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

David Peiris, Simon R. Thompson, Andrea Beratarrechea, María Kathia Cárdenas, Francisco Diez-Canseco, Jane Goudge, Joyce Gyamfi, Jemima Hoine Kamano, Vilma Irazola, Claire Johnson, Andre P. Kengne, Ng Kien Keat, J. Jaime Miranda, Sailesh Mohan, Barbara Mukasa, Eleanor Ng, Robby Nieuwlaat, Olugbenga Ogedegbe, Bruce Ovbiagele, Jacob Plange-RhuleDevarsetty Praveen, Abdul Salam, Margaret Thorogood, Amanda G. Thrift, Rajesh Vedanthan, Salina P. Waddy, Jacqui Webster, Ruth Webster, Karen Yeates, Khalid Yusoff, Amber Featherstone, Tara McCready, Stephen Jan, Clara Chow, Bruce Neal, Francesc Xavier Gómez-Olivé, Nokuzola Myakayaka, Chodziwadziwa Kabudula, Felix Limbani, Nkosinathi Masilela, Margaret Thorogoo, Anthony Rodgers, Patel Stephen Jan, Rohina Joshi, Stephen MacMahon, Pallab Maulik, Antonio Bernabe-Ortiz, J. Jaime Miranda, Vilarmina Ponce-Lucero, Sylvester Kimaiyo, Claire Kofler, Mulugeta Gebregziabher, Stephanie Warth, Salina Waddy, Amir Attaran, Sanni Yaya, Edward Mills, Katherine Muldoon, Anniza de Villiers, Amber Featherstone, Jamie Forrest, Robert Kalyesubula, Julius Kamwesiga, Paul Camacho Lopez, Jean Claude Tayari, Patricio Lopez, Juan Lopez Casas, Martin McKee, Ariffin Omar Zainal, Salim Yusuf, Norman Campbell, Kajiru Kilonzo, Peter Liu, Marion Marr, Sheldon Tobe, Xiangxian Feng, Jianhui Yuan, Feng He, Graham MacGregor, Xian Li, Yangfeng Wu, Lijing Yan, Ching Ping Lin, Jing Zhang, Jun Ma, Yuan Ma, Haijun Wang, Caryl Nowson, Marj Moodie, Kartik Kalyanram, Kamakshi Kartik, Thout Sudhir, Roger Evans, Simin Arabshahi, Ajay Mahal, Stephane Heritier, Brian Oldenburg, Michaela Riddell, Velandai Srikanth, Oduru Suresh, Kavumpurathu Thankappan, Sathish Thirunavukkarasu, Ravi Varma, Nihal Thomas, Gari Clifford, Dorairaj Prabhakaran, Simon Thom, Anand Krishnan, K. Srinath Reddy, Sarah Faletoese, Merina Ieremia, Jimaima Schultz, Junior Siitia, Wendy Snowdon, Arti Pillay, Arleen Sukhu, Christina Ulberg, Satupaitea Viali, Robert H. Gilman, Katherine Sacksteder, Kingsley Apusiga, Richard Cooper, Michael Ntim, Cynthia Binanay, Gerald Bloomfield, Eric Velazquez, Allison DeLong, Joseph Hogan, Eric Finkelstein, Valentin Fuster, Tom Inui, Martin Were, Diana Menya, Violet Naanyu, Jackson Rotich, Federico Augustovski, Jing Chen, Jing Chemg, Jacquelyn Dolan, Jiang He, Katherine Mills, Lizheng Shi, Larry Webber, Marie Krousel-Wood, Rosana Poggio, Adolfo Rubinstein, Rufus Akinyemi, Oyedunni Arulogun, Mayowa Owolabi, Samantha Hurst, Ezinne Uvere

Research output: Contribution to journalArticle

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

Peiris, D., Thompson, S. R., Beratarrechea, A., Cárdenas, M. K., Diez-Canseco, F., Goudge, J., ... Uvere, E. (2015). Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme. Implementation Science, 10(1), [158]. https://doi.org/10.1186/s13012-015-0331-0

Behaviour change strategies for reducing blood pressure-related disease burden : Findings from a global implementation research programme. / Peiris, David; Thompson, Simon R.; Beratarrechea, Andrea; Cárdenas, María Kathia; Diez-Canseco, Francisco; Goudge, Jane; Gyamfi, Joyce; Kamano, Jemima Hoine; Irazola, Vilma; Johnson, Claire; Kengne, Andre P.; Keat, Ng Kien; Miranda, J. Jaime; Mohan, Sailesh; Mukasa, Barbara; Ng, Eleanor; Nieuwlaat, Robby; Ogedegbe, Olugbenga; Ovbiagele, Bruce; Plange-Rhule, Jacob; Praveen, Devarsetty; Salam, Abdul; Thorogood, Margaret; Thrift, Amanda G.; Vedanthan, Rajesh; Waddy, Salina P.; Webster, Jacqui; Webster, Ruth; Yeates, Karen; Yusoff, Khalid; Featherstone, Amber; McCready, Tara; Jan, Stephen; Chow, Clara; Neal, Bruce; Gómez-Olivé, Francesc Xavier; Myakayaka, Nokuzola; Kabudula, Chodziwadziwa; Limbani, Felix; Masilela, Nkosinathi; Thorogoo, Margaret; Rodgers, Anthony; Stephen Jan, Patel; Joshi, Rohina; MacMahon, Stephen; Maulik, Pallab; Bernabe-Ortiz, Antonio; Jaime Miranda, J.; Ponce-Lucero, Vilarmina; Kimaiyo, Sylvester; Kofler, Claire; Gebregziabher, Mulugeta; Warth, Stephanie; Waddy, Salina; Attaran, Amir; Yaya, Sanni; Mills, Edward; Muldoon, Katherine; de Villiers, Anniza; Featherstone, Amber; Forrest, Jamie; Kalyesubula, Robert; Kamwesiga, Julius; Lopez, Paul Camacho; Tayari, Jean Claude; Lopez, Patricio; Casas, Juan Lopez; McKee, Martin; Zainal, Ariffin Omar; Yusuf, Salim; Campbell, Norman; Kilonzo, Kajiru; Liu, Peter; Marr, Marion; Tobe, Sheldon; Feng, Xiangxian; Yuan, Jianhui; He, Feng; MacGregor, Graham; Li, Xian; Wu, Yangfeng; Yan, Lijing; Lin, Ching Ping; Zhang, Jing; Ma, Jun; Ma, Yuan; Wang, Haijun; Nowson, Caryl; Moodie, Marj; Kalyanram, Kartik; Kartik, Kamakshi; Sudhir, Thout; Evans, Roger; Arabshahi, Simin; Mahal, Ajay; Heritier, Stephane; Oldenburg, Brian; Riddell, Michaela; Srikanth, Velandai; Suresh, Oduru; Thankappan, Kavumpurathu; Thirunavukkarasu, Sathish; Varma, Ravi; Thomas, Nihal; Clifford, Gari; Prabhakaran, Dorairaj; Thom, Simon; Krishnan, Anand; Srinath Reddy, K.; Faletoese, Sarah; Ieremia, Merina; Schultz, Jimaima; Siitia, Junior; Snowdon, Wendy; Pillay, Arti; Sukhu, Arleen; Ulberg, Christina; Viali, Satupaitea; Gilman, Robert H.; Sacksteder, Katherine; Apusiga, Kingsley; Cooper, Richard; Ntim, Michael; Binanay, Cynthia; Bloomfield, Gerald; Velazquez, Eric; DeLong, Allison; Hogan, Joseph; Finkelstein, Eric; Fuster, Valentin; Inui, Tom; Were, Martin; Menya, Diana; Naanyu, Violet; Rotich, Jackson; Augustovski, Federico; Chen, Jing; Chemg, Jing; Dolan, Jacquelyn; He, Jiang; Mills, Katherine; Shi, Lizheng; Webber, Larry; Krousel-Wood, Marie; Poggio, Rosana; Rubinstein, Adolfo; Akinyemi, Rufus; Arulogun, Oyedunni; Owolabi, Mayowa; Hurst, Samantha; Uvere, Ezinne.

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

Research output: Contribution to journalArticle

Peiris, D, Thompson, SR, Beratarrechea, A, Cárdenas, MK, Diez-Canseco, F, Goudge, J, Gyamfi, J, Kamano, JH, Irazola, V, Johnson, C, Kengne, AP, Keat, NK, Miranda, JJ, Mohan, S, Mukasa, B, Ng, E, Nieuwlaat, R, Ogedegbe, O, Ovbiagele, B, Plange-Rhule, J, Praveen, D, Salam, A, Thorogood, M, Thrift, AG, Vedanthan, R, Waddy, SP, Webster, J, Webster, R, Yeates, K, Yusoff, K, Featherstone, A, McCready, T, Jan, S, Chow, C, Neal, B, Gómez-Olivé, FX, Myakayaka, N, Kabudula, C, Limbani, F, Masilela, N, Thorogoo, M, Rodgers, A, Stephen Jan, P, Joshi, R, MacMahon, S, Maulik, P, Bernabe-Ortiz, A, Jaime Miranda, J, Ponce-Lucero, V, Kimaiyo, S, Kofler, C, Gebregziabher, M, Warth, S, Waddy, S, Attaran, A, Yaya, S, Mills, E, Muldoon, K, de Villiers, A, Featherstone, A, Forrest, J, Kalyesubula, R, Kamwesiga, J, Lopez, PC, Tayari, JC, Lopez, P, Casas, JL, McKee, M, Zainal, AO, Yusuf, S, Campbell, N, Kilonzo, K, Liu, P, Marr, M, Tobe, S, Feng, X, Yuan, J, He, F, MacGregor, G, Li, X, Wu, Y, Yan, L, Lin, CP, Zhang, J, Ma, J, Ma, Y, Wang, H, Nowson, C, Moodie, M, Kalyanram, K, Kartik, K, Sudhir, T, Evans, R, Arabshahi, S, Mahal, A, Heritier, S, Oldenburg, B, Riddell, M, Srikanth, V, Suresh, O, Thankappan, K, Thirunavukkarasu, S, Varma, R, Thomas, N, Clifford, G, Prabhakaran, D, Thom, S, Krishnan, A, Srinath Reddy, K, Faletoese, S, Ieremia, M, Schultz, J, Siitia, J, Snowdon, W, Pillay, A, Sukhu, A, Ulberg, C, Viali, S, Gilman, RH, Sacksteder, K, Apusiga, K, Cooper, R, Ntim, M, Binanay, C, Bloomfield, G, Velazquez, E, DeLong, A, Hogan, J, Finkelstein, E, Fuster, V, Inui, T, Were, M, Menya, D, Naanyu, V, Rotich, J, Augustovski, F, Chen, J, Chemg, J, Dolan, J, He, J, Mills, K, Shi, L, Webber, L, Krousel-Wood, M, Poggio, R, Rubinstein, A, Akinyemi, R, Arulogun, O, Owolabi, M, Hurst, S & Uvere, E 2015, 'Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme', Implementation Science, vol. 10, no. 1, 158. https://doi.org/10.1186/s13012-015-0331-0
Peiris, David ; Thompson, Simon R. ; Beratarrechea, Andrea ; Cárdenas, María Kathia ; Diez-Canseco, Francisco ; Goudge, Jane ; Gyamfi, Joyce ; Kamano, Jemima Hoine ; Irazola, Vilma ; Johnson, Claire ; Kengne, Andre P. ; Keat, Ng Kien ; Miranda, J. Jaime ; Mohan, Sailesh ; Mukasa, Barbara ; Ng, Eleanor ; Nieuwlaat, Robby ; Ogedegbe, Olugbenga ; Ovbiagele, Bruce ; Plange-Rhule, Jacob ; Praveen, Devarsetty ; Salam, Abdul ; Thorogood, Margaret ; Thrift, Amanda G. ; Vedanthan, Rajesh ; Waddy, Salina P. ; Webster, Jacqui ; Webster, Ruth ; Yeates, Karen ; Yusoff, Khalid ; Featherstone, Amber ; McCready, Tara ; Jan, Stephen ; Chow, Clara ; Neal, Bruce ; Gómez-Olivé, Francesc Xavier ; Myakayaka, Nokuzola ; Kabudula, Chodziwadziwa ; Limbani, Felix ; Masilela, Nkosinathi ; Thorogoo, Margaret ; Rodgers, Anthony ; Stephen Jan, Patel ; Joshi, Rohina ; MacMahon, Stephen ; Maulik, Pallab ; Bernabe-Ortiz, Antonio ; Jaime Miranda, J. ; Ponce-Lucero, Vilarmina ; Kimaiyo, Sylvester ; Kofler, Claire ; Gebregziabher, Mulugeta ; Warth, Stephanie ; Waddy, Salina ; Attaran, Amir ; Yaya, Sanni ; Mills, Edward ; Muldoon, Katherine ; de Villiers, Anniza ; Featherstone, Amber ; Forrest, Jamie ; Kalyesubula, Robert ; Kamwesiga, Julius ; Lopez, Paul Camacho ; Tayari, Jean Claude ; Lopez, Patricio ; Casas, Juan Lopez ; McKee, Martin ; Zainal, Ariffin Omar ; Yusuf, Salim ; Campbell, Norman ; Kilonzo, Kajiru ; Liu, Peter ; Marr, Marion ; Tobe, Sheldon ; Feng, Xiangxian ; Yuan, Jianhui ; He, Feng ; MacGregor, Graham ; Li, Xian ; Wu, Yangfeng ; Yan, Lijing ; Lin, Ching Ping ; Zhang, Jing ; Ma, Jun ; Ma, Yuan ; Wang, Haijun ; Nowson, Caryl ; Moodie, Marj ; Kalyanram, Kartik ; Kartik, Kamakshi ; Sudhir, Thout ; Evans, Roger ; Arabshahi, Simin ; Mahal, Ajay ; Heritier, Stephane ; Oldenburg, Brian ; Riddell, Michaela ; Srikanth, Velandai ; Suresh, Oduru ; Thankappan, Kavumpurathu ; Thirunavukkarasu, Sathish ; Varma, Ravi ; Thomas, Nihal ; Clifford, Gari ; Prabhakaran, Dorairaj ; Thom, Simon ; Krishnan, Anand ; Srinath Reddy, K. ; Faletoese, Sarah ; Ieremia, Merina ; Schultz, Jimaima ; Siitia, Junior ; Snowdon, Wendy ; Pillay, Arti ; Sukhu, Arleen ; Ulberg, Christina ; Viali, Satupaitea ; Gilman, Robert H. ; Sacksteder, Katherine ; Apusiga, Kingsley ; Cooper, Richard ; Ntim, Michael ; Binanay, Cynthia ; Bloomfield, Gerald ; Velazquez, Eric ; DeLong, Allison ; Hogan, Joseph ; Finkelstein, Eric ; Fuster, Valentin ; Inui, Tom ; Were, Martin ; Menya, Diana ; Naanyu, Violet ; Rotich, Jackson ; Augustovski, Federico ; Chen, Jing ; Chemg, Jing ; Dolan, Jacquelyn ; He, Jiang ; Mills, Katherine ; Shi, Lizheng ; Webber, Larry ; Krousel-Wood, Marie ; Poggio, Rosana ; Rubinstein, Adolfo ; Akinyemi, Rufus ; Arulogun, Oyedunni ; Owolabi, Mayowa ; Hurst, Samantha ; Uvere, Ezinne. / Behaviour change strategies for reducing blood pressure-related disease burden : Findings from a global implementation research programme. In: Implementation Science. 2015 ; Vol. 10, No. 1.
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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.",
keywords = "Behaviour change theory, Collaborative research, Hypertension, Implementation science, Low- and middle-income countries",
author = "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 Sylvester Kimaiyo and Claire Kofler and Mulugeta Gebregziabher and Stephanie Warth and Salina Waddy and Amir Attaran and Sanni Yaya and Edward Mills and Katherine Muldoon and {de Villiers}, Anniza and Amber Featherstone and Jamie Forrest and Robert Kalyesubula and Julius Kamwesiga and Lopez, {Paul Camacho} and Tayari, {Jean Claude} and Patricio Lopez and Casas, {Juan Lopez} and Martin McKee and Zainal, {Ariffin Omar} and Salim Yusuf and Norman Campbell and Kajiru Kilonzo and Peter Liu and Marion Marr and Sheldon Tobe and Xiangxian Feng and Jianhui Yuan and Feng He and Graham MacGregor and Xian Li and Yangfeng Wu and Lijing Yan and Lin, {Ching Ping} and Jing Zhang and Jun Ma and Yuan Ma and Haijun Wang and Caryl Nowson and Marj Moodie and Kartik Kalyanram and Kamakshi Kartik and Thout Sudhir and Roger Evans and Simin Arabshahi and Ajay Mahal and Stephane Heritier and Brian Oldenburg and Michaela Riddell and Velandai Srikanth and Oduru Suresh and Kavumpurathu Thankappan and Sathish Thirunavukkarasu and Ravi Varma and Nihal Thomas and Gari Clifford and Dorairaj Prabhakaran and Simon Thom and Anand Krishnan and {Srinath Reddy}, K. and Sarah Faletoese and Merina Ieremia and Jimaima Schultz and Junior Siitia and Wendy Snowdon and Arti Pillay and Arleen Sukhu and Christina Ulberg and Satupaitea Viali and Gilman, {Robert H.} and Katherine Sacksteder and Kingsley Apusiga and Richard Cooper and Michael Ntim and Cynthia Binanay and Gerald Bloomfield and Eric Velazquez and Allison DeLong and Joseph Hogan and Eric Finkelstein and Valentin Fuster and Tom Inui and Martin Were and Diana Menya and Violet Naanyu and Jackson Rotich and Federico Augustovski and Jing Chen and Jing Chemg and Jacquelyn Dolan and Jiang He and Katherine Mills and Lizheng Shi and Larry Webber and Marie Krousel-Wood and Rosana Poggio and Adolfo Rubinstein and Rufus Akinyemi and Oyedunni Arulogun and Mayowa Owolabi and Samantha Hurst and Ezinne Uvere",
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TY - JOUR

T1 - Behaviour change strategies for reducing blood pressure-related disease burden

T2 - Findings from a global implementation research programme

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 - Kimaiyo, Sylvester

AU - Kofler, Claire

AU - Gebregziabher, Mulugeta

AU - Warth, Stephanie

AU - Waddy, Salina

AU - Attaran, Amir

AU - Yaya, Sanni

AU - Mills, Edward

AU - Muldoon, Katherine

AU - de Villiers, Anniza

AU - Featherstone, Amber

AU - Forrest, Jamie

AU - Kalyesubula, Robert

AU - Kamwesiga, Julius

AU - Lopez, Paul Camacho

AU - Tayari, Jean Claude

AU - Lopez, Patricio

AU - Casas, Juan Lopez

AU - McKee, Martin

AU - Zainal, Ariffin Omar

AU - Yusuf, Salim

AU - Campbell, Norman

AU - Kilonzo, Kajiru

AU - Liu, Peter

AU - Marr, Marion

AU - Tobe, Sheldon

AU - Feng, Xiangxian

AU - Yuan, Jianhui

AU - He, Feng

AU - MacGregor, Graham

AU - Li, Xian

AU - Wu, Yangfeng

AU - Yan, Lijing

AU - Lin, Ching Ping

AU - Zhang, Jing

AU - Ma, Jun

AU - Ma, Yuan

AU - Wang, Haijun

AU - Nowson, Caryl

AU - Moodie, Marj

AU - Kalyanram, Kartik

AU - Kartik, Kamakshi

AU - Sudhir, Thout

AU - Evans, Roger

AU - Arabshahi, Simin

AU - Mahal, Ajay

AU - Heritier, Stephane

AU - Oldenburg, Brian

AU - Riddell, Michaela

AU - Srikanth, Velandai

AU - Suresh, Oduru

AU - Thankappan, Kavumpurathu

AU - Thirunavukkarasu, Sathish

AU - Varma, Ravi

AU - Thomas, Nihal

AU - Clifford, Gari

AU - Prabhakaran, Dorairaj

AU - Thom, Simon

AU - Krishnan, Anand

AU - Srinath Reddy, K.

AU - Faletoese, Sarah

AU - Ieremia, Merina

AU - Schultz, Jimaima

AU - Siitia, Junior

AU - Snowdon, Wendy

AU - Pillay, Arti

AU - Sukhu, Arleen

AU - Ulberg, Christina

AU - Viali, Satupaitea

AU - Gilman, Robert H.

AU - Sacksteder, Katherine

AU - Apusiga, Kingsley

AU - Cooper, Richard

AU - Ntim, Michael

AU - Binanay, Cynthia

AU - Bloomfield, Gerald

AU - Velazquez, Eric

AU - DeLong, Allison

AU - Hogan, Joseph

AU - Finkelstein, Eric

AU - Fuster, Valentin

AU - Inui, Tom

AU - Were, Martin

AU - Menya, Diana

AU - Naanyu, Violet

AU - Rotich, Jackson

AU - Augustovski, Federico

AU - Chen, Jing

AU - Chemg, Jing

AU - Dolan, Jacquelyn

AU - He, Jiang

AU - Mills, Katherine

AU - Shi, Lizheng

AU - Webber, Larry

AU - Krousel-Wood, Marie

AU - Poggio, Rosana

AU - Rubinstein, Adolfo

AU - Akinyemi, Rufus

AU - Arulogun, Oyedunni

AU - Owolabi, Mayowa

AU - Hurst, Samantha

AU - Uvere, Ezinne

PY - 2015/11/9

Y1 - 2015/11/9

N2 - 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.

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.

KW - Behaviour change theory

KW - Collaborative research

KW - Hypertension

KW - Implementation science

KW - Low- and middle-income countries

UR - http://www.scopus.com/inward/record.url?scp=84946566532&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946566532&partnerID=8YFLogxK

U2 - 10.1186/s13012-015-0331-0

DO - 10.1186/s13012-015-0331-0

M3 - Article

C2 - 26553092

AN - SCOPUS:84946566532

VL - 10

JO - Implementation Science

JF - Implementation Science

SN - 1748-5908

IS - 1

M1 - 158

ER -