Table 6.
Identified behaviour change techniques derived from deductive linking, inductive analysis resulting in the final hybrid list.
| Deductive Linking/Analysis | ||||
|---|---|---|---|---|
| (i) Dominant TDF domain | Links to BCTs identified on TaTT as “green” links | (ii) Identified intervention functions | Most frequently used BCTs (from BCTTv1) for specific intervention function | |
| Micro-level | Knowledge | 2.6 Biofeedback 4.1 Instruction on how to perform behaviour 4.2 Information about antecedents 5.1 Information about health consequences 5.3 Information about social and environmental consequences | Education | 2.2 Feedback on behaviour 2.3 Self-monitoring of behaviour 2.7 Feedback on outcome(s) of behaviour 5.1 Information about health consequences 5.3 Information about social and environmental consequences 7.1 Prompts/cues | 
| Cognitive and interpersonal skills | 4.1 Instruction on how to perform behaviour 8.1 Behavioural practice/rehearsal 8.7 Graded tasks | Training | 2.2 Feedback on behaviour 2.3 Self-monitoring of behaviour 2.7 Feedback on outcome(s) of behaviour 4.1 Instruction on how to perform the behaviour 6.1 Demonstration of the behaviour 8.1 Behavioural practice/rehearsal | |
| Meso- & Macro-level | Environmental context and resources | 3.2 Social support (practical) 7.1 Prompts/cues 7.5 Remove aversive stimulus 12.1 Restructuring the physical environment 12.2 Restructuring the social environment 12.3 Avoidance/reducing exposure to cues for the behaviour 12.5 Adding objects to the environment | Environmental restructuring | 7.1 Prompts/cues 12.1 Restructuring the physical environment 12.5 Adding objects to the environment | 
| Social influences | 3.1 Social support (unspecified) 3.2 Social support (practical) 6.2 Social comparison 6.3 Information about others’ approval 10.4 Social reward | Modelling | 6.1 Demonstration of the behaviour | |
| Enablement | 1.1 Goal setting (behaviour) 1.2 Problem solving 1.3 Goal setting (outcome) 1.4 Action planning 1.5 Review behaviour goal(s) 1.7 Review outcome goal(s) 2.3 Self-monitoring of behaviour 3.1 Social support (unspecified) 3.2 Social support (practical) 12.1 Restructuring the physical environment 12.5 Adding objects to the environment | |||
| Inductive Analysis (2 examples provided) | ||||
| Subtheme | Example of intervention content | Identified BCT (from BCTTv1) | ||
| 1.1.4 Healthcare professionals’ prioritizes addressing “biomedical” or “red flags” first (or only), then “psychosocial” or “yellow flags” or “biopsychosocial”. | Introduce a checkbox on the initial assessment form to prompt for a psychosocial assessment with the use of questionnaires such as the Örebro Musculoskeletal Pain Questionnaire (ÖMPQ). | 7.1 Prompts/cues | ||
| 1.1.5 The ability (or inability) of the healthcare professionals to manage the clinician-patient alliance. | Training in the form of practice and empathetic reflective feedback from clinician to patient enhances overall communication style and patient-centred communication behaviours. | 8.1 Behavioural practice/rehearsal | ||
| Final hybrid list of BCTs | ||||
| Based on both deductive and inductive analysis, the most relevant BCTs required at the bare minimum to facilitate change towards improved adoption of the biopsychosocial approach: | ||||
| Micro-level | ||||
| 4.1 Instruction on how to perform a behaviour | ||||
| 8.1 Behavioural practice/rehearsal | ||||
| Meso- and Macro-level | ||||
| 3.1 Social support (unspecified) | ||||
| 3.2 Social support (practical) | ||||
| 7.1 Prompts/cues | ||||
| 12.1 Restructuring the physical environment | ||||
BCTs, behaviour change techniques; BCTTv1, behaviour change techniques taxonomy version 1; TDF, theoretical domains framework; TaTT, theory and technique tool. BCTs underlined are in common, using the two deductive methods of linking.