Fulton Emily Anne, Kwah Kayleigh L, Wild Sue, Brown Katherine E
Centre for Advances in Behavioural Science (CABS), Coventry University, Coventry CV1 5FB, UK.
Public Health Warwickshire, Warwickshire County Council, Warwick CV34 4RL, UK.
Healthcare (Basel). 2018 Jul 6;6(3):75. doi: 10.3390/healthcare6030075.
Frameworks to support the application of behaviour change theory to the choice of behaviour change techniques (BCTs) in designing digital behaviour change interventions (DBCIs) are becoming well established, and have been employed by the authors in the development of StopApp. However, guidance on the next stage—effective operationalisation (translation) of these BCTs to a digital context, including the precise delivery and design of “behavioural intervention technology” (BIT) elements, is still in its infancy. This is despite growing recognition of the need to optimise engagement and usability, alongside a theoretical basis, for intervention effectiveness. The aim of this study was to explore methods to translate BCTs into digital content in an accurate and systematic manner. We describe the process of using co-creation (user-led) rather than expert-driven methods in the development of user-facing features and design in StopApp, including the iterative “bottom-up” and “top-down processes” necessary for accurate BCT translation. We found a small disparity between the intended and actual BCT content, reflecting the difficulties of translating BCTs into digital intervention content and the need for better guidance and methodical approaches to enhance this under-researched process. The involvement of our Patient and Public Involvement (PPI) group throughout these processes is described.
支持将行为改变理论应用于选择行为改变技术（BCTs）以设计数字行为改变干预措施（DBCIs）的框架已逐渐成熟，作者在开发StopApp时也采用了这些框架。然而，关于下一阶段——将这些BCTs有效转化（应用）到数字环境中，包括“行为干预技术”（BIT）元素的精确交付和设计的指导，仍处于起步阶段。尽管人们越来越认识到，除了理论基础外，还需要优化参与度和可用性以提高干预效果，但情况依然如此。本研究的目的是探索将BCTs准确、系统地转化为数字内容的方法。我们描述了在StopApp的用户界面功能开发和设计中，使用共同创造（用户主导）而非专家驱动方法的过程，包括准确转化BCTs所需的迭代“自下而上”和“自上而下”过程。我们发现预期的和实际的BCT内容之间存在细微差异，这反映了将BCTs转化为数字干预内容的困难，以及需要更好的指导和系统方法来改进这一研究不足的过程。本文还描述了我们的患者和公众参与（PPI）小组在这些过程中的参与情况。
