Table 1 MyComrade intervention: barriers to medication reviewing and operationalisation of MyComrade BCTs
Behavioural analysis using COM-B | MyComrade intervention Behaviour change technique and definition | Revised operationalisation of BCTs in the MyComrade intervention, based on findings of feasibility study(Sinnott et al., 2017) and contextual requirements |
|---|---|---|
Psychological capability | 3.2 Social support – practical Advise on, or provide practical help (e.g. colleagues) for performance of behaviour | Two GPs, or a GP and PBP collaboratively conduct medication review |
Social opportunity | ||
Physical opportunity | 12.2 Restructuring social environment Change, or advise to change the social environment in order to facilitate performance of the wanted behaviour 1.4 Action planning Prompt detailed planning of performance of behaviour (must include at least one of frequency, context, duration, intensity) | Plan active medication reviews |
Automatic motivation | 7.1 Prompts/cues Introduce environmental or social stimulus for the purpose of prompting or cueing behaviour | Use of prescribing checklist |
Reflective motivation | 10.7 Self-incentive Plan to reward self in future if and only if there has been effort and/or progress in performing the behaviours | Annual professional appraisal contribution |
Reflective motivation | 10.1 Material incentive (Behaviour) Inform that money, vouchers or other valued objects will be delivered if and only if there has been effort and/or progress in performing the behaviour | Financial reimbursement All practices: €500/£430 for patient recruitment admin costs Intervention practices only: ● €100/£86 completion intervention training ● €50 /£43 per completed medication review |