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. 2023 Jun 2;18:39. doi: 10.1186/s13722-023-00391-0

The 'behavioral change techniques' (BCTs) contained within Breaking Free Online

Content in Breaking Free Online Description of strategy Therapeutic approaches underpinning strategies BCT taxonomy (V1) techniques (number in taxonomy)
Baseline and progress check assessments Monitor behavior to provide feedback about progress towards goals; Encourage new behaviors via positive feedback Goal setting; self-monitoring Self-monitoring of behavior (2.3); Feedback on outcome(s) of behavior (2.7)
Lifestyle Balance Model Generic formulation; Idiosyncratic formulation; Personalized feedback; Case formulation—understand the links between situations, thoughts, emotions, behaviors, physical sensations, and lifestyle Node-link mapping (International Treatment Effectiveness Project (ITEP); Cognitive-behavioral therapy (CBT) Information about antecedents (4.2); Information about health consequences (5.1); Salience of consequences (5.2); Information about social and environmental consequences (5.3); Information about emotional consequences (5.6)
Difficult situations domain of LBM Assessment; Self-monitoring; Standardized measures; Psycho-education on impact of problematic situations; Intervention to help people in distress access support; Recognize–avoid–cope; Relapse prevention for coping with environmental/situational/emotional triggers; Creating action plans on how to avoid or cope in high risk situations All structured therapeutic approaches; Psychoeducation; Guided self-help; Relapse prevention; Refusal skills Social support (unspecified) (3.1); Reduce negative emotions (11.2); Problem solving (1.2); Action planning (1.4); Instruction on how to perform the behavior (4.1); behavioral practice/rehearsal (8.1); behavior substitution (8.2); Avoidance/reducing exposure to cues for the behavior (12.3); Goal setting (behavior) (1.1)
Negative thoughts domain of LBM Psychoeducation on impact on negative thoughts; Mind traps; Cognitive restructuring; Challenge thoughts that may be unhelpful Psychoeducation; Guided self-help; International Treatment Effectiveness Project (ITEP); Cognitive-behavioral therapy (CBT) Information about antecedents (4.2); Information about health consequences (5.1); Salience of consequences (5.2); Information about social and environmental consequences (5.3); Information about emotional consequences (5.6); Re-attribution (4.3); Framing-reframing (13.2)
Emotions domain of LBM Psychoeducation on impact on emotions; Attention narrowing; Attention switching; Emotional regulation; Recognize/understand/normalize emotions; Developing more appropriate coping strategies Psychoeducation; Guided self-help; Coping strategy enhancement (CSE); Mindfulness-based cognitive therapy Information about antecedents (4.2); Information about health consequences (5.1); Salience of consequences (5.2); Information about social and environmental consequences (5.3); Information about emotional consequences (5.6); behavioral practice/rehearsal (8.1); Reduce negative emotions (11.2); Problem solving (1.2); Social support (unspecified) (3.1); behavioral practice/rehearsal (8.1); Distraction (12.4)
Physical sensations domain of LBM Psychoeducation on impact of physical sensations; Urge surfing; Body scanning; Relapse prevention-based techniques Psychoeducation; Guided self-help; Mindfulness-based cognitive therapy Information about antecedents (4.2); Information about health consequences (5.1); Salience of consequences (5.2); Information about social and environmental consequences (5.3); Information about emotional consequences (5.6); Instruction on how to perform a behavior (4.1); behavioral practice/rehearsal (8.1); Reduce negative emotions (11.2)
Unhelpful behaviors domain of LBM Psychoeducation on impact of destructive behaviors; Activity scheduling; Behavioral activation; Encourage new behaviors via positive feedback; Increase activity to increase energy levels and relieve boredom Psychoeducation; Guided self-help; Cognitive-behavioral therapy (CBT) Information about antecedents (4.2); Information about health consequences (5.1); Salience of consequences (5.2); Information about social and environmental consequences (5.3); Information about emotional consequences (5.6); Non-specific reward (10.3); Non-specific incentive (10.6); Reward approximation (14.4); Rewarding completion (14.5); Goal setting (behavior) (1.1); Action planning (1.4)
Lifestyle domain of LBM

Psychoeducation on impact of lifestyle; Creating SMART goals for recovery; Goalsetting

Increase treatment engagement and retention. Increase readiness to change behavior

Psychoeducation; Guided self-help; Motivational enhancement therapy (MET); Implementation intentions Goal setting (behavior) (1.1); Problem solving (1.2); Goal setting (outcome) (1.3); Action planning (1.4); Non-specific reward (10.3); Focus on past success (15.3)