Online Behaviour Change Technique Training to Support Healthcare Staff 'Make Every Contact Count'

Overview

Journal BMC Health Serv Res

Publisher Biomed Central

Specialty Health Services

Date 2020 May 9

PMID 32380982

Citations 9

Authors

Anna Chisholm

Lucie Byrne-Davis

Sarah Peters

Jane Beenstock

Suzanne Gilman

Jo Hart

Affiliations

Soon will be listed here.

Abstract

Background: National Health Service (NHS) staff support service users to change health-related behaviours such as smoking, alcohol consumption, diet and physical activity. It can be challenging to discuss behaviour changes with service users hence training is needed to equip staff with up-to-date, evidence-based behaviour change skills. In order to identify how training may help to improve health professional skills in this area, this study evaluated change in professionals' behavioural determinants following an online behaviour change skills module as part of Making Every Contact Count (MECC) training.

Methods: This evaluation comprised a within-subject design in which staff from one Northwest England NHS Trust completed a 9-item survey immediately before and after training. This prospective survey identified behavioural determinants regarding adhering to MECC recommendations to hold health conversations with service users and provided written comments about their training experiences. Individuals working within the Trust in clinical or non-clinical roles were eligible to take part and were invited to contribute to the evaluation upon uptake of their usual NHS staff online training programmes.

Results: Of participants completing the evaluation (n=206), 12 professional cadres accessed the module, most being female (91%), nurses/midwives (43%), working in children and family services (48%), aged 22 - 62 years. Eight behavioural determinants increased significantly following training, with effect sizes ranging from sizes ranging from 0.27 to 0.51; 'identity' did not change. Content analysis of written feedback (n=256) indicates that training enhanced staff behaviour change skills, modelled a productive and specific method of adopting a patient-led approach to behaviour change conversations, and identified that staff may require further support with embedding skills in practice.

Conclusions: Behaviour change science can be translated into useful learning for NHS staff. Online training can engage staff in learning about behaviour change skills and increase their behavioural determinants to adopt these skills in practice.

Citing Articles

Enhancing adapted physical activity training for community organizations: co-construction and evaluation of training modules.

Saadawi N, Best K, Pastore O, Perinet-Lacroix R, Tomasone J, Legare M Transl Behav Med. 2024; 15(1.

PMID: 39673253 PMC: 11756304. DOI: 10.1093/tbm/ibae065.

Assessing fidelity of design and training of Making Every Contact Count (MECC) in a mental health inpatient setting.

Kemp E, Aquino M, Wilson R, Vasiljevic M, McBride K, Robson C BMC Public Health. 2024; 24(1):3335.

PMID: 39614216 PMC: 11607908. DOI: 10.1186/s12889-024-20774-5.

Supporting post-pandemic recovery: a qualitative study of the capabilities, opportunities and motivations to deliver oral health behaviour change messages to parents of young children in community settings.

Goldthorpe J, Kilbee L, Pretty I, Cotterill S, Hart J, Peters S BMC Oral Health. 2024; 24(1):580.

PMID: 38762726 PMC: 11102627. DOI: 10.1186/s12903-024-04344-0.

Identifying barriers to the educational role of midwives in Cyprus and defining determinants in behaviour terms using the Behaviour Change Wheel: a mixed-method formative study.

Middleton N, Hadjigeorgiou E, Kolokotroni O, Christodoulides V, Koliandri I, Nicolaou C BMC Health Serv Res. 2022; 22(1):1233.

PMID: 36199135 PMC: 9534462. DOI: 10.1186/s12913-022-08599-7.

Using Behavior Change Interventions in Cardiac and Pulmonary Rehabilitation: Perspectives from Healthcare Professionals in the United Kingdom.

Whittaker E, Levy A, Matata B, Kinnafick F, Midgley A Int J Environ Res Public Health. 2022; 19(4).

PMID: 35206176 PMC: 8872220. DOI: 10.3390/ijerph19041980.

References

Chisholm A, Hart J, Mann K, Harkness E, Peters S . Preparing medical students to facilitate lifestyle changes with obese patients: a systematic review of the literature. Acad Med. 2012; 87(7):912-23. DOI: 10.1097/ACM.0b013e3182580648. View

Chisholm A, Mann K, Peters S, Hart J . Are medical educators following General Medical Council guidelines on obesity education: if not why not?. BMC Med Educ. 2013; 13:53. PMC: 3641974. DOI: 10.1186/1472-6920-13-53. View

Jochemsen-van der Leeuw H, van Dijk N, Wieringa-de Waard M . Attitudes towards obesity treatment in GP training practices: a focus group study. Fam Pract. 2011; 28(4):422-9. DOI: 10.1093/fampra/cmq110. View

Chisholm A, Ang-Chen P, Peters S, Hart J, Beenstock J . Public health practitioners' views of the 'Making Every Contact Count' initiative and standards for its evaluation. J Public Health (Oxf). 2018; 41(1):e70-e77. DOI: 10.1093/pubmed/fdy094. View

Steele R, Wu Y, Jensen C, Pankey S, Davis A, Aylward B . School nurses' perceived barriers to discussing weight with children and their families: a qualitative approach. J Sch Health. 2011; 81(3):128-37. DOI: 10.1111/j.1746-1561.2010.00571.x. View

Lawrence W, Black C, Tinati T, Cradock S, Begum R, Jarman M . 'Making every contact count': Evaluation of the impact of an intervention to train health and social care practitioners in skills to support health behaviour change. J Health Psychol. 2014; 21(2):138-51. PMC: 4678584. DOI: 10.1177/1359105314523304. View

Aveyard P, Lewis A, Tearne S, Hood K, Christian-Brown A, Adab P . Screening and brief intervention for obesity in primary care: a parallel, two-arm, randomised trial. Lancet. 2016; 388(10059):2492-2500. PMC: 5121130. DOI: 10.1016/S0140-6736(16)31893-1. View

Aveyard P, Begh R, Parsons A, West R . Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer of assistance. Addiction. 2011; 107(6):1066-73. DOI: 10.1111/j.1360-0443.2011.03770.x. View

Chisholm A, Hart J, Mann K, Peters S . Development of a behaviour change communication tool for medical students: the 'Tent Pegs' booklet. Patient Educ Couns. 2013; 94(1):50-60. DOI: 10.1016/j.pec.2013.09.007. View

10.

Eccles M, Grimshaw J, MacLennan G, Bonetti D, Glidewell L, Pitts N . Explaining clinical behaviors using multiple theoretical models. Implement Sci. 2012; 7:99. PMC: 3500222. DOI: 10.1186/1748-5908-7-99. View

11.

Armitage C, Norman P, Alganem S, Conner M . Expectations are more predictive of behavior than behavioral intentions: evidence from two prospective studies. Ann Behav Med. 2015; 49(2):239-46. DOI: 10.1007/s12160-014-9653-4. View

12.

Hsieh H, Shannon S . Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88. DOI: 10.1177/1049732305276687. View

13.

Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W . The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013; 46(1):81-95. DOI: 10.1007/s12160-013-9486-6. View

14.

Chisholm A, Hart J, Lam V, Peters S . Current challenges of behavior change talk for medical professionals and trainees. Patient Educ Couns. 2011; 87(3):389-94. DOI: 10.1016/j.pec.2011.12.001. View

15.

Rubin S, Davis K, McKee M . New york city physicians' views of providing long-acting reversible contraception to adolescents. Ann Fam Med. 2013; 11(2):130-6. PMC: 3601390. DOI: 10.1370/afm.1450. View

16.

Chisholm A, Hart J, Mann K, Perry M, Duthie H, Rezvani L . Investigating the feasibility and acceptability of health psychology-informed obesity training for medical students. Psychol Health Med. 2015; 21(3):368-76. DOI: 10.1080/13548506.2015.1062523. View

17.

Michie S, van Stralen M, West R . The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011; 6:42. PMC: 3096582. DOI: 10.1186/1748-5908-6-42. View

18.

Alexander K, Brijnath B, Mazza D . Barriers and enablers to delivery of the Healthy Kids Check: an analysis informed by the Theoretical Domains Framework and COM-B model. Implement Sci. 2014; 9:60. PMC: 4047437. DOI: 10.1186/1748-5908-9-60. View

19.

Elwell L, Povey R, Grogan S, Allen C, Prestwich A . Patients' and practitioners' views on health behaviour change: a qualitative study. Psychol Health. 2013; 28(6):653-74. DOI: 10.1080/08870446.2012.744008. View

20.

Landis J, Koch G . The measurement of observer agreement for categorical data. Biometrics. 1977; 33(1):159-74. View