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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