Table 2.
Behavioural Intervention: small group workshop in individual community pharmacies | ||||||||
---|---|---|---|---|---|---|---|---|
BCT | Functions | Text description | Capability |
Opportunity |
Motivation |
|||
Physical | Psychological | Social | Physical | Reflective | Automatic | |||
Information about social and environmental consequences | Education Persuasion |
Information was given about asthma management and current information about the gaps in practice. Explanations were provided about why patients may not recognise the need for assistance in asthma management. Information was also provided about legislative requirements and guidelines for practice |
✓ | ✓ | ✓ | |||
Information about health consequences | Education Persuasion |
Information and statistics about the serious consequences of asthma including a patient's story about a near-death experience | ✓ | ✓ | ✓ | |||
Prompts/cues | Education Environmental restructuring |
A checklist was introduced as a way of asking appropriate questions to support internal referral and pharmacist decision-making based on the guidelines | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Self-monitoring of behaviour | Education Incentivisation Training |
The use of a checklist helped to provide a quantifiable measure of service provision. Encouragement was given that patients may still be resistant at first but that the process could become habitual | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Verbal persuasion about capability | Persuasion | Pharmacy assistants were encouraged that patients with asthma would engage if approached in the right way. The difficulties were acknowledged and then strategies were provided to enhance communication | ✓ | ✓ | ||||
Identity associated with changed behaviour | Persuasion | Pharmacy assistants were encouraged about the importance of their role in the process of managing patients with asthma and given clear guidance on what their role was in the context of the legislative requirements. | ✓ | ✓ | ||||
Incentive | Incentivisation | Information was provided about how to access remuneration for professional services resulting from guideline-based practice | ✓ | ✓ | ||||
Demonstration of the behaviour | Training Modelling |
A role play video was used to demonstrate difficulties with patient engagement and then a discussion was based on the video Another patient story video was used to demonstrate the patient perspective to enhance communication and motivation |
✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Instruction on how to perform a behaviour | Training Modelling |
A checklist was introduced as a way of collecting appropriate information and as a way of facilitating internal referral of patients within the pharmacy | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
BCT, Behaviour Change Techniques; BCW, Behaviour Change Wheel; COM-B, Capability, Opportunity and Motivation-Behaviour.