Table 4.
Interventions co-designed to address TDF domains (Including intervention functions and behaviour change techniques
| Interventions | Active goal-setting ingredient addressed | TDF domains addressed | Intervention Functions | Behaviour Change Technique |
|---|---|---|---|---|
| Staff Education and Training sessions |
Interdisciplinary goal-setting Shared decision-making Specific and meaningful goal-setting Action Planning, feedback and review |
Knowledge Beliefs about consequences Social Role and Identity Skills Beliefs about capabilities Social influences |
Education Modelling Enablement Training |
Information about health consequence Demonstration of the behaviour Instruction on how to perform the behaviour Behavioural practice/rehearsal Framing and reframing Self-monitoring of behaviour (audits) Feedback on behaviour (audits) |
| Purpose: To enhance understanding of; | ||||
|
→ The difference between goals and actions, → How to frame long-term and short-term goals → Action plans and coping plans to achieve goals → Skills to facilitate SDM → How teams can work together to include the client → Using measurement tools and prompts | ||||
| Modules: | ||||
|
→ An introduction to goal-setting → Collaborative interdisciplinary goal-setting → Goal-setting and Action Planning → Motivational Interviewing → Goal-setting measures and tools → Talking Mats training online Materials: Training manual, handouts, references and PowerPoint presentations, online resources | ||||
| Keyworker model and workplace instruction |
Interdisciplinary goal-setting Shared decision-making Specific and meaningful goal-setting Action Planning, feedback and review |
Skills Environmental Context Social Role and Identity |
Environmental Restructure Training |
Restructuring the social environment Instruction on how to perform the behaviour |
| Purpose: To enhance client and family involvement in goal-setting and rehabilitation | ||||
| Content: Workplace instruction providing description of role and responsibilities | ||||
| Materials: Workplace instruction, orientation training | ||||
| Case conference restructure |
Interdisciplinary goal-setting Specific and meaningful goal-setting Action Planning, feedback and review |
Environmental Context |
Environmental Restructure Enablement |
Restructuring the social environment (processes) Framing and reframing Prompts and cues |
| Purpose: To provide a framework for meaningful interdisciplinary goal-setting and action planning | ||||
| Content: Background client information, current function, common goal focus, long term hope/dream goals, goals for the episode of care, weekly goals, client actions, staff actions and discharge planning | ||||
| Materials: Electronic template to be pasted into medical records, chairing guidelines, workplace instructions defining roles and responsibilities of team members | ||||
| Communication goal and action boards |
Interdisciplinary goal-setting Shared decision-making Action Planning, feedback and review |
Environmental Context | Environmental Restructure |
Prompts and cues Restructuring the physical environment |
| Purpose: To enhance client and family involvement in goal-setting and rehabilitation, to enhance the role of the nurse to support action planning | ||||
| Content: Long term goals, goals for the episode of care, weekly/short term goals, client actions and estimated discharge dates | ||||
| Materials: Paper copy | ||||
| Client workbook |
Shared decision-making Specific and meaningful goal-setting Action Planning, feedback and review |
Knowledge Skills |
Education Training |
Information about health consequence Instruction on how to perform the behaviour |
| Purpose: To enhance client knowledge and expectations, to provide a framework for staff to facilitate goal-setting | ||||
| Content: | ||||
|
→ What is rehabilitation? → Why do I need rehabilitation? (fillable) → Who may I meet in rehabilitation? → Your rehabilitation service (tailorable) → What is a goal? → How do I set a goal? (tailorable templates) | ||||
| Materials: Editable PDF, provided as hard copy to clients | ||||
| Client Rehabilitation flyer |
Shared decision-making Specific and meaningful goal-setting |
Knowledge | Education | Information about health consequence |
| Purpose: To enhance client knowledge and expectations Content: | ||||
|
→ What is rehabilitation? → What is a goal? → Who may I meet in rehabilitation? (tailorable) → Available facilities (tailorable) → What to bring (tailorable) → Your rehabilitation routine (tailorable) | ||||
| Materials: Editable PDF, provided as hard copy to clients |