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Table 5 Suggested interventions and descriptions using the behaviour change technique taxonomy (BCTTv1)

From: Strategies to implement SARS-CoV-2 point-of-care testing into primary care settings: a qualitative secondary analysis guided by the Behaviour Change Wheel

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.