between professional care and self-care) | ● Engender a positive approach to guideline implementation and support for self-care | |
Beliefs about capabilities | Time to do it | Social processes of encouragement, pressure, support to: |
Other priorities in consultation | ● Enhance perceived ability to deliver the model OA consultation | |
Discussion about problems with managing OA/what would help to better manage it | ||
Beliefs about consequences | Discussion on beliefs about consequences of OA interventions and model OA consultation | Information provision; persuasive communication to: |
● Counter perceived lack of efficacy of interventions for OA | ||
Motivation and goals | Presentation of MOSAIC study payments | Contract; rewards; persuasive communication to: |
Provision of practice nurse training and a lifestyle change intervention | ● Sign GPs up to delivering the model OA consultation | |
Memory attention and decision processes | Model OA Consultation Aide Memoire | Prompts, triggers, cues to: |
● Prompt delivery if model OA consultation in day-to-day practice |