Table 4. Examples from the behavioural analysis to map co-produced intervention strategies to the BCW.
| Target behaviour | Barrier to the target behaviour | Co-produced intervention strategy | Target construct (COM-B)a | Intervention Function (BCW)b | BCTsc |
|---|---|---|---|---|---|
| Communicating outside of the home | Not having someone to practice with or provide practical support. | Support provided by SLTd or family/friends or SLT provides help to access locally available support e.g. from charities, communication partner schemes. | Opportunity | Enablement, environmental restructuring | 3.3. Social support (practical) 3.4. Social support (emotional) 7.1. Prompts/Cues 12.2. Restructuring the social environment |
| SSWAe lacking confidence in their ability. | Having support to build up confidence gradually in small steps. | Motivation | Enablement, Persuasion | 4.1. Instruction on how to perform the behaviour 6.1. Demonstration of the behaviour 8.1. Behavioural practise or rehearsal 8.7. Graded tasks 2.7. Feedback on outcome of behaviour 8.3. Habit formation 10.4. Social reward |
|
| Seeking or maintaining social support | Family and friends not knowing what they can do to support the SSWA | Written, clear, easy read summary of what family and friends can do to help SSWA to communicate. Family and friends acting as advocates for the person with aphasia to make sure that other people in their social network are aware of what they can do to support them to communicate. |
Capability Opportunity |
Training Environmental restructuring |
4.1. Instruction on how to perform the behaviour 4.1. Instruction on how to perform the behaviour 13.1. Identification of self as a role model |
| Participating in meaningful activity | Not being able to do the same activities as before stroke | Being supported to develop a new routine (including awareness of locally available opportunities which are tailored to the SSWA’s interests). | Capability Opportunity |
Education Enablement Environmental restructuring |
4.1. Instruction on how to perform the behaviour 1.4. Action planning 2.3. Self-monitoring of behaviour 7.1. Prompts/cues 12.5. Adding objects to the environment |
| Taking the lead in managing | Thinking it is the health care professional’s job to say what happens in therapy. | Increase knowledge about SSWA/family members having a joint role in therapy. | Capability | Education | 4.1. Instruction on how to perform the behaviour 5.1. Information about health consequences 5.6. Information about emotional consequences |
Abbreviations:
aCOM-B- Capability Opportunity Motivation model of behaviour;
b BCW- Behaviour Change Wheel;
c BCTs- Behaviour Change Techniques;
d SLT-Speech and language therapist;
e SSWA- Stroke survivors with aphasia