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Table 4 Content analysis structure and illustrative quotes

From: Online behaviour change technique training to support healthcare staff ‘Make Every Contact Count’

Theme

Category

Sub-categories

Sub-category illustrative quotes (participant ID number)

(1) Learning from the session

Behaviour change techniques (n=106)

Patient-led (n=20)

If-then plans (n=16)

Tent Pegs (n=15)

Goal setting (n=5)

Avoid dictating (n=5)

Positive reinforcement (n=3)

Address barriers to change (n=2)

Reduce resistance (n=1)

Feedback (n=1)

Habit formation (n=1)

To be listening for the cues from the individual (22)

Will definitely use the If and then way of planning (203)

Very useful techniques; especially helpful TEnT PEGS (83)

More positive in setting goals (43)

I will not tell service users what to do instead I will work on their ideas (220)

Continuing to use positive reinforcement (193)

To explore barriers more (136)

How to reduce resistance (83)

Provide feedback (88)

How simple changes can make a big difference in changing habits (234)

Communication skills (n=49)

Raising the issue (n=14)

Questioning style (n=6)

Listening (n=5)

Non-confrontational (n=2)

Building rapport (n=1)

Great techniques how to start conversations (241)

How to phrase questions in a better way (162)

I have learnt how to listen more carefully at what is being said (140)

Get them (service users) to think about their lives in a nice gentle way (75)

To engage with service users (35)

New knowledge (n=20)

Best behaviour change methods (n=7)

Broadened skills (n=4)

Theory behind practice (n=3)

Meet MECC recommendations (n-1)

Professional development (n=1)

Understand more the best way to help service users to change (14)

It has broadened my approach in helping service users (103)

Very interesting to understand the theory behind the practices we use (30)

I now have the information to help me with MECC (9)

Knowledge and information for my professional development (186)

Refreshed previous knowledge/ skills (n=16)

Motivational Interviewing (n=6)

Reinforces current practice (n=4)

Prior lifestyle change training (n=2)

Reinforced motivational interviewing techniques (194)

All of it to enhance what I already deliver (164)

Reinforced learning I have already had re behaviour change (183)

No new learning (n=8)

Already do this (n=6)

The session was good however I use most of the suggested techniques naturally (110)

(2) Impact of session for the individual

Intention to implement in practice (n=27)

Help patients change (n=9)

Help colleagues change (n=5)

Help self change (n=3)

I will definitely use these interventions in my practice (118)

Can be applied to my day to day conversations with colleagues and service users (253)

I have learnt to take more control over my unhealthy habits (18)

Reflection on practice (n=22)

Value of change discussions (n=12)

Adapt for my area of work (n=3)

Broadened views on role (n=2)

Recognise use of effective techniques (n=1)

Drawn attention to topic (n=1)

The importance of having conversations about lifestyle change (67)

These may require adaptation for the service users I work with to enable them to understand and participate in the process (78)

I will continue to always address healthy lifestyles and behaviour change with everyone, not just my clients (213)

What techniques I am already using that are considered good in prompting behaviour change (200)

It has just made me think more about supporting clients through behaviour change (159)

Confidence (n=19)

Discussing lifestyle topics (n=14)

Makes current practice easier (n=2)

Undermined confidence (n=1)

Feel much more confident in making the lifestyle changes conversations with patients (83)

I have learned easier ways of how to broach the subject of lifestyle changes (209)

It actually undermined confidence as module very regimented (101)

(3) Views on session components

Generally valuable (n=28)

Useful (n=6)

Informative (n=6)

Interesting (n=4)

Insightful (n=3)

Awareness (n=2)

Very useful (217)

I found this session extremely informative (165)

I have found session very interesting (15)

Feel it has given me more insight (149)

More awareness (150)

Content (n=26)

Relevant to practice (n=7)

Not relevant to current role (n=7)

Confusing / Complex (n=6)

More support to implement (n=2)

Enjoyed theory (n=2)

Partially relevant to role (n=1)

All information very useful for daily practice (2)

Wouldn't use in my role but very thought provoking (154)

Lot of information confusing (166)

Good but I will need more working practice of it (158)

I enjoyed the theory side of this course (249)

It can be used to help with specific changes to behaviours covered by our specialty but the inference is now that we are supposed to tackle all aspects of healthy living and that is way beyond our scope (102)

Delivery style (n=10)

Prefer face-to-face (n=3)

Technical difficulties (n=2)

External distractions (n=1)

Interaction useful (n=1)

Not the easiest mode of education for myself, prefer hands on learning (182)

Difficulties with the programme running slow (221)

Found it quite difficult to concentrate in the office environment (218)

Good use of interaction (29)

Structure (n=12)

Difficult to navigate (n=9)

Too lengthy (n=6)

Quite confusing and difficult to navigate. Not user friendly. (237)

Very long and time consuming (48)

  1. Frequency of sub-category responses do not necessarily add up to totals of category responses as broader quotes could be coded at category level only, whereas sub-category titles reflect those that went on to provide more specific detail on category level responses. MECC = Making Every Contact Count. Not able to code 24 responses