Behaviour change strategies for reducing blood pressure-related disease burden

Findings from a global implementation research programme

David Peiris, Simon R Thompson, Andrea Beratarrechea, Maria Kathia Cardenas, Francisco Diez-Canseco, Jane Goudge, Joyce O Gyamfi, Jemima Hoine Kamano, Vilma E Irazola, Claire C Johnson, Andre Pascal Kengne, Kien Keat Ng, J Jaime Miranda, Barbara Mukasa, Eleanor Ng, Robby Nieuwlaat, Gbenga Ogedegbe, Bruce I Ovbiagele, Jacob Plange-Rhule, Devarsetty Praveen & 10 others Mohammad Abdul Salam, Amanda G Thrift, Rajesh Vedanthan, Salina P Waddy, Jacqui Webster, Ruth Webster, Karen Yeates, Khalid Yusoff, Hypertension Research Programme, GACD Hypertension Research Programme, Writing Group

Research output: Contribution to journalArticleResearchpeer-review

15 Citations (Scopus)

Abstract

Background: The Global Alliance for Chronic Diseases comprises the majority of the world's public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects.

Methods: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings.

Results: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focusing on fiscal measures, regulation and legislation.Conclusions: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies.
Original languageEnglish
Article number158
Pages (from-to)1 - 15
Number of pages15
JournalImplementation Science
Volume10
DOIs
Publication statusPublished - 2015

Keywords

  • Implementation science
  • Hypertension
  • Behaviour change theory
  • Collaborative research
  • Low- and middle-income countries

Cite this

Peiris, D., Thompson, S. R., Beratarrechea, A., Cardenas, M. K., Diez-Canseco, F., Goudge, J., ... GACD Hypertension Research Programme, Writing Group (2015). Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme. Implementation Science, 10, 1 - 15. [158]. https://doi.org/10.1186/s13012-015-0331-0
Peiris, David ; Thompson, Simon R ; Beratarrechea, Andrea ; Cardenas, Maria Kathia ; Diez-Canseco, Francisco ; Goudge, Jane ; Gyamfi, Joyce O ; Kamano, Jemima Hoine ; Irazola, Vilma E ; Johnson, Claire C ; Kengne, Andre Pascal ; Ng, Kien Keat ; Miranda, J Jaime ; Mukasa, Barbara ; Ng, Eleanor ; Nieuwlaat, Robby ; Ogedegbe, Gbenga ; Ovbiagele, Bruce I ; Plange-Rhule, Jacob ; Praveen, Devarsetty ; Salam, Mohammad Abdul ; Thrift, Amanda G ; Vedanthan, Rajesh ; Waddy, Salina P ; Webster, Jacqui ; Webster, Ruth ; Yeates, Karen ; Yusoff, Khalid ; Hypertension Research Programme ; GACD Hypertension Research Programme, Writing Group. / Behaviour change strategies for reducing blood pressure-related disease burden : Findings from a global implementation research programme. In: Implementation Science. 2015 ; Vol. 10. pp. 1 - 15.
@article{ed418c9b861e45928d1c56df6aa5d58f,
title = "Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme",
abstract = "Background: The Global Alliance for Chronic Diseases comprises the majority of the world's public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects.Methods: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings.Results: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focusing on fiscal measures, regulation and legislation.Conclusions: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies.",
keywords = "Implementation science, Hypertension, Behaviour change theory, Collaborative research, Low- and middle-income countries",
author = "David Peiris and Thompson, {Simon R} and Andrea Beratarrechea and Cardenas, {Maria Kathia} and Francisco Diez-Canseco and Jane Goudge and Gyamfi, {Joyce O} and Kamano, {Jemima Hoine} and Irazola, {Vilma E} and Johnson, {Claire C} and Kengne, {Andre Pascal} and Ng, {Kien Keat} and Miranda, {J Jaime} and Sailesh Mohan and Barbara Mukasa and Eleanor Ng and Robby Nieuwlaat and Gbenga Ogedegbe and Ovbiagele, {Bruce I} and Jacob Plange-Rhule and Devarsetty Praveen and Salam, {Mohammad Abdul} and Margaret Thorogood and Thrift, {Amanda G} and Rajesh Vedanthan and Waddy, {Salina P} and Jacqui Webster and Ruth Webster and Karen Yeates and Khalid Yusoff and {Hypertension Research Programme} and Simin Arabshahi and Evans, {Roger George} and Mahal, {Ajay Singh} and Oldenburg, {Brian Federick} and Riddell, {Michaela Anne} and Velandai Srikanth and Heritier, {Stephane Roland} and {GACD Hypertension Research Programme, Writing Group}",
year = "2015",
doi = "10.1186/s13012-015-0331-0",
language = "English",
volume = "10",
pages = "1 -- 15",
journal = "Implementation Science",
issn = "1748-5908",
publisher = "Springer-Verlag London Ltd.",

}

Peiris, D, Thompson, SR, Beratarrechea, A, Cardenas, MK, Diez-Canseco, F, Goudge, J, Gyamfi, JO, Kamano, JH, Irazola, VE, Johnson, CC, Kengne, AP, Ng, KK, Miranda, JJ, Mukasa, B, Ng, E, Nieuwlaat, R, Ogedegbe, G, Ovbiagele, BI, Plange-Rhule, J, Praveen, D, Salam, MA, Thrift, AG, Vedanthan, R, Waddy, SP, Webster, J, Webster, R, Yeates, K, Yusoff, K, Hypertension Research Programme & GACD Hypertension Research Programme, Writing Group 2015, 'Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme', Implementation Science, vol. 10, 158, pp. 1 - 15. https://doi.org/10.1186/s13012-015-0331-0

Behaviour change strategies for reducing blood pressure-related disease burden : Findings from a global implementation research programme. / Peiris, David; Thompson, Simon R; Beratarrechea, Andrea; Cardenas, Maria Kathia; Diez-Canseco, Francisco; Goudge, Jane; Gyamfi, Joyce O; Kamano, Jemima Hoine; Irazola, Vilma E; Johnson, Claire C; Kengne, Andre Pascal; Ng, Kien Keat; Miranda, J Jaime; Mukasa, Barbara; Ng, Eleanor; Nieuwlaat, Robby; Ogedegbe, Gbenga; Ovbiagele, Bruce I; Plange-Rhule, Jacob; Praveen, Devarsetty; Salam, Mohammad Abdul; Thrift, Amanda G; Vedanthan, Rajesh; Waddy, Salina P; Webster, Jacqui; Webster, Ruth; Yeates, Karen; Yusoff, Khalid; Hypertension Research Programme; GACD Hypertension Research Programme, Writing Group.

In: Implementation Science, Vol. 10, 158, 2015, p. 1 - 15.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Behaviour change strategies for reducing blood pressure-related disease burden

T2 - Findings from a global implementation research programme

AU - Peiris, David

AU - Thompson, Simon R

AU - Beratarrechea, Andrea

AU - Cardenas, Maria Kathia

AU - Diez-Canseco, Francisco

AU - Goudge, Jane

AU - Gyamfi, Joyce O

AU - Kamano, Jemima Hoine

AU - Irazola, Vilma E

AU - Johnson, Claire C

AU - Kengne, Andre Pascal

AU - Ng, Kien Keat

AU - Miranda, J Jaime

AU - Mohan, Sailesh

AU - Mukasa, Barbara

AU - Ng, Eleanor

AU - Nieuwlaat, Robby

AU - Ogedegbe, Gbenga

AU - Ovbiagele, Bruce I

AU - Plange-Rhule, Jacob

AU - Praveen, Devarsetty

AU - Salam, Mohammad Abdul

AU - Thorogood, Margaret

AU - Thrift, Amanda G

AU - Vedanthan, Rajesh

AU - Waddy, Salina P

AU - Webster, Jacqui

AU - Webster, Ruth

AU - Yeates, Karen

AU - Yusoff, Khalid

AU - Hypertension Research Programme

AU - Arabshahi, Simin

AU - Evans, Roger George

AU - Mahal, Ajay Singh

AU - Oldenburg, Brian Federick

AU - Riddell, Michaela Anne

AU - Srikanth, Velandai

AU - Heritier, Stephane Roland

AU - GACD Hypertension Research Programme, Writing Group

PY - 2015

Y1 - 2015

N2 - Background: The Global Alliance for Chronic Diseases comprises the majority of the world's public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects.Methods: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings.Results: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focusing on fiscal measures, regulation and legislation.Conclusions: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies.

AB - Background: The Global Alliance for Chronic Diseases comprises the majority of the world's public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects.Methods: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings.Results: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focusing on fiscal measures, regulation and legislation.Conclusions: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies.

KW - Implementation science

KW - Hypertension

KW - Behaviour change theory

KW - Collaborative research

KW - Low- and middle-income countries

UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638103/pdf/13012_2015_Article_331.pdf

U2 - 10.1186/s13012-015-0331-0

DO - 10.1186/s13012-015-0331-0

M3 - Article

VL - 10

SP - 1

EP - 15

JO - Implementation Science

JF - Implementation Science

SN - 1748-5908

M1 - 158

ER -