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Table 1 Model of the intervention using the Behaviour Change Wheel; specifying policy, intervention and behavioural aspects

From: Evaluating multisite multiprofessional simulation training for a hyperacute stroke service using the Behaviour Change Wheel

BCW model policy level
Category Service provision Fiscal Guidelines
Detail Centralise hyperacute (HASU) care into 8 units situated to provide easy access to the whole population (no more than 30 min by ambulance) Additional £21 m per year for acute stroke care but only paid under a new tariff if hospitals delivering the required quality Pan-London Hyper Acute Stroke Nursing Competencies
BCW model intervention level
Category Training; education
Detail Simulation training using a standardized protocol-based curriculum based on the London Cardiac and Stroke Network Model
BCW model behavioural level
Category Motivation Psychological capability Physical capability Opportunity
Detail Forming good habits; increased knowledge and understanding; awareness of role Cognitive and behavioural (‘non-technical’) skills: communication, management, teamwork Clinical skills: history taking, assessment, treatment Resources e.g. calling for help; use of all team members
Main behaviour change techniques (BCTS) in simulation training
Repetition and substitution: habit formation (e.g. taking ‘time-out’ to verbalise situations); practice
Goals and planning: problem solving/coping planning in emergencies
Antecedents: restructuring social environment (e.g. breaking down hierarchies to encourage all voices)
Associations: prompts/cues (e.g. use of critical decision aids)
Comparison of behaviour: modeling; peer review
Comparison of outcomes: pros and cons of different approaches
Regulation: Regulation of negative emotions
Main outcomes
Reported knowledge; reported motivational and behavioural outcomes (staff survey and interview data); reported improvement in management and prevention of complications
Observed data on content, design/learning objectives and delivery