Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviour
Background: Supporting self-management in healthcare practice is essential to improve chronic patients’ daily life experiences. Primary care professionals play an indispensable role in this. Nevertheless, supporting self-management in practice comes with many challenges. The aim of this study is to...
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| Format: | Article |
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Elsevier
2024-12-01
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| Series: | International Journal of Educational Research Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666374024000529 |
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| author | Lotte Timmermans Peter Decat Veerle Foulon Ann Van Hecke Mieke Vermandere Birgitte Schoenmakers |
| author_facet | Lotte Timmermans Peter Decat Veerle Foulon Ann Van Hecke Mieke Vermandere Birgitte Schoenmakers |
| author_sort | Lotte Timmermans |
| collection | DOAJ |
| description | Background: Supporting self-management in healthcare practice is essential to improve chronic patients’ daily life experiences. Primary care professionals play an indispensable role in this. Nevertheless, supporting self-management in practice comes with many challenges. The aim of this study is to identify determinants of professionals’ supportive behaviour and develop an intervention that facilitates self-management support in primary care practice, using these determinants as building blocks. Methods: To develop the intervention, the Behaviour Change Wheel (BCW) was used which involves eight steps in three stages: (1) Understanding the behaviour using the COM-B model, (2) Identifying intervention options, and (3) Identifying content and implementation options. The theoretical underpinnings for stage 1 included data from interviews, focus groups and brainstorm sessions, incorporated beforehand in a self-management support model. Subsequently, literature analysis, empirical research and expertise from the research group guided stages 2 and 3. Results: We found that changes in “psychological capability”, “physical opportunity”, “reflective motivation” and “automatic motivation” are required to optimize professionals’ behaviour towards self-management support. The two key intervention functions identified were “enablement” and “education”. Therefore, a blended learning trajectory that incorporated these interventional building blocks was developed, integrating specific behaviour change techniques (BCTs) including: (1) Information about social and environmental consequences, (2) Information about health consequences, and (3) Social support (practical). The learning design was finalized by applying the Absorb-Do-Connect learning framework developed by Horton. Conclusions: Application of the BCW framework shaped a self-management support intervention to educate and enable healthcare professionals. Future research will pilot and refine the intervention. |
| format | Article |
| id | doaj-art-7e9ced2ff1b74f6f82d6afb4d1080494 |
| institution | Kabale University |
| issn | 2666-3740 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Educational Research Open |
| spelling | doaj-art-7e9ced2ff1b74f6f82d6afb4d10804942024-11-20T05:08:27ZengElsevierInternational Journal of Educational Research Open2666-37402024-12-017100370Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviourLotte Timmermans0Peter Decat1Veerle Foulon2Ann Van Hecke3Mieke Vermandere4Birgitte Schoenmakers5Academic Centre of General Practice, KU Leuven, Leuven, Belgium; Corresponding author.General Practice and Primary Health Care, Ghent University, Ghent, BelgiumClinical Pharmacology and Pharmacotherapy, KU Leuven, Leuven, BelgiumUniversity Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium; Staff Member of the Department Nursing Director, Ghent University Hospital, Ghent, BelgiumAcademic Centre of General Practice, KU Leuven, Leuven, BelgiumAcademic Centre of General Practice, KU Leuven, Leuven, BelgiumBackground: Supporting self-management in healthcare practice is essential to improve chronic patients’ daily life experiences. Primary care professionals play an indispensable role in this. Nevertheless, supporting self-management in practice comes with many challenges. The aim of this study is to identify determinants of professionals’ supportive behaviour and develop an intervention that facilitates self-management support in primary care practice, using these determinants as building blocks. Methods: To develop the intervention, the Behaviour Change Wheel (BCW) was used which involves eight steps in three stages: (1) Understanding the behaviour using the COM-B model, (2) Identifying intervention options, and (3) Identifying content and implementation options. The theoretical underpinnings for stage 1 included data from interviews, focus groups and brainstorm sessions, incorporated beforehand in a self-management support model. Subsequently, literature analysis, empirical research and expertise from the research group guided stages 2 and 3. Results: We found that changes in “psychological capability”, “physical opportunity”, “reflective motivation” and “automatic motivation” are required to optimize professionals’ behaviour towards self-management support. The two key intervention functions identified were “enablement” and “education”. Therefore, a blended learning trajectory that incorporated these interventional building blocks was developed, integrating specific behaviour change techniques (BCTs) including: (1) Information about social and environmental consequences, (2) Information about health consequences, and (3) Social support (practical). The learning design was finalized by applying the Absorb-Do-Connect learning framework developed by Horton. Conclusions: Application of the BCW framework shaped a self-management support intervention to educate and enable healthcare professionals. Future research will pilot and refine the intervention.http://www.sciencedirect.com/science/article/pii/S2666374024000529Behaviour change wheelCOM-B modelSelf-management supportIntervention |
| spellingShingle | Lotte Timmermans Peter Decat Veerle Foulon Ann Van Hecke Mieke Vermandere Birgitte Schoenmakers Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviour International Journal of Educational Research Open Behaviour change wheel COM-B model Self-management support Intervention |
| title | Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviour |
| title_full | Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviour |
| title_fullStr | Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviour |
| title_full_unstemmed | Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviour |
| title_short | Facilitating self-management support using the behaviour change wheel (BCW) to address healthcare professionals’ behaviour |
| title_sort | facilitating self management support using the behaviour change wheel bcw to address healthcare professionals behaviour |
| topic | Behaviour change wheel COM-B model Self-management support Intervention |
| url | http://www.sciencedirect.com/science/article/pii/S2666374024000529 |
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