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

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dc.contributor.author Peiris, David
dc.contributor.author Thompson, Simon R.
dc.contributor.author Beratarrechea, Andrea
dc.contributor.author Cárdenas García-Santillán, María Kathia
dc.contributor.author Diez-Canseco Montero, Francisco
dc.contributor.author Goudge, Jane
dc.contributor.author Gyamfi, Joyce
dc.contributor.author Kamano, Jemima Hoine
dc.contributor.author Irazola, Vilma
dc.contributor.author Johnson, Claire
dc.contributor.author Kengne, Andre P.
dc.contributor.author Keat, Ng Kien
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Mohan, Sailesh
dc.contributor.author Mukasa, Barbara
dc.contributor.author Ng, Eleanor
dc.contributor.author Nieuwlaat, Robby
dc.contributor.author Ogedegbe, Olugbenga
dc.contributor.author Ovbiagele, Bruce
dc.contributor.author Plange-Rhule, Jacob
dc.contributor.author Praveen, Devarsetty
dc.contributor.author Salam, Abdul
dc.contributor.author Thorogood, Margaret
dc.contributor.author Thrift, Amanda G.
dc.contributor.author Vedanthan, Rajesh
dc.contributor.author Waddy, Salina P.
dc.contributor.author Webster, Jacqui
dc.contributor.author Webster, Ruth
dc.contributor.author Yeates, Karen
dc.contributor.author Yusoff, Khalid
dc.date.accessioned 2019-02-06T14:52:36Z
dc.date.available 2019-02-06T14:52:36Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5324
dc.description.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. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Implementation Science
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Environment en_US
dc.subject Practice Guidelines as Topic en_US
dc.subject Motivation en_US
dc.subject Health Policy en_US
dc.subject Hypertension/drug therapy en_US
dc.subject Communication en_US
dc.subject Psychological Theory en_US
dc.subject Health Personnel/education/psychology en_US
dc.title Behaviour change strategies for reducing blood pressure-related disease burden: findings from a global implementation research programme en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s13012-015-0331-0
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1748-5908


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