What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content

The National Health Service Digital Diabetes Prevention Programme (NHS-DDPP) is a behavioural intervention for adults in England at risk of developing Type 2 diabetes, rolled out nationally via independent providers and their digital partners. The NHS England programme specification indicated 19 beh...

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Main Authors: Rhiannon E. Hawkes, Lisa M. Miles, David P. French
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335523000037
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author Rhiannon E. Hawkes
Lisa M. Miles
David P. French
author_facet Rhiannon E. Hawkes
Lisa M. Miles
David P. French
author_sort Rhiannon E. Hawkes
collection DOAJ
description The National Health Service Digital Diabetes Prevention Programme (NHS-DDPP) is a behavioural intervention for adults in England at risk of developing Type 2 diabetes, rolled out nationally via independent providers and their digital partners. The NHS England programme specification indicated 19 behaviour change techniques (BCTs) which should be present in the intervention, including BCTs to support self-regulation. A previous evaluation of the face-to-face service found an under-delivery of some self-regulatory BCTs. This study assessed whether those 19 BCTs were offered in the different interventions delivered by four digital providers.A cross-sectional analysis of BCT content in the NHS-DDPP was elicited from the following sources: (a) online platforms (e.g. apps), (b) educational materials, and (c) health coaching (assessed via interviews with health coaches and audio-recorded telephone consultations). All materials were coded using the Behaviour Change Technique Taxonomy v1.A total of 17, 15, 15 and 14 of the 19 specified BCTs were identified across the four digital provider programmes. A mean proportion of 43% of specified BCTs were present via providers’ apps, 74% via educational materials, and 62% via health coaching. An additional 41 BCTs were included in at least one of the four providers’ programmes.Fidelity of BCT content in the NHS-DDPP was better than previously identified for the face-to-face DPP service. However, BCTs were offered via multiple modalities, thus the degree to which users engage with the modalities will impact on their exposure to BCTs and likely effectiveness of the digital programme.
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spelling doaj.art-8bb4aeb3678d4aef8ce89aed4c728f962023-03-19T04:37:27ZengElsevierPreventive Medicine Reports2211-33552023-04-0132102112What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention contentRhiannon E. Hawkes0Lisa M. Miles1David P. French2Corresponding author at: University of Manchester, Coupland 1 Building, Oxford Road, Manchester M13 9PL, UK.; Manchester Centre for Health Psychology, Division of Psychology and Mental Health, University of Manchester, UKManchester Centre for Health Psychology, Division of Psychology and Mental Health, University of Manchester, UKManchester Centre for Health Psychology, Division of Psychology and Mental Health, University of Manchester, UKThe National Health Service Digital Diabetes Prevention Programme (NHS-DDPP) is a behavioural intervention for adults in England at risk of developing Type 2 diabetes, rolled out nationally via independent providers and their digital partners. The NHS England programme specification indicated 19 behaviour change techniques (BCTs) which should be present in the intervention, including BCTs to support self-regulation. A previous evaluation of the face-to-face service found an under-delivery of some self-regulatory BCTs. This study assessed whether those 19 BCTs were offered in the different interventions delivered by four digital providers.A cross-sectional analysis of BCT content in the NHS-DDPP was elicited from the following sources: (a) online platforms (e.g. apps), (b) educational materials, and (c) health coaching (assessed via interviews with health coaches and audio-recorded telephone consultations). All materials were coded using the Behaviour Change Technique Taxonomy v1.A total of 17, 15, 15 and 14 of the 19 specified BCTs were identified across the four digital provider programmes. A mean proportion of 43% of specified BCTs were present via providers’ apps, 74% via educational materials, and 62% via health coaching. An additional 41 BCTs were included in at least one of the four providers’ programmes.Fidelity of BCT content in the NHS-DDPP was better than previously identified for the face-to-face DPP service. However, BCTs were offered via multiple modalities, thus the degree to which users engage with the modalities will impact on their exposure to BCTs and likely effectiveness of the digital programme.http://www.sciencedirect.com/science/article/pii/S2211335523000037Diabetes preventionDigital interventionsBehaviour changeFidelityImplementationBehaviour change techniques
spellingShingle Rhiannon E. Hawkes
Lisa M. Miles
David P. French
What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content
Preventive Medicine Reports
Diabetes prevention
Digital interventions
Behaviour change
Fidelity
Implementation
Behaviour change techniques
title What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content
title_full What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content
title_fullStr What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content
title_full_unstemmed What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content
title_short What behaviour change technique content is offered to service users of the nationally implemented English NHS Digital Diabetes Prevention Programme: Analysis of multiple sources of intervention content
title_sort what behaviour change technique content is offered to service users of the nationally implemented english nhs digital diabetes prevention programme analysis of multiple sources of intervention content
topic Diabetes prevention
Digital interventions
Behaviour change
Fidelity
Implementation
Behaviour change techniques
url http://www.sciencedirect.com/science/article/pii/S2211335523000037
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