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. 2016 Nov 18;6(11):e012897. doi: 10.1136/bmjopen-2016-012897

Table 2.

Asthma intervention summary of content using the BCW, BCT and COM-B

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.