Dugdale Stephanie, Ward Jonathan, Hernen Jan, Elison Sarah, Davies Glyn, Donkor Daniel
Breaking Free Group, Manchester, UK.
Turning Point, London, UK.
Subst Abuse Treat Prev Policy. 2016 Jul 22;11(1):26. doi: 10.1186/s13011-016-0069-y.
In recent years, research within the field of health psychology has made significant progress in terms of advancing and standardizing the science of developing, evaluating and reporting complex behavioral change interventions. A major part of this work has involved the development of an evidence-based Behavior Change Technique Taxonomy v1 (BCTTv1), as a means of describing the active components contained within such complex interventions. To date, however, this standardized approach derived from health psychology research has not been applied to the development of complex interventions for the treatment of substance use disorders (SUD). Therefore, this paper uses Breaking Free Online (BFO), a computer-assisted therapy program for SUD, as an example of how the clinical techniques contained within such an intervention might be mapped onto the BCTTv1.
The developers of BFO were able to produce a full list of the clinical techniques contained within BFO. Exploratory mapping of the BCTTv1 onto the clinical content of the BFO program was conducted separately by the authors of the paper. This included the developers of the BFO program and psychology professionals working within the SUD field. These coded techniques were reviewed by the authors and any discrepancies in the coding were discussed between all authors until an agreement was reached.
The BCTTv1 was mapped onto the clinical content of the BFO program. At least one behavioral change technique was found in 12 out of 16 grouping categories within the BCTTv1. A total of 26 out of 93 behavior change techniques were identified across the clinical content of the program.
This exploratory mapping exercise has identified the specific behavior change techniques contained within BFO, and has provided a means of describing these techniques in a standardized way using the BCTTv1 terminology. It has also provided an opportunity for the BCTTv1 mapping process to be reported to the wider SUD treatment community, as it may have real utility in the development and evaluation of other psychosocial and behavioral change interventions within this field.
近年来，健康心理学领域的研究在推进和规范开发、评估及报告复杂行为改变干预措施的科学方面取得了重大进展。这项工作的一个主要部分涉及开发基于证据的行为改变技术分类法第1版（BCTTv1），作为描述此类复杂干预措施中所含活性成分的一种手段。然而，迄今为止，这种源自健康心理学研究的标准化方法尚未应用于物质使用障碍（SUD）治疗的复杂干预措施的开发。因此，本文以“在线解脱”（BFO）为例，这是一种用于SUD的计算机辅助治疗程序，来说明此类干预措施中所含的临床技术如何映射到BCTTv1上。
BFO的开发者能够列出BFO中所含临床技术的完整清单。本文作者分别对BCTTv1到BFO程序临床内容进行了探索性映射。这包括BFO程序的开发者以及在SUD领域工作的心理学专业人员。作者们对这些编码技术进行了审查，所有作者之间讨论了编码中的任何差异，直至达成一致。
BCTTv1被映射到BFO程序的临床内容上。在BCTTv1的16个分组类别中的12个类别中发现了至少一种行为改变技术。在该程序的临床内容中总共确定了93种行为改变技术中的26种。
这项探索性映射工作确定了BFO中所含的特定行为改变技术，并提供了一种使用BCTTv1术语以标准化方式描述这些技术的方法。它还为向更广泛的SUD治疗社区报告BCTTv1映射过程提供了机会，因为它可能在该领域其他心理社会和行为改变干预措施的开发和评估中具有实际效用。
