TY - JOUR
T1 - Behaviour change strategies for reducing blood pressure-related disease burden
T2 - Findings from a global implementation research programme
AU - Hypertension Research Programme members
AU - Peiris, David
AU - Thompson, Simon R.
AU - Beratarrechea, Andrea
AU - Cárdenas, María Kathia
AU - Diez-Canseco, Francisco
AU - Goudge, Jane
AU - Gyamfi, Joyce
AU - Kamano, Jemima Hoine
AU - Irazola, Vilma
AU - Johnson, Claire
AU - Kengne, Andre P.
AU - Keat, Ng Kien
AU - Miranda, J. Jaime
AU - Mohan, Sailesh
AU - Mukasa, Barbara
AU - Ng, Eleanor
AU - Nieuwlaat, Robby
AU - Ogedegbe, Olugbenga
AU - Ovbiagele, Bruce
AU - Plange-Rhule, Jacob
AU - Praveen, Devarsetty
AU - Salam, Abdul
AU - Thorogood, Margaret
AU - Thrift, Amanda G.
AU - Vedanthan, Rajesh
AU - Waddy, Salina P.
AU - Webster, Jacqui
AU - Webster, Ruth
AU - Yeates, Karen
AU - Yusoff, Khalid
AU - Featherstone, Amber
AU - McCready, Tara
AU - Jan, Stephen
AU - Chow, Clara
AU - Neal, Bruce
AU - Gómez-Olivé, Francesc Xavier
AU - Myakayaka, Nokuzola
AU - Kabudula, Chodziwadziwa
AU - Limbani, Felix
AU - Masilela, Nkosinathi
AU - Thorogoo, Margaret
AU - Rodgers, Anthony
AU - Stephen Jan, A.
AU - Joshi, Rohina
AU - MacMahon, Stephen
AU - Maulik, Pallab
AU - Bernabe-Ortiz, Antonio
AU - Ponce-Lucero, Vilarmina
AU - Kimaiyo, Sylvester
AU - Kofler, Claire
N1 - Publisher Copyright:
© 2015 Peiris et al.
PY - 2015/11/9
Y1 - 2015/11/9
N2 - 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.
AB - 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.
KW - Behaviour change theory
KW - Collaborative research
KW - Hypertension
KW - Implementation science
KW - Low- and middle-income countries
UR - http://www.scopus.com/inward/record.url?scp=84946566532&partnerID=8YFLogxK
U2 - 10.1186/s13012-015-0331-0
DO - 10.1186/s13012-015-0331-0
M3 - Artículo
C2 - 26553092
AN - SCOPUS:84946566532
SN - 1748-5908
VL - 10
JO - Implementation Science
JF - Implementation Science
IS - 1
M1 - 158
ER -