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. 2016 Jul 29;10(7):e0004823. doi: 10.1371/journal.pntd.0004823

Table 3. Recommended behaviour change techniques (BCTs) to achieve behaviour changes for melioidosis prevention in northeast Thailand.

Recommended BCTs * Intervention functions ** Examples of BCTs based on local context
Information about health consequences Education and Persuasion Explain that not wearing boots and gloves while working in rice fields and that drinking untreated water can lead to an often fatal infectious disease called melioidosis
Credible source Persuasion Present a speech given by a high status professional in the government to emphasise the importance of melioidosis prevention
Ask doctors, nurses, head of villages, community health volunteers and the government to provide regular information about melioidosis and its prevention
Adding objects to the environment Environmental restructuring and Enablement Provide over-the-knee boots, hip boots or half-body waders
Provide baby powder and long socks
Restructuring the physical environment Environmental restructuring and Enablement - Advise to apply baby powder and wear long socks before wearing boots
Advise to place the kettle next to the stove so that it is convenient to boil water after cooking
Advise to keep the boiled water in containers so that it is convenient to drink boiled water
Instruction on how to perform a behavior Training Show how to wear over-the-knee boots, hip boots and half-body waders
Demonstration of the behavior Training and Modelling Present video clips showing that wearing over-the-knee boots, hip boots and half-body waders can walk in the flooded or muddy rice fields without problems
Commitment Incentivisation and Coercion Ask the person to use an “I will” statement to affirm a strong commitment to start and continue wearing boots and gloves while working in rice fields and drinking only boiled water
Prompts/cues Education and Environmental restructuring Provide a large calendar with photos of the person wearing boots and gloves and drinking boiled water (by using an instant camera) to remind the person to wear boots and gloves while working in rice fields and to drink only boiled water
Ask the person to place the boots and gloves next to the door
Self-monitoring of behavior Education, Training, Enablement, Incentivisation and Coercion Ask the person to record daily, in the calendar, whether they wear boots and gloves, and drink boiled water
Goal setting Enablement Set a goal as an outcome of changed behaviour (e.g. wearing boots 100% of the times working in rice fields and drinking only boiled waters)
Feedback on behavior Education, Persuasion, Training, Incentivisation and Coercion Ask the family of the person and community heath volunteers to observe and inform the person as to how often they wear boots and gloves while working in rice fields, and how often they drink boiled water
Feedback on outcome(s) of behavior Education, Persuasion, Training, Incentivisation and Coercion Inform the person of their final diagnosis and whether the person has melioidosis, if the person is admitted to hospital
Social support Enablement Give information about a group of community health volunteers that offer support for the behaviours
Ask nurses, doctors, head of the villages, and families of the person to encourage continuation with the behaviours

* BCT is defined as an active component of an intervention designed to change behaviour [27]. Recommended BCTs were identified by the behaviour change wheel (BCW [17]) and APEASE criteria [20].

** A BCT may have more than one function[27].