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Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme
BACKGROUND: The Global Alliance for Chronic Diseases comprises the majority of the world’s public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countr...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638103/ https://www.ncbi.nlm.nih.gov/pubmed/26553092 http://dx.doi.org/10.1186/s13012-015-0331-0 |
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author | Peiris, David Thompson, Simon R. Beratarrechea, Andrea Cárdenas, María Kathia Diez-Canseco, Francisco Goudge, Jane Gyamfi, Joyce Kamano, Jemima Hoine Irazola, Vilma Johnson, Claire Kengne, Andre P. Keat, Ng Kien Miranda, J. Jaime Mohan, Sailesh Mukasa, Barbara Ng, Eleanor Nieuwlaat, Robby Ogedegbe, Olugbenga Ovbiagele, Bruce Plange-Rhule, Jacob Praveen, Devarsetty Salam, Abdul Thorogood, Margaret Thrift, Amanda G. Vedanthan, Rajesh Waddy, Salina P. Webster, Jacqui Webster, Ruth Yeates, Karen Yusoff, Khalid |
author_facet | Peiris, David Thompson, Simon R. Beratarrechea, Andrea Cárdenas, María Kathia Diez-Canseco, Francisco Goudge, Jane Gyamfi, Joyce Kamano, Jemima Hoine Irazola, Vilma Johnson, Claire Kengne, Andre P. Keat, Ng Kien Miranda, J. Jaime Mohan, Sailesh Mukasa, Barbara Ng, Eleanor Nieuwlaat, Robby Ogedegbe, Olugbenga Ovbiagele, Bruce Plange-Rhule, Jacob Praveen, Devarsetty Salam, Abdul Thorogood, Margaret Thrift, Amanda G. Vedanthan, Rajesh Waddy, Salina P. Webster, Jacqui Webster, Ruth Yeates, Karen Yusoff, Khalid |
collection | PubMed |
description | BACKGROUND: The Global Alliance for Chronic Diseases comprises the majority of the world’s public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects. METHODS: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings. RESULTS: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focussing on fiscal measures, regulation and legislation. CONCLUSIONS: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13012-015-0331-0) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4638103 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46381032015-11-10 Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme Peiris, David Thompson, Simon R. Beratarrechea, Andrea Cárdenas, María Kathia Diez-Canseco, Francisco Goudge, Jane Gyamfi, Joyce Kamano, Jemima Hoine Irazola, Vilma Johnson, Claire Kengne, Andre P. Keat, Ng Kien Miranda, J. Jaime Mohan, Sailesh Mukasa, Barbara Ng, Eleanor Nieuwlaat, Robby Ogedegbe, Olugbenga Ovbiagele, Bruce Plange-Rhule, Jacob Praveen, Devarsetty Salam, Abdul Thorogood, Margaret Thrift, Amanda G. Vedanthan, Rajesh Waddy, Salina P. Webster, Jacqui Webster, Ruth Yeates, Karen Yusoff, Khalid Implement Sci Research BACKGROUND: The Global Alliance for Chronic Diseases comprises the majority of the world’s public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects. METHODS: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings. RESULTS: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focussing on fiscal measures, regulation and legislation. CONCLUSIONS: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13012-015-0331-0) contains supplementary material, which is available to authorized users. BioMed Central 2015-11-09 /pmc/articles/PMC4638103/ /pubmed/26553092 http://dx.doi.org/10.1186/s13012-015-0331-0 Text en © Peiris et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Peiris, David Thompson, Simon R. Beratarrechea, Andrea Cárdenas, María Kathia Diez-Canseco, Francisco Goudge, Jane Gyamfi, Joyce Kamano, Jemima Hoine Irazola, Vilma Johnson, Claire Kengne, Andre P. Keat, Ng Kien Miranda, J. Jaime Mohan, Sailesh Mukasa, Barbara Ng, Eleanor Nieuwlaat, Robby Ogedegbe, Olugbenga Ovbiagele, Bruce Plange-Rhule, Jacob Praveen, Devarsetty Salam, Abdul Thorogood, Margaret Thrift, Amanda G. Vedanthan, Rajesh Waddy, Salina P. Webster, Jacqui Webster, Ruth Yeates, Karen Yusoff, Khalid Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme |
title | Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme |
title_full | Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme |
title_fullStr | Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme |
title_full_unstemmed | Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme |
title_short | Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme |
title_sort | behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638103/ https://www.ncbi.nlm.nih.gov/pubmed/26553092 http://dx.doi.org/10.1186/s13012-015-0331-0 |
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