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Table 7 Identifying policy categories to support intervention delivery

From: Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare

Policy Category

APEASE criteria met?

Behavioural domain

Description of potential delivery mechanisms

Communication/ Marketing

Yes

Capability - Psychological

Campaign materials. Video. Communication from professional bodies. Printable materials, including patient information, posters and digital prompts

Motivation - Reflective

Behaviour monitoring tools, goal setting resources and workbook. Print and digital resources, including the evidence base on physical activity in managing specific conditions. Quotes from patients and influential professionals

Motivation - Automatic

Demonstrate peer approval and encourage role modelling through resources, supporting campaigns and ambassador network. Develop video resources to model good quality conversations. Include patients, families and friends in campaigns to prompt patient-driven consultation on physical activity

Environmental/ social planning

Yes. Effectiveness relies on successful communication and dissemination

Capability - Physical

Design flexible resources to support conversations no matter how much time is available. Support with campaign and training resources to promote skill acquisition

Capability - Psychological

Support delivery of care in existing pathway models. Supporting materials aimed at promoting discussion and awareness

Opportunity - Physical

Make available free and online for use on desktop, tablet or mobile device

Motivation - Automatic

Social networking with ambassador programme, press & media and educational network

Fiscal

No. Not practicable or acceptable

 

Nil

Guidelines

Yes

Capability - Physical

NICE guidelines recommend supporting outputs on delivery of physical activity and behavioural change, as well as disease-specific pathways and guidelines for best practice. Make resources available in regular IT systems, support with campaign and other resources, offline capability

Capability - Psychological

Make healthcare professionals aware of guidelines recommending physical activity as part of routine disease management in their specialist area.

Opportunity - Physical

An information dissemination plan including messages from professional bodies and trusted sources

Motivation - Automatic

Draw attention to and provide education on current standards and guidelines. Seek endorsement from respected professional organisations

Legislation

No. Not practical

 

nil

Regulation

Yes, although practicability relies on extrinsic regulation of best practice

Capability - Psychological

As expected by best practice standards, educate on the importance of including physical activity contacts as a regular part of routine clinical care. Reassure healthcare professionals on the effectiveness and cost-effectiveness. Make these resources available for pathway leaders to implement locally

Motivation - Reflective

Design resources to support mandatory components of practice such as care pathways recommending brief advice on lifestyle factors or assessment of physical activity levels

Service Provision

Yes

Capability - Physical

Structured guidance on how to use a resource during regular service delivery to facilitate ongoing learning during routine clinical practice

Capability - Psychological

Promote role modelling through individual clinical practice, sharing the experience of others through online peer support.

Opportunity - Physical

Directly address the time constraints of clinical practice by providing solutions based on available time. Make available resources promoting patients to initiate physical activity discussions such as posters and information leaflets for waiting rooms

Opportunity -Social

Facilitate healthcare professionals developing networks to share and promote good practise around physical activity in clinical practice. Make slidesets available for peer group learning sessions

Motivation - Reflective

Customise resources for each speciality to meet pathway and guidance requirements

Motivation - Automatic

Frame concerns and barriers to physical activity in a conversational framework to support time-responsive learning and development during service provision. Base any ‘how-to-use’ resources on a clinical consultation model to augment existing practice.