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Using the behaviour change wheel approach to optimize self-sampling packs for sexually transmitted infection and blood borne viruses

Flowers, Paul; Vojt, Gabriele; Pothoulaki, Maria; Mapp, Fiona; Woode Owusu, Melvina; Cassell, Jackie A; Estcourt, Claudia; (2022) Using the behaviour change wheel approach to optimize self-sampling packs for sexually transmitted infection and blood borne viruses. British Journal of Health Psychology 10.1111/bjhp.12607. (In press). Green open access

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Abstract

PURPOSE: This paper describes the process of optimizing a widely offered intervention-self-sampling packs for sexually transmitted infections (STIs) and blood borne viruses (BBVs). We drew upon the behaviour change wheel (BCW) approach, incorporating the theoretical domains framework (TDF) and the behaviour change technique taxonomy (BCTTv1) to systematically specify potential intervention components that may optimize the packs. METHODS: A BCW analysis built upon prior thematic analyses of qualitative data collected through focus groups and interviews with members of the public and people recruited from sexual health clinics in Glasgow and London (n = 56). Salient barriers and facilitators to specific sequential behavioural domains associated with the wider behavioural system of pack use were subjected to further analyses, coding them in relation to the TDF, the BCW's intervention functions, and finally specifying potential optimisation using behaviour change techniques (BCTs). RESULTS: Our TDF analysis suggested that across the overall behavioural system of pack use, the most important theoretical domains were 'beliefs about consequences' and 'memory, attention and decision-making'. BCW analysis on the overall pack suggested useful intervention functions should focus on 'environmental restructuring', 'persuasion', 'enablement', 'education' and 'modelling'. Specific ways of optimizing the intervention were also described in relation to potentially useful BCTs. CONCLUSIONS: Through a detailed behavioural analysis and the TDF and wider BCW approach built on earlier qualitative work, we provide a systematic approach to optimizing an existing intervention. The approach enabled the specification of highly specific, evidence-based, and theoretically informed recommendations for intervention optimization.

Type: Article
Title: Using the behaviour change wheel approach to optimize self-sampling packs for sexually transmitted infection and blood borne viruses
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/bjhp.12607
Publisher version: https://doi.org/10.1111/bjhp.12607
Language: English
Additional information: © 2022 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Keywords: behaviour change taxonomy, behaviour change wheel, blood borne viruses, intervention optimisation, methodology, self-sampling, sexual health, sexually transmitted infections, theoretical domains framework
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10151230
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