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      Applying the behaviour change technique (BCT) taxonomy v1: a study of coder training

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          Abstract

          Behaviour Change Technique Taxonomy v1 (BCTTv1) has been used to detect active ingredients of interventions. The purpose of this study was to evaluate effectiveness of user training in improving reliable, valid and confident application of BCTTv1 to code BCTs in intervention descriptions. One hundred sixty-one trainees (109 in workshops and 52 in group tutorials) were trained to code frequent BCTs. The following measures were taken before and after training: (i) inter-coder agreement, (ii) trainee agreement with expert consensus, (iii) confidence ratings and (iv) coding competence. Coding was assessed for 12 BCTs (workshops) and for 17 BCTs (tutorials). Trainees completed a course evaluation. Methods improved agreement with expert consensus ( p < .05) but not inter-coder agreement ( p = .08, p = .57, respectively) and increased confidence for BCTs assessed (both p < .05). Methods were as effective as one another at improving coding competence ( p = .55). Training was evaluated positively. The training improved agreement with expert consensus, confidence for BCTs assessed, coding competence but not inter-coder agreement. This varied according to BCT.

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          The Measurement of Observer Agreement for Categorical Data

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            Developing and evaluating complex interventions: the new Medical Research Council guidance

            Evaluating complex interventions is complicated. The Medical Research Council's evaluation framework (2000) brought welcome clarity to the task. Now the council has updated its guidance
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              The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions.

              CONSORT guidelines call for precise reporting of behavior change interventions: we need rigorous methods of characterizing active content of interventions with precision and specificity. The objective of this study is to develop an extensive, consensually agreed hierarchically structured taxonomy of techniques [behavior change techniques (BCTs)] used in behavior change interventions. In a Delphi-type exercise, 14 experts rated labels and definitions of 124 BCTs from six published classification systems. Another 18 experts grouped BCTs according to similarity of active ingredients in an open-sort task. Inter-rater agreement amongst six researchers coding 85 intervention descriptions by BCTs was assessed. This resulted in 93 BCTs clustered into 16 groups. Of the 26 BCTs occurring at least five times, 23 had adjusted kappas of 0.60 or above. "BCT taxonomy v1," an extensive taxonomy of 93 consensually agreed, distinct BCTs, offers a step change as a method for specifying interventions, but we anticipate further development and evaluation based on international, interdisciplinary consensus.
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                Author and article information

                Contributors
                s.michie@ucl.ac.uk
                Journal
                Transl Behav Med
                Transl Behav Med
                Translational Behavioral Medicine
                Springer US (New York )
                1869-6716
                1613-9860
                19 November 2014
                19 November 2014
                June 2015
                : 5
                : 2
                : 134-148
                Affiliations
                [ ]UCL Centre for Behaviour Change, Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, UK
                [ ]Health Services and Population Research, Kings College London, London, UK
                [ ]Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK
                [ ]University of Exeter Medical School, University of Exeter, Exeter, UK
                [ ]School of Health Sciences, City University London, London, UK
                [ ]Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK
                Article
                290
                10.1007/s13142-014-0290-z
                4444702
                26029276
                a5a5d331-6385-4f3f-845a-b2f573b68ba6
                © The Author(s) 2014

                Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.

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                Original Research
                Custom metadata
                © Society of Behavioral Medicine 2015

                Neurology
                behaviour change techniques,taxonomy,training methods
                Neurology
                behaviour change techniques, taxonomy, training methods

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