Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF): the T3 Trial

Table 4 Theory-informed implementation intervention: components by selected behavioural change techniques

Implementation intervention component	Selection of behavioural change techniques
Multidisciplinary barrier and enabler workshops for ED, stroke unit and endocrine clinicians	Goal/target specified: behaviour or outcome
	Social and environmental consequences
	Restructuring the social environment
	Environmental changes (e.g. objects to facilitate behaviour)
	Social support (practical)
	Social support (emotional)
	Planning, implementation
	Action planning
	Goal setting (behaviour)
Interactive and didactic education programme for ED and stroke unit clinicians	Health consequences
	Behavioural rehearsal/practice
	Social and environmental consequences
	Salience of consequences
	Feedback on behaviour
	Focus on past success
	Social comparison
	Reduce negative emotions
	Anticipated regret
	Coping skills
	Comparative imaging of future outcomes
Use of local clinical opinion leaders	Verbal persuasion to boost self-efficacy
	Persuasive communication
	Pros and cons
	Modelling/demonstration of the behaviour
	Anticipated regret
	Social comparison
	Information about others’ approval
Reminders	Prompts/cues
Reminders	Avoidance/changing exposure to cues for the behaviour
Site support	Self-monitoring
	Self-reward
	Social support or encouragement
	Coping skills
	Action planning
	Goal setting

Technique may be classified to more than one implementation intervention component, e.g. action planning

ISSN: 1748-5908