Department of Dermatology, Environmental Medicine and Health Theory, Institute for Health Research and Education, Osnabrück University, Am Finkenhügel 7a, Osnabrück 49076, Germany.
Institute for Interdisciplinary Dermatological Prevention and Rehabilitation at the Osnabrück University, Am Finkenhügel 7a, Osnabrück 49076, Germany.
Transl Behav Med. 2024 May 24;14(6):341-352. doi: 10.1093/tbm/ibad081.
Tertiary Individual Prevention is an interprofessional inpatient rehabilitation programme offered to workers affected by work-related skin diseases. Health educational interventions aiming at changing skin protection behaviour are a pivotal component of the programme. This paper aims at characterizing the content of the educational interventions of the interprofessional inpatient rehabilitation programme and at reporting the mechanisms and functions for behaviour change. We retrospectively analysed existing health educational interventions with document analyses and field observations. The intervention was described using the Template of Intervention Description and Replication (TIDieR). For the intervention content, the Behaviour Change Technique (BCT) Taxonomy (v1) was applied. To characterize the intervention in detail, the BCTs were then mapped to the intervention functions, the COM-B model (Capability, Opportunity, Motivation) and the Theoretical Domains Framework (TDF) from the Behaviour Change Wheel (BCW). The health educational interventions consist of seven components. Five are delivered in a group and two as tailored face-to-face counselling. We identified 23 BCTs in 10 groups. The most common used BCTs are "instruction on how to perform skin protection behaviour," "salience of consequences," "information about skin health," and "demonstration of skin protection behaviour." To initiate the process of behaviour change in skin protection behaviour by the individuals, changes are required in all three behavioural sources (Capability, Opportunity, Motivation) and primarily in the theoretical constructs "behavioural regulation," "skills," and "beliefs about consequences." For this purpose, the five intervention functions "enablement," "training," "education," "modelling," and "persuasion" are used. Health educational interventions to change skin protection behaviour consists of different BCTs, mechanisms of change and intervention functions. This work helps to better understand the mechanisms and means of behaviour change and enables replication in other settings. In the future, the intervention programme should be extended to include BCTs addressing domains for behaviour changes which have not yet been included to maintain the new behaviour in the long-term. Finally, we recommend to report more elements of the rehabilitation programme (e.g. psychological interventions) in a standardized manner by frameworks used in this paper.
三级个体预防是为受职业性皮肤病影响的工人提供的跨专业住院康复计划。旨在改变皮肤保护行为的健康教育培训干预措施是该计划的一个关键组成部分。本文旨在描述跨专业住院康复计划中的教育干预内容，并报告行为改变的机制和功能。我们使用文件分析和现场观察对现有的健康教育干预措施进行了回顾性分析。使用干预描述和复制模板（TIDieR）对干预进行描述。对于干预内容，应用行为改变技术（BCT）分类（v1）。为了详细描述干预，将 BCT 映射到干预功能、COM-B 模型（能力、机会、动机）和行为改变轮（BCW）中的理论领域框架（TDF）。健康教育干预措施由七个部分组成。其中五个是在小组中进行的，两个是作为量身定制的面对面咨询进行的。我们在 10 个小组中确定了 23 个 BCT。使用最频繁的 BCT 是“关于如何进行皮肤保护行为的指导”、“后果的凸显”、“关于皮肤健康的信息”和“演示皮肤保护行为”。为了使个体开始进行皮肤保护行为的行为改变过程，需要在所有三个行为来源（能力、机会、动机）以及主要在理论构念“行为调节”、“技能”和“对后果的信念”上发生变化。为此，使用了五个干预功能“赋权”、“培训”、“教育”、“示范”和“说服”。改变皮肤保护行为的健康教育干预措施包括不同的 BCT、变化机制和干预功能。这项工作有助于更好地理解行为改变的机制和手段，并能够在其他环境中进行复制。在未来，干预计划应扩展到包括针对尚未包含的行为改变领域的 BCT，以长期维持新行为。最后，我们建议按照本文使用的框架以标准化的方式更详细地报告康复计划的其他要素（例如心理干预）。
