Dixon Diane, Johnston Marie
Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, AB25 2ZD, Scotland.
Int J Behav Med. 2021 Jun;28(3):308-317. doi: 10.1007/s12529-020-09920-6.
The competence of the person delivering person-to-person behaviour change interventions may influence the effectiveness of the intervention. However, we lack a framework for describing the range of competences involved. The objective of the current work was to develop a competency framework for health behaviour change interventions.
A preliminary framework was developed by two judges rating the relevance of items in the competency framework for cognitive behaviour therapies; adding relevant items from reviews and other competency frameworks; and obtaining feedback from potential users on a draft framework. The Health Behaviour Change Competency Framework (HBCCF) was used to analyse the competency content of smoking cessation manuals.
Judges identified 194 competency items as relevant, which were organised into two domains: foundation (12 competency topics comprising 56 competencies) and behaviour change (12 topics, 54 competencies); several of the 54 and 56 competencies were composed of sub-competencies (84 subcompetencies in total). Smoking cessation manuals included 14 competency topics from the foundation and behaviour change competency domains.
The HBCCF provides a structured method for assessing and reporting competency to deliver behaviour change interventions. It can be applied to assess a practitioner's competency and training needs and to identify the competencies needed for a particular intervention. To date, it has been used in self-assessments and in developing training programmes. We propose the HBCCF as a practical tool for researchers, employers, and those who design and provide training. We envisage the HBCFF maturing and adapting as evidence that identifies the essential elements required for the effective delivery of behaviour change interventions emerges.
提供人际行为改变干预措施的人员的能力可能会影响干预措施的效果。然而，我们缺乏一个描述所涉及能力范围的框架。当前工作的目的是为健康行为改变干预措施制定一个能力框架。
两位评判员通过对认知行为疗法能力框架中的项目相关性进行评级，从综述和其他能力框架中添加相关项目，并就框架草案征求潜在用户的反馈意见，从而制定出一个初步框架。使用健康行为改变能力框架（HBCCF）来分析戒烟手册的能力内容。
评判员确定了194个相关的能力项目，这些项目被组织成两个领域：基础（12个能力主题，包括56项能力）和行为改变（12个主题，54项能力）；54项和56项能力中的几项由子能力组成（总共84个子能力）。戒烟手册包括基础和行为改变能力领域中的14个能力主题。
HBCCF提供了一种结构化的方法来评估和报告实施行为改变干预措施的能力。它可用于评估从业者的能力和培训需求，并确定特定干预措施所需的能力。迄今为止，它已用于自我评估和制定培训计划。我们建议将HBCCF作为研究人员、雇主以及设计和提供培训的人员的实用工具。我们设想随着确定有效实施行为改变干预措施所需基本要素的证据出现，HBCCF将不断完善和调整。
