Volume 57, Issue 4 p. 660-680

From Theory to Intervention: Mapping Theoretically Derived Behavioural Determinants to Behaviour Change Techniques

Susan Michie

Corresponding Author

Susan Michie

University College London, UK

* Address for correspondence: Susan Michie, Department of Psychology, University College London, London WC1E 7HB, UK. Email [email protected]Search for more papers by this author
Marie Johnston

Marie Johnston

University of Aberdeen, UK

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Jill Francis

Jill Francis

University of Aberdeen, UK

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Wendy Hardeman

Wendy Hardeman

University of Cambridge, UK

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Martin Eccles

Martin Eccles

Newcastle University, UK

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First published: 08 July 2008
Citations: 1,141

Authors 1 and 2 are members of the MRC Health Services Research Collaboration. Author 3 is a member of the Aberdeen Health Psychology Group, funded by the Institute of Applied Health Sciences, and of the Health Services Research Unit, funded by the Chief Scientist Office of the Scottish Government Health Directive. Author 4 is funded by NHS NIHR Academic Unit Funding. The views expressed are not necessarily those of the funding bodies. We thank Jess Berentson-Shaw and Moira Cruickshank for help in data preparation and Charles Abraham for valuable discussions on related work ( Abraham & Michie, in press).

Abstract

en

Theory provides a helpful basis for designing interventions to change behaviour but offers little guidance on how to do this. This paper aims to illustrate methods for developing an extensive list of behaviour change techniques (with definitions) and for linking techniques to theoretical constructs. A list of techniques and definitions was generated from techniques published in two systematic reviews, supplemented by “brainstorming” and a systematic search of nine textbooks used in training applied psychologists. Inter-rater reliability of extracting the techniques and definitions from the textbooks was assessed. Four experts judged which techniques would be effective in changing 11 theoretical constructs associated with behaviour change. Thirty-five techniques identified in the reviews were extended to 53 by brainstorming and to 137 by consulting textbooks. Agreement for the 53 definitions was 74.7 per cent (15.4% cells completed and 59.3% cells empty for both raters). Agreement about the link between the 35 techniques and theoretical constructs was 71.7 per cent of 385 judgments (12.2% agreement that effective and 59.5% agreement that not effective). This preliminary work demonstrates the possibility of developing a comprehensive, reliable taxonomy of techniques linked to theory. Further refinement is needed to eliminate redundancies, resolve uncertainties, and complete technique definitions.

Abstract

fr

La théorie fournit une base utile pour concevoir des interventions destinées à modifier le comportement, mais offre peu d’informations sur la façon de s’y prendre. Cet article expose des méthodes permettant de dresser une vaste liste de techniques de changements comportementaux (avec définitions) et de relier ces techniques à des notions théoriques. Un ensemble de techniques et de définitions est issu de techniques répertoriées dans deux revues de questions systématiques, enrichi par un brainstorming et une exploitation rigoureuse de neuf manuels utilisés pour la formation des psychologues praticiens. On a évalué la fidélité inter-juges d’extraction des techniques et des définitions à partir des manuels. Quatre experts se sont demandé quelles techniques seraient efficaces pour modifier onze notions théoriques en rapport avec le changement comportemental. Les 35 techniques identifiées dans les revues de questions passèrent à 53 après le brainstorming, puis à 137 à l’issue de l’examen des manuels. Le pourcentage d’accord sur les 53 définitions a été de 74,7% (15,4% de réponses positives et 59,3% de réponses négatives). L’accord en ce qui concerne le rapport entre les 35 techniques et les notions théoriques a porté sur 71% des 385 jugements (12,2% d’accords sur l’efficacité et 59,5% sur l’inefficacité). Ce travail exploratoire montre qu’il est possible de concevoir une taxonomie fidèle et détaillée de techniques reliées à la théorie. Une réflexion complémentaire est indispensable pour éliminer les redondances, supprimer des approximations et préciser les définitions des techniques.