Enhancing Behavior Change Technique Coding Methods: Identifying Behavioral Targets and Delivery Styles in Smoking Cessation Trials
Enhancing Behavior Change Technique Coding Methods: Identifying Behavioral Targets and Delivery Styles in Smoking Cessation Trials
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DOI：
10.1093/abm/kay068
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发表时间：
2019-06-01
影响因子：
3.8
通讯作者：
de Bruin, Marijn
中科院分区：
文献类型：
--
作者：
Black, Nicola;Williams, A. Jess;de Bruin, Marijn
背景行为改变技术（BCT）分类法v1常用于系统评价，以确定干预措施的有效成分。它的效用可以通过将BCT与特定的目标行为和合格的BCT交付styles.Purpose连接起来来增强，以确定BCT的行为目标和交付样式是否可以可靠地编码，并确定编码这些特征的效用。结果研究人员共编码了3,843个BCT，这些BCT与行为目标相关（AC（1）= 0.92，PABAK = 0.91）。裁缝（AC（1）= 0.80，PABAK = 0.74）和参与（AC（1）= 0.71，PABAK = 0.64）也进行了可靠的编码。在戒烟和禁欲BCT方面，两组之间存在相当大的差异（范围：0-41; 0-18）和裁缝和参与（范围：0-20; 0-32），但药物依从性和治疗参与的变异性较小（范围：0-6; 0-7）结论BCT的行为靶点和给药方式在戒烟试验中可以可靠地确定，并具有足够的频率。为了包括在定量合成中（例如，元回归分析）。系统评价者可以考虑采用这些方法来评估针对不同行为的干预成分的影响，以及不同BCT提供方式的益处。在行为戒烟试验中，特定干预内容的目标行为和提供方式由两个独立的编码器可靠地识别。
Background The behavior change technique (BCT) taxonomy v1 is often used in systematic reviews for identifying active components of interventions. Its utility could be enhanced by linking BCTs to specific target behaviors and qualifying BCT delivery style.Purpose To determine whether behavioral targets and delivery styles of BCTs can be coded reliably and to determine the utility of coding these characteristics.Methods As part of a large systematic review of 142 smoking cessation trials, two researchers independently coded publicly and privately held intervention and comparator group materials, specifying the behavioral target (quitting, abstinence, medication adherence, or treatment engagement) and delivery style (tailored vs. not tailored; active participation vs. passive receipt) of each BCT.Results Researchers coded 3,843 BCTs, which were reliably attributed to behavioral targets (AC(1) = 0.92, PABAK = 0.91). Tailoring (AC(1) = 0.80, PABAK = 0.74) and participation (AC(1) = 0.71, PABAK = 0.64) were also coded reliably. There was considerable variability between groups in quitting and abstinence BCTs (ranges: 0-41; 0-18) and in tailoring and participation (ranges: 0-20; 0-32), but less variability for medication adherence and treatment engagement (ranges: 0-6; 0-7).Conclusions Behavioral targets and delivery styles of BCTs can be reliably identified and occur with sufficient frequency in smoking cessation trials for inclusion in quantitative syntheses (e.g., meta-regression analyses). Systematic reviewers could consider adopting these methods to evaluate the impact of intervention components targeting different behaviors, as well as the benefits of different BCT delivery styles.In behavioral smoking cessation trials, the targeted behavior and delivery style of specific intervention content were identified reliably by two independent coders.