A taxonomy of behavior change techniques used in interventions
A taxonomy of behavior change techniques used in interventions
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DOI：
10.1037/0278-6133.27.3.379
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发表时间：
2008-05-01
影响因子：
4.2
通讯作者：
Michie, Susan
中科院分区：
文献类型：
--
作者：
Abraham, Charles;Michie, Susan
目的：如果没有行为改变干预措施中所包括的技术的标准化定义，就很难忠实地复制有效的干预措施，并且很难确定有助于各种干预措施有效性的技术。本研究的目的是开发和测试一个理论联系的分类法，普遍适用的行为改变技术（BCTs）。设计：定义了26个BCT。两位心理学家使用了一本5页的编码手册来独立判断每种技术在已发表的干预描述和干预手册中的存在与否。结果：3篇系统性综述产生了195篇已发表的描述。在78个可靠性测试中（即，26种技术应用于3篇综述），每种技术的平均Kappa值为0.79，93%的判断为同意。研究发现，即使针对的是相同的行为和相似的参与者，干预的范围和使用的技术类型也有很大的不同。干预手册的平均一致率为85%，对13份手册和13篇描述相同干预措施的已发表文章中确定的BCT进行比较，技术对应率为74%，大多数不匹配（73%）是由于手册中确定了技术，而文章中没有。结论：这些研究结果表明，制定行为干预措施中BCT的标准化定义是可行的，并强调了干预内容报告中存在的问题。
Objective: Without standardized definitions of the techniques included in behavior change interventions, it is difficult to faithfully replicate effective interventions and challenging to identify techniques contributing to effectiveness across interventions. This research aimed to develop and test a theory-linked taxonomy of generally applicable behavior change techniques (BCTs). Design: Twenty-six BCTs were defined. Two psychologists used a 5-page coding manual to independently judge the presence or absence of each technique in published intervention descriptions and in intervention manuals. Results: Three systematic reviews yielded 195 published descriptions. Across 78 reliability tests (i.e., 26 techniques applied to 3 reviews), the average kappa per technique was 0.79, with 93% of judgments being agreements. Interventions were found to vary widely in the range and type of techniques used, even when targeting the same behavior arnong similar participants. The average agreement for intervention manuals was 85%, and a comparison of BCTs identified in 13 manuals and 13 published articles describing the same interventions generated a technique correspondence rate of 74%, with most mismatches (73%) arising from identification of a technique in the manual but not in the article. Conclusions: These findings demonstrate the feasibility of developing standardized definitions of BCTs included in behavioral interventions and highlight problematic variability in the reporting of intervention content.