Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme

Hypertension Research Programme members

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Article number158
JournalImplementation Science
Volume10
Issue number1
DOIs
StatePublished - Nov 9 2015

Fingerprint

Blood Pressure
Research
Motivation
Chronic Disease
Persuasive Communication
Group Processes
Vulnerable Populations
Marketing
Legislation
Communication
Guidelines
Exercise
Education
Health

Keywords

  • Behaviour change theory
  • Collaborative research
  • Hypertension
  • Implementation science
  • Low- and middle-income countries

ASJC Scopus subject areas

  • Health Policy
  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Health Informatics

Cite this

Behaviour change strategies for reducing blood pressure-related disease burden : Findings from a global implementation research programme. / Hypertension Research Programme members.

In: Implementation Science, Vol. 10, No. 1, 158, 09.11.2015.

Research output: Contribution to journalArticle

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title = "Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme",
abstract = "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.",
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author = "{Hypertension Research Programme members} and David Peiris and Thompson, {Simon R.} and Andrea Beratarrechea and C{\'a}rdenas, {Mar{\'i}a Kathia} and Francisco Diez-Canseco and Jane Goudge and Joyce Gyamfi and Kamano, {Jemima Hoine} and Vilma Irazola and Claire Johnson and Kengne, {Andre P.} and Keat, {Ng Kien} and Miranda, {J. Jaime} and Sailesh Mohan and Barbara Mukasa and Eleanor Ng and Robby Nieuwlaat and Olugbenga Ogedegbe and Bruce Ovbiagele and Jacob Plange-Rhule and Devarsetty Praveen and Abdul Salam and Margaret Thorogood and Thrift, {Amanda G.} and Rajesh Vedanthan and Waddy, {Salina P.} and Jacqui Webster and Ruth Webster and Karen Yeates and Khalid Yusoff and Amber Featherstone and Tara McCready and Stephen Jan and Clara Chow and Bruce Neal and G{\'o}mez-Oliv{\'e}, {Francesc Xavier} and Nokuzola Myakayaka and Chodziwadziwa Kabudula and Felix Limbani and Nkosinathi Masilela and Margaret Thorogoo and Anthony Rodgers and {Stephen Jan}, Patel and Rohina Joshi and Stephen MacMahon and Pallab Maulik and Antonio Bernabe-Ortiz and {Jaime Miranda}, J. and Vilarmina Ponce-Lucero and Thomas Inui",
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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, Patel

AU - Joshi, Rohina

AU - MacMahon, Stephen

AU - Maulik, Pallab

AU - Bernabe-Ortiz, Antonio

AU - Jaime Miranda, J.

AU - Ponce-Lucero, Vilarmina

AU - Inui, Thomas

PY - 2015/11/9

Y1 - 2015/11/9

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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.

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KW - Collaborative research

KW - Hypertension

KW - Implementation science

KW - Low- and middle-income countries

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