Division of Informatics, Imaging and Data Sciences, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PM, UK.
Health Information Management and Technology Department, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
BMC Health Serv Res. 2024 Aug 22;24(1):967. doi: 10.1186/s12913-024-11384-3.
Digital therapeutic Sleepio has proven effective in improving sleep quality and decreasing symptoms of anxiety. The National Institute for Health and Care Excellence (NICE) guidance recommends Sleepio as an alternative treatment to usual sleep hygiene education and hypnotic medications. General practitioners (GPs) play a critical role in the adoption of digital therapeutics in patient care. Previous interventions did not adopt theoretical frameworks to systematically understand GPs behaviour toward referring patients to digital therapeutics.
This study aimed to report the systematic and comprehensive development of an intervention to encourage GPs to refer insomnia patients to Sleepio, using the Behaviour Change Wheel (BCW).
The eight steps outlined in the BCW were followed to develop an intervention. The Capability Opportunity Motivation-Behaviour Self-Evaluation Questionnaire (COM-B-Qv1) was adopted to understand GPs perceived facilitators and barriers to refer insomnia patients to Sleepio. The Behaviour Change Technique Taxonomy Version 1 (BCTv1) was thereafter used to identify possible strategies that could be used to facilitate changes in GPs' behaviour in relation to Sleepio.
The BCW design process resulted in the identification of five intervention functions, three policy categories and five behaviour change techniques (BCTs) as potential active components for an intervention. The intervention includes providing GPs with an orientation about using Sleepio to improve their knowledge and confidence, sending visual reminders to GPs to recommend Sleepio to their patients, providing ongoing technical support.
The BCW can be successfully applied through a systematic process to understand the drivers of GPs' behaviour and to develop an intervention that can encourage them to refer insomnia patients to Sleepio.
数字疗法 Sleepio 已被证明能有效改善睡眠质量，减轻焦虑症状。英国国家卫生与保健优化研究所（NICE）的指南建议将 Sleepio 作为替代常规睡眠卫生教育和催眠药物的治疗方法。全科医生（GP）在患者护理中采用数字疗法方面发挥着关键作用。之前的干预措施并没有采用理论框架来系统地了解全科医生推荐患者使用数字疗法的行为。
本研究旨在报告一项使用行为改变轮（BCW）鼓励全科医生推荐失眠患者使用 Sleepio 的干预措施的系统全面开发。
按照 BCW 的八个步骤开发干预措施。采用能力-机会-动机-行为-自我评估问卷（COM-B-Qv1）来了解全科医生推荐失眠患者使用 Sleepio 的感知障碍和促进因素。随后使用行为改变技术分类学版本 1（BCTv1）来确定可能有助于改变全科医生与 Sleepio 相关行为的策略。
BCW 的设计过程确定了五个干预功能、三个政策类别和五个行为改变技术（BCTs）作为干预的潜在有效成分。该干预措施包括为全科医生提供有关使用 Sleepio 来提高其知识和信心的培训，向全科医生发送视觉提醒以推荐 Sleepio 给他们的患者，并提供持续的技术支持。
通过系统的过程，可以成功应用行为改变轮来了解全科医生行为的驱动因素，并开发出鼓励他们推荐失眠患者使用 Sleepio 的干预措施。
