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Table 2 Steps in developing a theory based behavioural intervention

From: Developing the content of two behavioural interventions: Using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics #1

1. Specify target behaviour(s).
2. Select theoretical framework (for empirical investigation at baseline and to assess process).
3. Conduct a predictive study with a (preferably representative) sample drawn from the population of interest, to identify modifiable variables that predict the target behaviour(s) and their means/distributions. Based on the findings of this study, choose which variables to target. These variables are the proposed mediators of behaviour change.
4. Map targeted variables onto behaviour change techniques and select techniques that (a) are likely to change the mediator variables and (b) it is feasible to operationalise.
5. Choose appropriate method(s) of delivery of the techniques.
6. Operationalise intervention components (techniques) in appropriate combination and order.
  1. Note: As part of an iterative process, results from the implementation modelling experiment will provide information for feedback loops that address earlier points in this sequence. This feedback loop permits change, development or refinement of the intervention.