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Table 3 Behaviour change techniques, mechanisms of action in relation, and their reported implementation status and adaptations

From: Implementation strategy fidelity evaluation for a multidisciplinary Chest Injury Protocol (ChIP)

BCTs Intervention functions Mechanism of action Implementation status Adaptations
1.9. Commitment Incentivisation, enablement Staff appear in a video promoting ChIP Full Nil
2.2. Feedback on behaviour Education, persuasion, incentivisation Staff compliance monitored through audits and staff will be informed of the results informally by clinical champions, through newsletters and emails Partial Minor
2.7. Feedback on outcome(s) of behaviour Education, incentivisation, training Feedback given to staff from audit results on patients treated with the care bundle through clinical champions Full Nil
3.1. Social support Enablement Clinical champions chosen from each area receive extra training to be able to provide extra support Partial Minor
4.1. Instruction on how to perform behaviour Training Staff receive instructions on behaviour via a video, educational sessions, and clinical champions Full Nil
5.1. Information about health consequences Education, persuasion Staff informed about the improvement in pneumonia rates reduction with the protocol from previous study through video, educational sessions, flyers, newsletters, and emails Full Nil
6.1. Demonstration of behaviour Training, modelling Staff receive demonstrations of behaviour via a video, educational sessions, and clinical champions Full Minor
6.3. Information about others’ approval Education, persuasion Local staff appear in the ChIP video showing support Full Nil
7.1. Prompts/cues Education, environmental restructuring A visual prompt (screen icon) developed for the electronic medical record to flag to staff that patient is eligible for care bundle Full Minor
  Flyers put up around the workplace to remind staff of the care bundle Full Nil
8.3. Habit formation Training Staff encouraged to assess all potentially eligible patients systematically in the video and educational sessions Full Nil
9.1. Credible source Persuasion Senior local staff appear in a video informing staff about and promoting ChIP Full Nil
12.1. Restructuring the physical environment Environmental restructuring, enablement Equipment necessary for ChIP placed in a location that ensures ease of access Full Nil
  Equipment adequately labelled with instructions Partial Minor
  Additional equipment supplied to ensure adequate supply (high-flow machines and incentive spirometry) Partial Minor
  ChIP tested by staff to ensure ease of use Full Nil
12.5. Adding objects to the environment Environmental restructuring, enablement An icon added for the electronic medical record to flag to staff that patient is eligible for care bundle Full Nil
  A pager setup to be able to contact staff responding to ChIP Full at one site, not at all at second site Major adaptation required at the small site
13.1. Identification of self as role model Persuasion, enablement Staff asked to volunteer for the roles of clinical champions and to be in the video Full Nil
15.1. Verbal persuasion about capability Persuasion, enablement Staff encouraged during educational sessions and by clinical champions that they are capable of following ChIP Full Nil