Table 2 Overview of the HCP training package including behaviour change techniques used and mode of delivery
Modules | Mode of delivery | BCTs (coded in line with BCTTV1) | Associated TDF domain |
|---|---|---|---|
1. Overview of the project | • Use of an importance ruler to assess HCP perceptions on exercise. • Information presented about the project, NICE recommendations, patient experiences with exercise and proposed new HCP roles. • Information presented as patient vignettes, videos, written text, prompts for clinic use and links to further reading. • Problem solving task in relation to new HCP roles such as providing exercise referrals. | Problem solving (1.2) | Beliefs about capabilities |
Social support (Unspecified) (3.1) | Skills, Behavioural regulation, and Social influences | ||
Information about health consequences (5.1) | Knowledge and Beliefs about consequences | ||
Information about social and environmental consequences (5.3) | Knowledge | ||
Information about emotional consequences (5.6) | Knowledge and Beliefs about consequences | ||
Prompts/cues (7.1) | Memory and Environmental resources and context | ||
Credible source (9.1) | Skills, Social/Professional role and identity and Social Influences | ||
Adding objects to the environment (12.5) | Memory, attention and decision processes and Environment resources and context | ||
2. Prostate cancer and exercise – the evidence | • Information presented about the evidence base for exercise in prostate cancer. • Information presented via videos, written text, patient case studies, handouts of scientific papers and links to further reading. • Case study task in relation to reducing assumptions about patient’s suitability for exercise. | Social support (Unspecified) (3.1) | Skills, Behavioural regulation, and Social influences |
Information about health consequences (5.1) | Knowledge and Beliefs about consequences | ||
Information about social and environmental consequences (5.3) | Knowledge | ||
Information about emotional consequences (5.6) | Knowledge and Beliefs about consequences | ||
Information about others’ approval (6.3) | Social/Professional role and identity and Social influences | ||
Credible source (9.1) | Skills, Social/Professional role and identity and Social Influences | ||
Reduce negative emotions (11.2) | Beliefs about capabilities and emotions | ||
3. Discussing exercise as a healthcare professional | • Discussion around pros and cons of discussing lifestyle factors with this patient group and problem-solving task. • Information on the teachable moment, patient views of HCPs discussing lifestyle, on new roles for HCPs and procedures. • Demonstrations of discussions of exercise with patients. • Information presented as patient vignettes, videos, written text, prompts for clinic use and links to further reading. • Action planning task as a team. | Problem solving (1.2) | Beliefs about capabilities |
Action planning (1.4) | Behaviour regulation | ||
Social support (unspecified) (3.1) | Skills, Behavioural regulation, and Social influences | ||
Instruction on how to perform the behaviour (4.1) | Knowledge, Skills and Beliefs about capabilities | ||
Information about health consequences (5.1) | Knowledge and Beliefs about consequences | ||
Information about social and environmental consequences (5.3) | Knowledge | ||
Information about emotional consequences (5.6) | Knowledge and Beliefs about consequences | ||
Demonstration of behaviour (6.1) | Skills and Beliefs about capabilities | ||
Information about others’ approval (6.3) | Social/Professional role and identity and Social Influences | ||
Prompts/cues (7.1) | Memory, attention and decision processes and Environment resources and context | ||
Habit formation (8.3) | Environmental context and resources | ||
Credible source (9.1) | Skills, Social/Professional role and identity and Social Influences | ||
Pros and cons (9.2) | Beliefs about consequences | ||
Comparative imagining of future outcomes (9.3) | Beliefs about consequences | ||
Adding objects to the environment (12.5) | Memory, attention and decision processes and Environment resources and context | ||
Verbal persuasion about capability (15.1) | Beliefs about capabilities | ||
Focus on past success (15.3) | Beliefs about capabilities | ||
4. Skills for supporting people with exercise | • Information about behaviour change and behaviour change theory, introduction to techniques to support behaviour change in this patient group and demonstration of these. • Overview of all the specific BCTs, providing instruction and demonstrations how to deliver them. • Opportunity for role play and feedback tasks in relation to techniques. • Reflections on previous experiences. • Information presented as patient vignettes, diagrams demonstrations, written text, prompts for clinic use and links to further reading. | Feedback on behaviour (2.2) | Skills |
Social support (unspecified) (3.1) | Skills, Behavioural regulation, and Social influences | ||
Instruction on how to perform the behaviour (4.1) | Skills, Knowledge and Beliefs about capabilities | ||
Information about health consequences (5.1) | Knowledge and Beliefs about consequences | ||
Information about social and environmental consequences (5.3) | Knowledge | ||
Information about emotional consequences (5.6) | Knowledge and Beliefs about consequences | ||
Demonstration of behaviour (6.1) | Skills and Beliefs about capabilities | ||
Behavioural practice/rehearsal (8.1) | Skills and Beliefs about capabilities | ||
Adding objects to the environment (12.5) | Memory, attention and decision processes and Environment resources and context | ||
Verbal persuasion about capability (15.1) | Beliefs about capabilities | ||
Focus on past success (15.3) | Beliefs about capabilities | ||
5. The role of exercise professionals | • Discussion of opinions and experience of exercise referral schemes. • Information about NH, services they provide and their exercise professionals. • Information about the exercise prescription for patients and their views. • Information presented via diagrams, videos and written text. | Social support (unspecified) (3.1) | Skills, Behavioural regulation, and Social influences |
Information about health consequences (5.1) | Knowledge and Beliefs about consequences | ||
Information about social and environmental consequences (5.3) | Knowledge | ||
Information about emotional consequences (5.6) | Knowledge and Beliefs about consequences | ||
Information about other approval (6.3) | Social/Professional role and identity and Social Influences | ||
Credible source (9.1) | Skills, Social/Professional role and identity and Social Influences | ||
6. The exercise referral pathway and communication pathway | • Overview of the processes for referrals and communication. • Information provided via demonstrations, written text and prompts for clinic use. • Discussion around providing support at follow-up with information provided by written text and patient vignettes. • Opportunity for role play and feedback tasks in relation to techniques. | Problem solving (1.2) | Beliefs about capabilities |
Feedback on behaviour (2.2) | Skills | ||
Social support (unspecified) (3.1) | Skills, Behavioural regulation, and Social influences | ||
Instruction on how to perform the behaviour (4.1) | Skills, Knowledge and Beliefs about capabilities | ||
Information about health consequences (5.1) | Knowledge and Beliefs about consequences | ||
Information about social and environmental consequences (5.3) | Knowledge | ||
Information about emotional consequences (5.6) | Knowledge and Beliefs about consequences | ||
Prompts/cues (7.1) | Memory, attention and decision processes and Environment resources and context | ||
Behavioural practice/rehearsal (8.1) | Skills and Beliefs about capabilities | ||
Habit formation (8.3) | Environment context and resources | ||
Intervention support | • The use of prompts within clinics, feedback on behaviour such as referrals via email or telephone and the use of a screening log to self-monitor behaviour. | Feedback on behaviour (2.2) | Skills |
Self-monitoring of behaviour (2.3) | Skills and Behaviour regulation | ||
Feedback on outcome(s) of behaviour (2.7) | Skills | ||
Prompts/cues (7.1) | Memory, attention and decision processes and Environment resources and context | ||
Habit formation (8.3) | Environment context and resources | ||
Adding objects to the environment (12.5) | Memory, attention and decision processes and Environment resources and context |