Nichol Beth, Haighton Catherine, Wilson Rob, Rodrigues Angela M
Department of Social Work, Education, and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.
Newcastle Business School, Northumbria University, Newcastle upon Tyne, UK.
Psychol Health. 2024 Jul 31:1-32. doi: 10.1080/08870446.2024.2386289.
To enhance Making Every Contact Count (MECC, an opportunistic approach to health promotion), training in the Third and Social Economy (TSE, all groups and organisations primarily working towards social justice, outside of the government or household) by examining the degree to which the behavioural content of MECC training tackled significant factors influencing MECC delivery.
A strategic behavioural analysis design. Semi-structured interviews with service providers ( = 15) and users ( = 5) were coded for barriers and facilitators of MECC delivery using the Theoretical Domains Framework (TDF). Existing MECC training was coded for behaviour change techniques (BCTs) and intervention functions (IFs). The degree to which BCTs and IFs addressed the key TDF domains of influences on MECC delivery in the TSE were examined using prespecified tools.
Seven key TDF domains of influences in MECC delivery were identified. Overall, only 9/31 linked BCTs were utilised within MECC training, with percentage utilisation of relevant BCTs for each domain ranging from 0% to 66.7%. Training adequately addressed 2/7 key domains.
The TSE and healthcare share many common key TDF domains, although there are differences in how each are relevant. Limitations and recommendations for MECC training are discussed.
通过研究“让每次接触都有价值”（MECC，一种机会性健康促进方法）培训中行为内容在多大程度上解决了影响MECC实施的重要因素，来加强第三和社会经济领域（TSE，主要致力于社会正义的所有群体和组织，在政府或家庭之外）的培训。
采用战略行为分析设计。使用理论领域框架（TDF）对与服务提供者（n = 15）和使用者（n = 5）进行的半结构化访谈进行编码，以确定MECC实施的障碍和促进因素。对现有的MECC培训进行编码，以确定行为改变技术（BCTs）和干预功能（IFs）。使用预先指定的工具，研究BCTs和IFs在多大程度上涉及了TSE中影响MECC实施的关键TDF领域。
确定了MECC实施中七个关键的TDF影响领域。总体而言，MECC培训中仅使用了9/31个相关的BCTs，每个领域相关BCTs的使用百分比从0%到66.7%不等。培训充分涉及了2/7个关键领域。
TSE和医疗保健领域有许多共同的关键TDF领域，尽管它们各自的相关性存在差异。讨论了MECC培训的局限性和建议。
