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Table 1 Intervention components targeting health provider behaviour

From: Designing an implementation intervention with the Behaviour Change Wheel for health provider smoking cessation care for Australian Indigenous pregnant women

Barriers to smoking cessation care COM-B TDF Intervention function BCTs Translation of BCTs within the ICAN QUIT in Pregnancy intervention
Clinicians infrequently provide cessation support during pregnancy.
Clinicians lack knowledge, skills and confidence to counsel women who smoke during pregnancy and to prescribe NRT.
Lack of clinician training relevant to smoking cessation during pregnancy
Women report infrequently receiving assistance from clinicians
Psychological capability Cognitive and interpersonal skills Education
Training
Enablement
Information on health, social, emotional and environmental consequences
Information antecedents
Instruction on how to perform behaviour
Webinar training on how to consult Indigenous pregnant smokers and prescribe NRT
Training manual
Videos of providers and patients
   Memory, attention and decision Environmental restructuring Restructuring physical environment
Prompts, cues
Flipchart and desktop guide
Patient resources
   Behaviour regulation Modelling
Incentivisation
Demonstration of behaviour
Feedback on behaviour
Rewarding completion
Audit and feedback about NRT prescribed
CPD points for training
Clinicians lack optimism that their treatment will be successful during pregnancy Reflective motivation Belief about capability
Belief about consequences
Optimism
Education
Training
Persuasion
Enablement
Information on health, social, emotional and environmental consequences
Credible source
Persuasion about capability
Framing/reframing
Salience of consequences
Social comparison
Adding objects to the environment
Provide resources
Smoking reframed as an addiction, not a choice
Inform re standard practices and evidence-based practices
Building self-efficacy
Build response efficacy—it is worthwhile—NNT only 16–17 for quitting
Motivational videos, testimonials and success stories
Celebrating small wins and turning ‘near misses’ into success
  Automatic motivation Reinforcement
Emotion
Environmental restructuring
Persuasion
Credible source
Exposure
Framing/reframing
Social comparison
Provide resources
Emotive videos of health providers and patients
Clinicians lack time and resources to provide smoking cessation care.
Oral NRT is not subsidised in Australia forming a barrier to prescribing
Physical opportunity Environmental context
Resources
Environmental restructuring
Enablement
Adding objects to the environment
Problem solving
Self-monitoring of behaviour
Free NRT samples and oral NRT vouchers
Referral pads
Flipchart and desktop guide
Patient booklets
Few clinicians perform comprehensive smoking cessation care so there are few role models Social opportunity Norms
Social influences
Modelling
Education and training
Social comparison
Credible source
Instruction on how to perform behaviour
Self-monitoring of behaviour
Whole of service training
Interactive webinar
Audit and feedback
Videos of positive attitudes of other health providers
  1. Please note: physical capability not targeted; BCT behaviour change technique; COM-B capability, opportunity, motivation-behaviour; ICAN QUIT in Pregnancy Indigenous Counselling and Nicotine QUIT in Pregnancy