Table 7 Proposed intervention functions

Physical capability

Physical skills

Training

• Skills training in CFHealthHub use

• Skills’ training in adherence support

Psychological capability

Knowledge

Education

• Educate about CFHealthHub and habit formation

• Educate about patient adherence

• Educate about non-judgemental adherence support

Memory attention and decision processes

Environmental restructuring, education, training, enablement

• Train to remember to use CFHealthHub

• Restructure environment to provide memory cues

• Enable referral system for patients requiring adherence support

Behavioural regulation

Enablement training

• Train to set goals, action plan, self-monitor, make habits

• Identify prompts and cues in the environment (creating habits)

• Providing self-monitoring adherence data through click analytics

• Agree a goal e.g. using CFHealthHub in X number of consultations and discuss and problem solve the barriers faced.

N/A

Physical opportunity

Environment

Environmental restructuring, enablement

• Add in cues to prompt behaviour

• Problem solving of environmental barriers

• Plan performance of the behaviour in the clinical setting.

• Problem solving of environmental barriers

Social opportunity

Social influence

Environmental restructuring, modelling, enablement

• Influential centre figures to demonstrate use of CFHealthHub in training and during regular team meetings.

• Practical social support e.g. support network of trained colleagues to shadow.

• Regular teleconferences between peer groups to discuss adherence data

• Reflect on past successes as a team during regular team meetings.

• Practical social support e.g. support network of trained colleagues to shadow.

• Reflect on past successes as a team during regular team meetings.

Reflective motivation

Social/professional role

Modelling, education, persuasion

• Each professional role to have a ‘change agent’ demonstrating the behaviour.

• Credible sources of information about supporting adherence and the benefits sought for different professional groups.

• Information from others about the usefulness of objective adherence data

• Information from others about the usefulness of CFHealthHub

Beliefs about capabilities

Modelling, education, persuasion, enablement

• Provide information about moving from rescue to prevention, persuade others that this is achievable.

• Provide information about moving from rescue to prevention, persuade others that this is achievable.

Beliefs about consequences

Modelling, education, persuasion, enablement

• Illustrate that patients will not run away from the clinical team

• Publications, RCT results, information from pharmacy (e.g. about changing prescription regimens) in favour of adherence data.

• Demonstrate that supporting adherence can increase adherence with case studies

• Lead interventionist to monitor adherence discussions (shadowing or record sessions) to review quality and redo training where necessary.

Goals

Modelling, education, persuasion, enablement,

• Support to set individual behaviour goals.

• Support whole centre to decide on goals.

• Address conflicting goals

• Support to set goal to deliver adherence support to patients who request it

Intentions

Modelling, education, persuasion, enablement

• Information (relevant to role) about health consequences for patients, information about time/money savings if used properly. See social/professional role.

• Encourage intentions to deliver adherence support

Automatic motivation

Reinforcement

Training,

• Patient stories of positive case studies (natural reward)

• Patient stories of positive case studies (natural reward)

Emotions

Modelling, enablement, persuasion

• Feedback on behaviour

• Feedback on outcome of behaviour

• Reduce threat of viewing low adherence on CFHealthHub

• Reduce threat of viewing low adherence on CFHealthHub