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Table 2 Schematic of process to guide the selection of intervention components

From: Development of a theory-based video-game intervention to increase advance care planning conversations by healthcare providers

Phase 1

Phase 2

Phase 3

Specify the target behavior

Identify the target determinant of behavior

Identify theory of behavior change

Specify components of theory of behavior change

Select behavior change techniques

Identify design principles

Increase the frequency with which providers have Advance Care Planning (ACP) conversations with hospitalized patients over the age of 65.

Provider attitudes towards ACP conversations

Self-determination theory

Autonomy

Natural consequences

• Health consequences

• Salience of consequences

• Anticipated regret

• Emotional consequences

Narrative Engagement Framework: narrative knowledge

Competency

Comparison of behavior

• Demonstration of the behavior

• Social comparison

Identity

• Identification of self as role model

• Framing/reframing

Narrative Engagement Framework: behavioral modeling

Relatedness

Comparison of behavior

• Information of other's approval

Reward and threat

• Social reward

Narrative Engagement Framework: engagement