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Table 3 Intervention components

From: Evidence, theory and context: using intervention mapping in the development of a community-based self-management program for chronic low back pain in a rural African primary care setting - the good back program

Intervention components: BCTs and procedures

Intervention phases/materials

Theory-based behaviour change methods

Delivery informed by

Behavior Change Techniques (BCTs)- labelled from the Behavior Change Technique Taxonomy (v1) of 93 hierarchically clustered techniques

Intervention format

Face to face, group exercise sessions, group + individual discussion sessions

Intervention provider

Physiotherapist trained in behaviour change techniques

Duration of intervention

6 weeks

Frequency of intervention

One per week

Context within which intervention was delivered

Rural primary health care centre

Education/

Patient and Physiotherapist booklets

MI

MI

Shaping knowledge (instruction on how to perform a behaviour, re-attribution),

Natural consequences (Information about health consequences)

 

Mapping of existing illness perceptions/

Physiotherapist booklet

Improving physical and emotional states

CBT

Natural consequences (Monitoring of emotional consequences - by self

Monitoring of functional consequencesa - by self)

Challenging maladaptive illness perceptions/

Physiotherapist booklet

Improving physical and emotional states

CBT

Natural consequences (Information about emotional consequences

Information about functional consequencesa

Formulation of alternative illness perceptions and associated behaviours/

Patient and Physiotherapist booklets

Improving physical and emotional states

CBT

Natural consequences (Information about emotional consequences)

Self-belief

(Verbal persuasion about capability),

Natural consequences (Information about functional consequences)a

Practising the alternative (desired) behaviour (exercises and good posture) in a supervised session/

Patient and Physiotherapist booklets

Guided practice,

Goal setting

MI

Shaping Knowledge

(Instruction on how to perform a behaviour),

Self-belief

(Verbal persuasion about capability),

Repetition and substitution

(Behavioural practice/rehearsal,

Habit formation)

Testing of alternative illness perceptions and associated behaviours/

Patient booklet

Guided practice,

Self-monitoring of behaviour,

Set graded tasks,

Planning coping responses

CBT

Shaping knowledge behavioural experiments)

Social support

Social support (unspecified),

Antecedents

(Restructuring the social environment,

Restructuring the physical environment)

Feedback and monitoring

(Self-monitoring of behaviour,

Self-monitoring of outcome(s) of behaviour)

  1. MI Motivational interviewing, CBT Cognitive behavioural therapy
  2. aabsent in the 93 BCT