A Theoretical Framework for Understanding Health Provider Behavior

  • Susan Michie, BA, MPhil, DPhil, CPsychol, AcSS, FEHPsS, FBPsS
    Professor, Health Psychology Research Group at University College of London, London, UK

Susan Michie: A Theoretical Framework for Understanding Health Provider Behavior

Presentation Slides

  • A Theoretical Framework for Understanding Health Provider Behavior
  • Provider behavior is a general problem
  • What to do?
  • An example of poor implemenatation: pre-exposure prophylaxis (PrEP)
  • The Implementation
  • Why? Knowledge, skills and beliefs
  • Why? Concerns
  • What do we know predicts low prescribing of PrEP
  • Translating this knowledge into effective interventions
  • Traditional approaches to intervention design
  • A behavioral science approach to intervention design...
  • Understand the nature of behaviour in context
  • The COM-B system: Behaviour occurs as an interaction between three necessary conditions
  • These can be subdivided into theoretical domains
  • Theoretical Domains Framework
  • COM-B and Theoretical Domains
  • COM-B and Theoretical Domains and Research Findings
  • Designing interventions
  • Designing interventions: start with understanding the behavior in context
  • Intervening: Consider all the options
  • Do we have such a framework?
  • Behaviour at the hub... COM-B
  • Interventions
  • Policies
  • From behavioural diagnosis to intervention functions
  • Which intervention functions should be used?
  • Researchers call for... But there are many other options...
  • Intervention functions are delivered by behaviour change techniques
  • Abstract from the Annals of Behavioral Medicine
  • BCT Taxonomy v1: 93 items in 16 groupings
  • BCT methodology provides an agreed, standard method to...
  • Forthcoming book
  • In summary....
  • Acknowledgements
  • For more information
  • Sources of behaviour, Intervention functions, Policy categories
  • Additional slides
  • Modes of delivery: How the BCTs are delivered
  • Considerations when designing interventions and selecting behaviour change techniques
  • Frameworks included in systematic review
  • Frameworks included in systematic review, cont'd
  • Capability, Opportunity, Motivation
  • Policy categories