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Characterizing clients' verbal statements in behavioural support interventions: The case of smoking cessation

Gainforth, HL; Lorencatto, F; Erickson, K; West, R; Michie, S; (2016) Characterizing clients' verbal statements in behavioural support interventions: The case of smoking cessation. British Journal of Health Psychology , 21 (3) pp. 600-612. 10.1111/bjhp.12188. Green open access

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Abstract

BACKGROUND: Reliable methods have been developed for characterizing behavioural interventions in terms of component practitioner-delivered behaviour change techniques (BCTs). As yet, no corresponding methods have been developed for characterizing client responses. PURPOSE: To develop a method for characterizing clients' verbal statements in audio-recordings of smoking cessation behavioural support consultations. METHODS: An established framework for specifying practitioner-delivered BCTs was adapted to account for corresponding BCTs in clients' verbal statements. A total of 1,429 client statements within 15 transcripts of audio-recorded consultations were independently coded using the framework. RESULTS: Of the 58 BCT categories in the practitioner framework, 53 corresponding client BCTs were included and five codes unrelated to smoking cessation were added. Forty client BCTs were reliably identified at least once across sessions (75.1% agreement; PABAK = .77). CONCLUSIONS: It is possible to reliably categorize clients' verbal statements in smoking cessation consultations in terms of responses to BCTs delivered by the practitioner. When used alongside the taxonomy of practitioner-delivered BCTs, this method could provide a basis for investigating the dyadic interaction between the practitioner and client. Statement of contribution What is already known on this subject? Taxonomies exist for characterizing practitioner-delivered behaviour change techniques (BCTs) in interventions. Client responses and contributions are an important part of the behaviour change process. Examining clients' receipt of BCTs can add explanatory value to the outcomes of interventions. Current taxonomies and methods do not characterize client responses in terms of BCTs. What does this study add? First method to characterize clients' statements corresponding to a practitioner BCT taxonomy. Provides a method for investigating the dyadic practitioner-client interaction using BCTs. A method that has potential to add explanatory value to the outcomes of interventions.

Type: Article
Title: Characterizing clients' verbal statements in behavioural support interventions: The case of smoking cessation
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/bjhp.12188
Publisher version: http://dx.doi.org/10.1111/bjhp.12188
Language: English
Additional information: This is the peer reviewed version of the following article: Gainforth, HL; Lorencatto, F; Erickson, K; West, R; Michie, S; (2016) Characterizing clients' verbal statements in behavioural support interventions: The case of smoking cessation. British Journal of Health Psychology, 21 (3) pp. 600-612, which has been published in final form at: http://dx.doi.org/10.1111/bjhp.12188. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html#terms).
Keywords: behaviour change techniques, behavioural support, client, interaction, intervention, smoking, smoking cessation
UCL classification: UCL
UCL > Provost and Vice Provost Offices
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 Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/1482447
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