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 |
| Â | 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 |
| Â | Equipment adequately labelled with instructions | Partial | Minor | |
| Â | Additional equipment supplied to ensure adequate supply (high-flow machines and incentive spirometry) | Partial | Minor | |
| Â | 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 |
| Â | 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 |