Table 6 Final intervention BCTs and mode of delivery
Module | BCTs | Mode of delivery |
|---|---|---|
My treatment | 4.1 Instruction on how to perform the behaviour 5.1 Information about health consequences 9.1 Credible source 5.2 Salience of consequences 6.1 Demonstration of the behaviour 16.3 Vicarious consequences 15.4 Self-talk | CFHealthHub: • Demonstration of techniques for nebuliser use, cleaning and treatment mixing • Information about CF, the need for treatment, how each treatment works, and the importance of adherence • Information presented in a variety of ways though written text, patient stories, ‘talking heads’, and animation videos, with links to external content including Cochrane reviews • Range of different credible information sources including PWCF, Clinicians, links to scientific papers Interventionist: • Interventionist introducing and highlighting relevant content on CFHealthHub • Interventionist eliciting self-talk through discussion of motivation |
Self-monitoring | 2.2 Feedback on behaviour 2.3 Self-monitoring of behaviour 12.5 Adding objects to the environment | CFHealthHub • Charts and tables of objective adherence data presented within CFHealthHub Interventionist • Introducing and explaining charts and tables to participants |
Confidence building | 6.1 Demonstration of behaviour 15.1 Verbal persuasion about capability 15.3 Focus on past success | CFHealthHub • ‘Talking heads’ videos of coping stories within CFHealthHub Interventionist • Interventionist encouraging focus on periods of higher adherence on charts |
Goal setting and review | 1.1 Goal setting (behaviour) 2.2 Feedback on behaviour 1.6 Discrepancy between current behaviour and goal 1.5 Review behaviour goal 8.7 Graded tasks 10.4 Social reward | CFHealthHub • Indication of goal line on charts of adherence • Visual indication of goal met on CFHealthHub • (Optional) Weekly push notifications indicating whether goal was met • (Optional) Reward messages sent when goal met Interventionist • Discussion and agreement of goals with interventionist • Review of goals • Suggested steady increase in goal as improvements are made • Feedback and social reward on progress |
Treatment Plan | 1.4 Action planning 8.3 Habit formation 7.1 Prompts/cues | CFHealthHub • Action planning tool and storage within CFHealthHub Interventionist • Help to focus on identifying consistent cues and linking to behaviour (habit formation) • Discussion and identification of appropriate cues - and how to add to the environment (if necessary) |
Problem-solving | 1.2 Problem solving 12.1 Restructure the physical environment 15.4 Self-talk 3.2 Social support (practical) 4.1 Instruction on how to perform the behaviour 6.1 Demonstration of the behaviour 8.1 Behavioural practice/rehearsal | CFHealthHub • Solution bank within CFHealthhub (including advice to problem solve, restructure the physical environment, engage social support) • Coping planning, day planner, and party planner tools and storage within CFHealthHub • Videos demonstrating correct use of nebulisers within CFHealthHub Interventionist • Tailored problem-solving guided by interventionist • Support to create day plans/party plans where appropriate • Support to construct if-then coping plans including identifying self-talk where appropriate |