Skip to main content

Table 2 Linking interventions with behaviour change techniques and mode of delivery

From: Improving case detection of tuberculosis in hospitalised Kenyan children—employing the behaviour change wheel to aid intervention design and implementation

Intervention (as defined by ERIC taxonomy) Target behaviour Behaviour change technique Mode of delivery Major gaps using APEASE criteria
A-Affordability
P-Practicability
E-Effectiveness
A-Acceptability
SE-Side Effects
E-Equity
Training programme redesign On-job training HCWs in child TB (specimen collection, interpreting CXRs) Instruction on how to perform the behaviour
Demonstration of the behaviour
Face-face to individuals and groups
Print media (guidelines)
Low practicability: needs skilled staff to train and time off busy schedules
Purposeful selection of champions Providing clinical leadership, mentorship and supervision
Building teamwork to ensure best practices
Demonstration of the behaviour
Credible source
Social support
Goal setting
Feedback on the behaviour
Face-face to individuals and groups Low practicability: low where staff are few and stretched and none willing to take up role
Audit and feedback Encourage better documentation of history and physical signs and symptoms suggestive of TB
Encourage better documentation of tests ordered and date done
Encourage better documentation of samples collected, when and test results
Adding objects (record forms) to the environment
Feedback on the behaviour
Prompts/cues
Face-face to individuals and groups
Individually accessed computer-generated reports
Low acceptability: may resist if not part of their culture
Practicability: low where staff are few and stretched
Workflow restructuring Reorganising patient flow and processes
Ensuring samples get to the lab on time
Ensuring results get back to each patients’ file and gets reviewed by clinician
Restructuring of the physical and social environment
Feedback on the behaviour
Prompts and cues
Demonstration of the behaviour
Group Low practicability and acceptability: may be low where staff are few and stretched
Resources Ensuring availability of reagents, cartridges, specimen bottles, safety masks
Ensuring availability and use of guidelines/job aides
Providing personal protective equipment and encouraging consistent use
Restructuring of the physical environment
Adding objects to the environment
Feedback on the behaviour
Demonstration of the behaviour
Prompts and cues
Group
Individual—in-charge: using reports
Low affordability: cost prohibitive
Low acceptability: using masks
Low effectiveness: of procurement
Low availability: dependent on TB programme
Low acceptability: low where people prefer to use their acumen