www.ucl.ac.uk/behaviour-change
@UCLBehaveChange
behaviourchange@ucl.ac.uk
The Behaviour Change Wheel:
A Guide to
Designing Interventions
Behaviour Change Technique
Taxonomy (BCTTv1)
Online Training Programme
Launch event
6 May 2014
Programme
17:30-17:35 – Welcome and introduction (Professor Susan Michie, Event Chair)
17:35-18:10 – Speakers
The Behaviour Change Wheel: A Guide to Designing Interventions
 Professor Robert West – Introducing the Behaviour Change Wheel
 Dr Lou Atkins – How to use the book
 Kristina Curtis – A user’s experience
BCTTv1 Online Training Programme
 Dr Caroline Wood – Introducing BCTTv1 Online Training Programme
 Dave Crane – Introducing the BCTTv1 app
18:10-18:30 - Discussion
18:30-19:30 - Drinks reception in North Cloisters
www.ucl.ac.uk/behaviour-change
@UCLBehaveChange
behaviourchange@ucl.ac.uk
Centre for Behaviour Change
Susan Michie
One week Summer School: 4 - 8 August 2014
Behaviour Change – Principles and Practice
More details at www.ucl.ac.uk/behaviour-change
The Behaviour Change Wheel: A Guide to Designing
Interventions. Susan Michie, Lou Atkins & Robert West
The Behaviour Change Wheel: A Guide to Designing
Interventions. Susan Michie, Lou Atkins & Robert West
Introducing the Behaviour Change Wheel
Robert West
• Need a framework underpinning intervention design
that is
– Comprehensive
• So you don’t miss options that might be effective
– Coherent
• Uses categories that do not overlap and fit together under a
common conceptual heading
– Linked to a model of behaviour
• So that you can draw on behavioural science
Introducing the Behaviour Change Wheel
Robert West
• Need a framework underpinning intervention design
that is
– Comprehensive
• So you don’t miss options that might be effective
– Coherent
• Uses categories that do not overlap and fit together under a
common conceptual heading
– Linked to a model of behaviour
• So that you can draw on behavioural science
Previous frameworks
•
Systematic literature review identified 19 frameworks of
behaviour change interventions
–
•
related to health, environment, culture change, social marketing
etc.
None met all these three criteria
19 behaviour change frameworks
EPICURE
Injury Control Framework
Cultural Capital Framework
Implementation Taxonomy
EPOC
Legal Framework
RURU
PETeR
MINDSPACE
DEFRA’s 4E Model
BCT Taxonomy
STD/HIV Framework
Intervention mapping
Framework for Policy on Physical Activity
People and Places Framework
Environmental Policy Framework
Nuffield ethical ladder
PSI Framework
Intervention Framework for Pharmacies
The behaviour change wheel
•
We developed a synthesis of the 19 frameworks and
linked it to a broadly based model of behaviour
Michie et al (2011) The Behaviour Change
Wheel: a new method for characterising and
designing behaviour change interventions,
Implementation Science
The COM-B model of behaviour
The behaviour change wheel
Intervention functions
Using rules to reduce the
opportunity to engage in the
behaviour (or to increase
behaviour by reducing
opportunity to engage
in competing
behaviours)
Increasing knowledge
or understanding
Changing the physical or
social context
Using communication to induce
positive or negative feelings to
stimulate action
Creating an expectation of
reward
Provide an example for
people to aspire to or
emulate
Increasing means
or reducing barriers to
increase capability (beyond
education or training) or opportunity
(beyond environmental restructuring)
Creating an expectation of
punishment or cost
Imparting skills
An intervention can have different functions …
This intervention has the functions of education and persuasion
Selecting appropriate intervention functions
Intervention functions
Education
Physical
capability
Psychological
capability
Physical
opportunity
Social
opportunity
Automatic
motivation
Reflective
motivation
Persuasion
Incentivisation
Coercion
Training
Restriction
Environmental
restructuring
Modelling
Enablement
Policy categories
Creating documents that
recommend or mandate
practice. This includes all
changes to service provision
Designing and/or controlling the
physical or social environment
Using print, electronic,
telephonic or broadcast
media
Using the tax system to reduce
or increase the financial cost
Establishing rules or principles
of behaviour or practice
Creating an expectation of
punishment or cost
Delivering a service
Which policy categories should be used?
Intervention functions
Education
Communica
tion/marketing
Guidelines
Fiscal
measures
Regulation
Legislation
Environ./
Social
planning
Service
provision
Persuasion
Incentivisation Coercion
Training
Restriction Environ.
Modelling
restructuring
Enablement
How to use the book
Lou Atkins
• Eight steps bringing theory-based tools together into a coherent
intervention design process
Stage 1: Understand the behaviour
1. Define the problem in
behavioural terms
2. Select target behaviour
3. Specify the target
behaviour
4. Identify what needs to
change
Theoretical
Domains
Framework
Stage 2: Identify
intervention options
Stage 3: Identify content
and implementation options
Identify:
5. Intervention
functions
Identify:
7. Behaviour change
techniques
6. Policy categories
8. Mode of delivery
How to use the book
Lou Atkins
• Principles of intervention design
–
–
–
–
Understanding the behaviour in context
Comprehensive
Systematic
APEASE criteria to guide the application of judgement
Affordability
Practicability
Effectiveness/cost-effectiveness
Acceptability
public
professional
political
Side-effects/safety
Equality
How to use the book
Lou Atkins
• Case studies
• Quiz
How to use the book
Lou Atkins
Worksheets
How to use the book
Lou Atkins
Intervention evaluation and evidence synthesis
How to use the book
Lou Atkins
• Shaped by users
– Workshop feedback
– Intervention designers using earlier drafts
How to use the book
Lou Atkins
www.behaviourchangewheel.com
A users experience
Kristina Curtis
k.e.curtis@warwick.ac.uk
A healthy eating app targeting
parents of overweight children
Stage 1
Understanding
the target
behaviour
Four steps: Define the
problem, select the TB,
specify the TB, conduct
a behavioural diagnosis
of the TB
Behavioural Diagnosis
Knowledge, skills,
Behavioural regulation
Beliefs about capabilities,
Beliefs about consequences,
Emotion
Environmental context &
resources, Social influences
Parents providing
appropriate portion sizes
Stage 2
Intervention
functions
App features
Physical
Capability
Skills in measuring
portion sizes
Training
Instruction on how to
perform the behaviour
Food portion
measuring
guide
Behaviour Change Technique Taxonomy
(BCTTv1) Online Training Programme
Susan Michie and Caroline Wood
Online Training
The Behaviour Change Technique Taxonomy v1
(BCTTv1)
Behaviour change interventions are often complex and
involve several different techniques
Guidance exists e.g. CONSORT, which advises reporting
the ‘precise details’ of interventions: who, how, where, for
how long….
The BCTTv1 is a methodology for reporting the ‘active
ingredients’ of interventions (the BCTs)
Process of coding BCTs is a skilled task requiring
user training
www.ucl.ac.uk/health-psychology/bcttaxonomy
www.bct-taxonomy.com
Chance to test your
skills!
• Match BCT
definitions to labels
• Coding short
excerpts from real
intervention
descriptions
• Matching BCTs to
groupings in the
taxonomy
• Coding BCTs in
longer excerpts
Tutor programme
• Contact expert
tutors
• Discuss your
coding
• Coming soon!
BCTTv1 online training site
Built by Silverback IS
www.silverbackis.co.uk
With thanks to:
Araf Khaled
Introducing BCTTv1 online Training
Programme
Caroline Wood
• Upcoming workshops
Introductory workshop: 24 June 2014
Advanced workshop: 1 July 2014
20 June - 3 July 2014
BCTTv1 online training site
Built by Silverback IS
www.silverbackis.co.uk
The BCTTv1 app
Dave Crane
Search for: BCTs
Search for: BCTs*
bcts.23.co.uk*
bcts.23.co.uk*
* You’ll need an internet connection
to use the app
Discussion
www.ucl.ac.uk/behaviour-change
@UCLBehaveChange
behaviourchange@ucl.ac.uk
Centre for Behaviour Change
Book Launch:
2 June 2014
More details at www.ucl.ac.uk/behaviour-change