Abstract
This study explores healthcare professionals’ experiences of using behavior change interventions in clinical practice. Semi-structured qualitative interviews were conducted with 11 healthcare professionals working in a cardiac and pulmonary rehabilitation National Health Service Trust in the United Kingdom. Interviews were transcribed and analyzed using inductive thematic analysis. Four overarching themes representing healthcare practitioners’ perceptions of using behavior change interventions were identified: (1) reliance on experiential learning, (2) knowledge transition, (3) existing professional development programs, and (4) barriers and facilitators for continued professional development. The results are discussed in relation to the implications they may have for behavior change training in clinical healthcare practice. Healthcare professionals require bespoke and formalized training to optimize their delivery of behavior change interventions in cardiac and pulmonary rehabilitation. Doing so will enhance intervention fidelity and implementation that can potentially ameliorate patient rehabilitation outcomes.
Highlights
The significant financial strain experienced by the National Health Service (NHS) in the United Kingdom and the increasing number of patients living with long-term health conditions has led to non-physician healthcare professionals expanding and diversifying their role to include public health advocacy [1]
When questioned about their level of understanding of behavior change, healthcare professionals generally perceived motivational interviewing, goal setting, and behavior change to be synonymous, with several participants discussing motivational interviewing courses they had taken part in or “SMART” goal-setting techniques that they had utilized with patients (Healthcare Professional 6, line 586)
Our findings provide a contextualized understanding of behavior change for healthcare professionals working in a cardiac and rehabilitation service in the UK
Summary
The significant financial strain experienced by the National Health Service (NHS) in the United Kingdom and the increasing number of patients living with long-term health conditions has led to non-physician healthcare professionals expanding and diversifying their role to include public health advocacy [1]. Despite this role expansion being extremely common across a range of healthcare disciplines, healthcare professionals report feeling that their training in delivering behavior change as a component of their standard practice is poor [2]. It is essential that research evidence can be translated into clinical practice to
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