Table 1 Targeted barriers and content of 3HP delivery strategies
Capability | Opportunity | Motivation | Selected intervention function(s) | Selected behavior change technique | Selected mode of delivery | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
Knowledge | Capacity to remember | Capacity to plan | Time to access 3HP | Cost to access 3HP | Inadequate support | Beliefs about consequences | Self-efficacy | Lack of cues/reminders | |||
Facilitated directly-observed therapy (DOT) | |||||||||||
✓ | ✓ | Education, persuasion | Information about health consequences | Standardized counseling by clinic nurse | |||||||
✓ | ✓ | Environmental restructuring | Restructuring physical environment | Streamlined weekly clinic visits + cost reimbursement | |||||||
✓ | ✓ | Enablement | Prompts/cues | Appointment reminders via Interactive Voice Response (IVR) | |||||||
✓ | ✓ | ✓ | ✓ | Education, persuasion | Credible source | Weekly visit with health worker (DOT) | |||||
Facilitated self-administered therapy (SAT) | |||||||||||
✓ | ✓ | Education, persuasion | Information about health consequences | Standardized counseling by clinic nurse | |||||||
✓ | ✓ | Environmental restructuring | Restructuring physical environment | SAT + streamlined monthly clinic visits + cost reimbursement | |||||||
✓ | ✓ | ✓ | Enablement | Prompts/cues | Dosing reminders and confirmation via IVR | ||||||
✓ | ✓ | Enablement | Social support | Weekly check-in via IVR | |||||||
Patient choice between facilitated DOT and facilitated SAT | |||||||||||
✓ | ✓ | ✓ | ✓ | Education, enablement | Problem solving | Shared decision-making, facilitated by decision aid | |||||