Table 4 The Train4Health competency framework v.1

Foundational competencies for behaviour change in self-management of chronic disease

F1 Knowledge of the roles of other professionals in the local health system

F2 Ability to maintain effective interprofessional relationships

F3 Ability to provide interventions that are person-centred and consider the context (e.g. culture, family, local health system)

F4 Ability to screen for readiness for behaviour change

F5 Knowledge of the foundational aspects of effective communication

F6 Ability to communicate effectively in partnership with people and families

F7 Ability to communicate effectively with others (e.g. health care providers, administrators)

F8 Ability to engage and partner with people individually and in groups

F9 Ability to explore and manage expectations of individuals and groups

F10 Knowledge of professional and ethical guidelines

F11 Ability to demonstrate professional behaviour

F12 Ability to reflect, self-evaluate and continuously develop these competencies

Behaviour change competencies in self-management of chronic disease

BC1 Knowledge of health behaviour and health beliefs

BC2 Knowledge of appropriate behaviour change models/theories

BC3 Knowledge of relevant behaviour change techniques

BC4 Knowledge of clinical features of chronic diseases and target behaviours for their self-management

BC5 Ability to identify self-management needs in relation to target behaviour(s) relevant for the chronic disease(s)

BC6 Ability to engage and empower individuals with chronic diseases in self-management

BC7 Ability to foster and maintain a good intervention alliance with individuals

BC8 Ability to identify opportunities and barriers (determinants) to implementing change in the target behaviour

BC9 Ability to work in partnership to prioritise target behaviours to develop an intervention plan

BC10 Ability to identify and select behaviour change techniques that are tailored to behavioural determinants (opportunities and barriers) in developing an intervention plan

BC11 Ability to select behaviour change techniques that are appropriate to the length of the intervention (brief or long-term)

BC12 Ability to apply behaviour change techniques and implement the intervention plan, adapting and tailoring as required

BC13 Ability to plan for follow-up and maintenance when the target behaviour has been achieved

BC14 Ability to provide access to appropriate information and educational materials tailored to individual needs