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Michie S, Johnston M, Rothman AJ, et al. Developing an evidence-based online method of linking behaviour change techniques and theoretical mechanisms of action: a multiple methods study. Southampton (UK): NIHR Journals Library; 2021 Jan. (Health Services and Delivery Research, No. 9.1.)

Cover of Developing an evidence-based online method of linking behaviour change techniques and theoretical mechanisms of action: a multiple methods study

Developing an evidence-based online method of linking behaviour change techniques and theoretical mechanisms of action: a multiple methods study.

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Appendix 8Behaviour change technique labels and definitions presented by behaviour change technique group

TABLE 28

Behaviour change technique labels and definitions presented by BCT group

BCT groupFactor loadingBCTTv1 number and labelBCT definition
10.8231.5 Review behaviour goalsReview behaviour goal(s) jointly with the person and consider modifying goal(s) or behaviour change strategy in light of achievement. This may lead to resetting the same goal, a small change in that goal or setting a new goal instead of (or in addition to) the first, or no change
0.7831.4 Action-planningPrompt detailed planning of performance of the behaviour (must include at least one of context, frequency, duration and intensity). Context may be environmental (physical or social) or internal (physical, emotional or cognitive)
0.72915.3 Focus on past successAdvise to think about or list previous successes in performing the behaviour (or parts of it)
0.7171.1 Goal-setting (behaviour)Set or agree a goal defined in terms of the behaviour to be achieved
0.71215.4 Self-talkPrompt positive self-talk (aloud or silently) before and during the behaviour
0.7053.3 Social support (emotional)Advise on, arrange or provide emotional–social support (e.g. from friends, relatives, colleagues, ‘buddies’ or staff) for performance of the behaviour
0.6241.2 Problem-solvingAnalyse, or prompt the person to analyse factors influencing the behaviour and generate or select strategies that include overcoming barriers and/or increasing facilitators
0.6132.3 Self-monitoring of behaviourEstablish a method for the person to monitor and record their behaviour(s) as part of a behaviour change strategy
0.5708.7 Graded tasksSet easy-to-perform tasks, making them increasingly difficult, but achievable, until behaviour is performed
0.5601.3 Goal-setting (outcome)Set or agree a goal defined in terms of a positive outcome of wanted behaviour
0.5231.6 Discrepancy between current behaviour and goalDraw attention to discrepancies between a person’s current behaviour (in terms of the form, frequency, duration or intensity of that behaviour) and the person’s previously set outcome goals, behavioural goals or action plans (goes beyond self-monitoring of behaviour)
0.5032.4 Self-monitoring of outcomes of behaviourEstablish a method for the person to monitor and record the outcome(s) of their behaviour as part of a behaviour change strategy
0.4891.8 Behavioural contractCreate a written specification of the behaviour to be performed, agreed by the person and witnessed by another
20.8072.7 Feedback on outcomes of behaviourMonitor and provide feedback on the outcome of performance of the behaviour
0.7402.2 Feedback on behaviourMonitor and provide informative or evaluative feedback on performance of the behaviour (e.g. form, frequency, duration, intensity)
0.6266.2 Social comparisonDraw attention to others’ performance to allow comparison with the person’s own performance
30.6655.2 Salience of consequencesUse methods specifically designed to emphasise the consequences of performing the behaviour with the aim of making them more memorable (goes beyond informing about consequences
0.65112.3 Avoidance/reducing exposure to cues for the behaviourAdvise on how to avoid exposure to specific social and contextual/physical cues for the behaviour, including changing daily or weekly routines
0.5996.3 Information about others’ approvalProvide information about what other people think about the behaviour. The information clarifies whether others will like, approve or disapprove of what the person is doing or will do
0.49812.2 Restructuring the social environmentChange, or advise to change the social environment to facilitate performance of the wanted behaviour or create barriers to the unwanted behaviour (other than prompts/cues, rewards and punishments)
0.4755.3 Information about social and environmental consequencesProvide information (e.g. written, verbal, visual) about social and environmental consequences of performing the behaviour
0.4605.1 Information about health consequencesProvide information (e.g. written, verbal, visual) about health consequences of performing the behaviour
0.45313.2 Framing/reframingSuggest the deliberate adoption of a perspective or new perspective on behaviour (e.g. its purpose) to change cognitions or emotions about performing the behaviour (includes ‘cognitive structuring’)
40.7268.1 Behavioural practice/rehearsalPrompt practice or rehearsal of the performance of the behaviour one or more times in a context or at a time when the performance may not be necessary, to increase habit and skill
0.6216.1 Demonstration of the behaviourProvide an observable sample of the performance of the behaviour, directly in person or indirectly (e.g. via film, pictures, for the person to aspire to or imitate), includes ‘modelling’
0.5634.1 Instruction on how to perform the behaviourAdvise or agree on how to perform the behaviour (includes ‘skills training’)
50.83412.6 Body changesAlter body structure, functioning or support directly to facilitate behaviour change
0.73610.9 Self-rewardPrompt self-praise or self-reward if and only if there has been effort and/or progress in performing the behaviour
0.50911.2 Reduce negative emotionsAdvise on ways of reducing negative emotions to facilitate performance of the behaviour (includes ‘stress management’)

Labels and definitions from Michie et al.17

Copyright © Queen’s Printer and Controller of HMSO 2021. This work was produced by Michie et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK567039

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