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Table 3 Examples of statements removed or modified after round 1

From: Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease

Statement

Round 1 ratings (median, IQR)

Example of panel member comments

Outcome

Ability to develop an intervention plan by selecting behaviour change techniques that are tailored to behaviour determinants and decide on their mode of delivery and content, depending on whether it is a brief or long-term intervention

4 (4–5)

“In my opinion, this question should be split into two different questions because it is not the same to deliver a brief intervention (even being complex) or a long-term intervention)”

“This is a complex item that entails different aspects - not easy to respond to - best revise for future rounds - perhaps split in 2 items”

Statement split into two statements which were included in round 2:

â—Ź Ability to identify and select behaviour change techniques that are tailored to behavioural determinants (opportunities and barriers) in developing an intervention plan

â—Ź Ability to select behaviour change techniques that are appropriate to the length of the intervention (brief or long-term)

Ability to plan for addressing any other target behaviours that require attention

4 (3.75–4)

“This is duplication of other competencies related to planning”

Statement removed

Ability to screen for behavioural health factors e.g. use of substances, cognitive impairment, mental health

4 (4–5)

“cognitive impairment is not a behavioural health factor nor is mental health in my modest opinion”

Statement removed