Table 5 Suggested interventions and descriptions using the behaviour change technique taxonomy (BCTTv1)
Themes | COM-B construct (TDF domain) | Intervention function(s) | Grouping and behaviour change techniques | Description of intervention strategies |
|---|---|---|---|---|
Limited knowledge of the SARS-CoV-2 POC testing landscape | Psychological capability (knowledge) | Education, persuasion | Natural consequences - Information about social and environmental consequences Comparison of outcomes - Credible source | Distribute concise information with references from recognisable peer-reviewed journals summarising advantages and drawbacks of specific POC tests. |
Scepticism about the insufficient evidence | Psychological capability (knowledge) | Education, persuasion | Natural consequences - Information about social and environmental consequences Comparison of outcomes - Credible source | Provide evidence-based information to cultivate confidence in the quality of POC tests. |
PCPs would adopt POC tests if prescribed by authorities | Psychological capability (behavioural regulation) | Enablement | Goals and planning - Action planning goal (outcome) | Plan and prepare guidelines that physicians can better adhere to. |
Professional education and training | Physical capability (skills) | Training | Shaping knowledge - Instructions on how to perform the behaviour Feedback and monitoring - Feedback on behaviour | Deliver specialised team training courses with supervision to ensure quality control of use. Ensure consistency in use. Tailor courses for healthcare assistants. Provide supervision and feedback to ensure proper device use. |
Limited workload capacity | Physical opportunity (environmental context and resources) | Enablement | Reward and threat - Reward (outcome) - Non-specific reward Goals and planning - Problem solving Natural consequences - Information about social and environmental consequences | Provision of funding resources to increase staffing. Reduce or redistribute workload. Government funding needs to be allocated to primary care practices to increase staffing numbers. |
Information sharing across practices | Social opportunity (social influences) | Education | Natural consequences - Information about social and environmental consequences Comparison of behaviour - Information about others’ approval Comparison of outcomes - Credible source | Increase PCP knowledgebase through the provision of evidence-based information. Equip PCPs with information to assess the quality of information shared across social network groups. |
Financial incentives | Automatic motivation (incentivisation) | Incentivisation | Reward and threat - Material incentive Goal and planning - Behavioural contract | Contractual agreements between primary care practices and the authorities to provide payment to primary care practices to run the tests. |
Society will view primary care as an alternative to community testing centres | Reflective motivation (professional role and identity) | Restriction, persuasion | Associations - Prompts/cues Natural consequences - Information about social and environmental consequences | Public health messaging to prevent the general public from identifying primary care practices as testing sites. Restrict access to testing only for individual’s requirement care. |
Perception of assurance/risk | Automatic motivation (beliefs about consequences) | Restriction, environmental restructuring, persuasion | Antecedents - Avoidance/reducing exposure to cues for the behaviour Natural consequences - Information about health consequences Reward and threat - Reward (outcome) - Non-specific reward | Equip primary care practices with adequate supplies for infection prevention and control (IPC). Provide policies that will financially compensate primary care practice staff for the time they have to self-isolate. |