Abstract

BackgroundBehaviour change interventions are likely to be reproducible only if reported clearly. We assessed whether the behaviour change technique taxonomy version 1 (BCTTv1), with and without training in identifying BCTs, improves the clarity and replicability of written reports of observed behaviour change interventions.MethodsThree studies assessed effects of using and training in the use of BCTTv1 on the clarity and replicability of intervention descriptions written after observing videos of smoking cessation interventions. Study 1 examined the effects of using and not using BCTTv1. Study 2 examined the effects of using BCTTv1 and training in use of BCTTv1 compared no use and no training. Study 3 employed a within-group design to assess change in descriptions written before and after training. One-hundred and 66 ‘writers’ watched videos of behaviour change interventions and wrote descriptions of the active components delivered. In all studies, the participants’ written descriptions were evaluated by (i) 12 ‘raters’ (untrained in BCTTv1) for clarity and replicability and (ii) 12 ‘coders’ (trained in BCTTv1) for reliability of BCT coding. Writers rated the usability and accessibility of using BCTTv1 to write descriptions.ResultsRatings of clarity and replicability did not differ between groups in study 1 (all ps > 0.05), were poorer for trained users in study 2 (all ps < 0.01) and improved following training in study 3 (all ps < 0.05). BCT identification was more reliable from descriptions written by trained BCTTv1 users (p < 0.05; study 2) but not simple use of BCTTv1 (p = 0.93; study 1) or by writers who had written a description without BCTTv1, before training (p = 0.50; study 3). Writers reported that using BCTTv1 was difficult but ‘useful’, ‘good’ and ‘desirable’ and that their descriptions would be clear and replicable (all means above mid-point of the scale).ConclusionsEffects of training to use BCTTv1 on the quality of written reports of observed interventions were mixed, with some suggestion of improved clarity and replicability of reporting in the within- (study 3) but not the between-group studies (studies 1 and 2). Potential benefits of using BCTTv1 may have been limited by the artificial nature and time constraints of the task.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-016-0448-9) contains supplementary material, which is available to authorized users.

Highlights

  • Behaviour change interventions are likely to be reproducible only if reported clearly

  • We examine the utility of behaviour change technique taxonomy version 1 (BCTTv1) in terms of writing descriptions of observed behaviour change interventions

  • Agreement of Behaviour Change Technique (BCT) identification was calculated between pairs of coders to assess inter-rater reliability: the extent to which the two trained coders can apply BCTTv1 consistently to identify BCTs

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Summary

Introduction

Behaviour change interventions are likely to be reproducible only if reported clearly. To improve implementation and replication of effective behaviour change interventions (BCIs), we need better methods to specify and report potentially ‘active ingredients’. The CONSORT (Consolidated Standards of Reporting Trials) statement for randomised trials of ‘non-pharmacological’ interventions recommends precise specification of trial processes, including some details of the delivery of interventions and ‘description of the different components of the intervention’ [3, 4]. The TIDieR (Template for Intervention Description and Replication) checklist [6] expanded on this list, the CONSORT statement and other guidance including the SPIRIT statement (Standard Protocol items: Recommendations for Interventional Trials) [7]. Good reporting requires writers to specify characteristics of interventions and their context such as mode of delivery, intervention intensity, target behaviour, target population, setting and active content [8]. The criteria in the TIDieR checklist, are mainly procedures for reporting delivery (‘mode of delivery,’ such as face-to-face or the internet) rather than active content (e.g. goal setting)

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