The behaviour change wheel: a new method for characterising and designing behaviour change interventions.
The behaviour change wheel: a new method for characterising and designing behaviour change interventions.
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DOI：
10.1186/1748-5908-6-42
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发表时间：
2011-04-23
期刊：
影响因子：
--
通讯作者：
West R
中科院分区：
文献类型：
--
作者：
Michie S;van Stralen MM;West R
改进循证实践的设计和实施取决于成功的行为改变干预措施。这就需要有一种适当的方法来确定干预措施的特点，并将其与对目标行为的分析联系起来。行为改变干预措施的框架过多，但不清楚它们在多大程度上服务于这一目的。本文评估这些框架，并开发和评估一个新的框架，旨在克服其局限性。系统搜索电子数据库和咨询行为改变专家，以确定行为改变干预措施的框架。根据三个标准对这些活动进行了评价：全面性、连贯性以及与总体行为模式的明确联系。为满足这些标准，制定了一个新的框架。它的可靠性可以应用于两个领域的行为改变：烟草控制和肥胖。确定了十九个框架，涵盖九项干预职能和七个可以实现这些干预的政策类别。所审查的框架没有一个涵盖全部干预职能或政策，只有少数框架符合与行为模式一致或挂钩的标准。在一个拟议的新框架的中心是一个“行为系统”，涉及三个基本条件：能力，机会和动机（我们称之为“COM-B系统”）。这形成了“行为改变轮”的中心，围绕着它设置了九个干预功能，旨在解决这些条件中的一个或多个条件的不足;围绕着它设置了七个政策类别，可以使这些干预措施得以发生。BCW被可靠地用于评估英国卫生部2010年烟草控制战略和国家健康与临床卓越研究所关于减少肥胖的指导中的干预措施。改变行为的干预和政策可以通过BCW的方式有效地表征，BCW包括：在中心的“行为系统”，由干预功能包围，然后由政策类别包围。需要进行研究，以确定《生物多样性公约》在多大程度上能够导致更有效地设计有效的干预措施。
Improving the design and implementation of evidence-based practice depends on successful behaviour change interventions. This requires an appropriate method for characterising interventions and linking them to an analysis of the targeted behaviour. There exists a plethora of frameworks of behaviour change interventions, but it is not clear how well they serve this purpose. This paper evaluates these frameworks, and develops and evaluates a new framework aimed at overcoming their limitations. A systematic search of electronic databases and consultation with behaviour change experts were used to identify frameworks of behaviour change interventions. These were evaluated according to three criteria: comprehensiveness, coherence, and a clear link to an overarching model of behaviour. A new framework was developed to meet these criteria. The reliability with which it could be applied was examined in two domains of behaviour change: tobacco control and obesity. Nineteen frameworks were identified covering nine intervention functions and seven policy categories that could enable those interventions. None of the frameworks reviewed covered the full range of intervention functions or policies, and only a minority met the criteria of coherence or linkage to a model of behaviour. At the centre of a proposed new framework is a 'behaviour system' involving three essential conditions: capability, opportunity, and motivation (what we term the 'COM-B system'). This forms the hub of a 'behaviour change wheel' (BCW) around which are positioned the nine intervention functions aimed at addressing deficits in one or more of these conditions; around this are placed seven categories of policy that could enable those interventions to occur. The BCW was used reliably to characterise interventions within the English Department of Health's 2010 tobacco control strategy and the National Institute of Health and Clinical Excellence's guidance on reducing obesity. Interventions and policies to change behaviour can be usefully characterised by means of a BCW comprising: a 'behaviour system' at the hub, encircled by intervention functions and then by policy categories. Research is needed to establish how far the BCW can lead to more efficient design of effective interventions.
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影响因子：
5.4
作者：
Goel, P;RossDegnan, D;Soumerai, S
通讯作者：
Soumerai, S
DOI：
10.1186/1748-5908-5-14
发表时间：
2010-02-09
期刊：
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--
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