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Table 4 Characterizing behavior change techniques and intervention functions of the Community of Practice intervention components

From: Core components of a Community of Practice to improve community health worker performance: a qualitative study

Intervention Components

Behavior Change Techniques

Functions

Activity 1: Individual review of feedback reports

 Program provided feedback reports on performance of household contact investigation (e.g., how frequently were sputum samples successfully collected if indicated) to Community of Practice members.

Feedback on behavior

Enablement

 Community of Practice members reviewed their data to understand their performance in carrying out contact investigation.

Self-monitoring of behavior

Enablement

 Community of Practice members viewed discrepancies between their household visit metrics and their goal of completing household contact investigation in full.

Discrepancy between current behavior and goal

Enablement

Activity 2: Collaborative improvement meetings

 Community of Practice met weekly to discuss challenges and devise solutions.

Problem solving

Enablement

 Community of Practice members offered practical support to each other based on challenges discussed.

Social support (practical)

Enablement

 Community of Practice members compared and discussed their own performance to that of their peers.

Social comparison

Modeling

 Research staff gave Community of Practice members more decision-making power during the weekly meetings.

Restructuring the social environment

Environmental restructuring

Activity 3: Real-time communications among members

 Program staff created a WhatsApp group for support

Social support (practical)

Enablement

Activity 4: Didactic education sessions

 Community of Practice members identified gaps in their own knowledge and skills and requested appropriate education and training sessions.

Instruction on how to perform a behavior

Training, education

 Community of Practice members gained self-efficacy and confidence to engage with communities as health workers.

Identity associated with changed behavior

Training, education

Activity 5: Clinic-wide staff meetings

 Community of Practice members were recognized for their contributions in the clinic.

Restructuring the social environment

Environmental restructuring

 Community of Practice members received practical support from clinic staff.

Social support (practical)

Enablement

 Community of Practice members shared problems with clinic staff to devise solutions.

Problem solving

Enablement