ArticleBMC health services research2015
Defining the content and delivery of an intervention to Change AdhereNce to treatment in BonchiEctasis (CAN-BE): a qualitative approach incorporating the Theoretical Domains Framework, behavioural change techniques and stakeholder expert panels.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Interventions for enhancing adherence to treatment in adults with bronchiectasis.The Cochrane database of systematic reviews · 2015Pooled it
- Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF): the TImplementation science : IS · 2017Trial
- Article
- Development of a behavioural theory-based New Medicine Service toolkit for community pharmacists to promote medication adherence.International journal of clinical pharmacy · 2025Article
- Protocol for the development of an intervention to improve the use of Point-of-caRE DiagnostICs in the management of respiraTOry tRact infectionS in primary care (the PREDICTORS study).HRB open research · 2024Article
- Assessment of factors and interventions towards therapeutic adherence among persons with non-cystic fibrosis bronchiectasis.ERJ open research · 2022Review
- 'It's not one size fits all': a qualitative study of patients' and healthcare professionals' views of self-management for bronchiectasis.BMJ open respiratory research · 2021Article
- Smartphone Apps to Support Self-Management of Hypertension: Review and Content Analysis.JMIR mHealth and uHealth · 2019Review
- Adherence to medication in adults with Cystic Fibrosis: An investigation using objective adherence data and the Theoretical Domains Framework.British journal of health psychology · 2019Article
- Promoting the use of self-management in patients with spine pain managed by chiropractors and chiropractic interns: barriers and design of a theory-based knowledge translation intervention.Chiropractic & manual therapies · 2019Article
- Community pharmacists' views of using a screening tool to structure medicines use reviews for older people: findings from qualitative interviews.International journal of clinical pharmacy · 2018Article
- Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention.BMC musculoskeletal disorders · 2018Article
- Patient information, education and self-management in bronchiectasis: facilitating improvements to optimise health outcomes.BMC pulmonary medicine · 2018Review
- To what extent can behaviour change techniques be identified within an adaptable implementation package for primary care? A prospective directed content analysis.Implementation science : IS · 2018Article
- Improving adherence to multiple medications in older people in primary care: Selecting intervention components to address patient-reported barriers and facilitators.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Using Theory to Explore the Determinants of Medication Adherence; Moving Away from a One-Size-Fits-All Approach.Pharmacy (Basel, Switzerland) · 2017Article
- Using theory to explore facilitators and barriers to delayed prescribing in Australia: a qualitative study using the Theoretical Domains Framework and the Behaviour Change Wheel.BMC family practice · 2017Article
- Mechanisms of action of an implementation intervention in stroke rehabilitation: a qualitative interview study.BMC health services research · 2016Article
- Consumers attitudes and beliefs towards the receipt of antenatal corticosteroids and use of clinical practice guidelines.BMC pregnancy and childbirth · 2016Article
- Development of a core outcome set for trials investigating the long-term management of bronchiectasis.Chronic respiratory diseaseReview
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundLow patient adherence to treatment is associated with poorer health outcomes in bronchiectasis. We sought to use the Theoretical Domains Framework (TDF) (a framework derived from 33 psychological theories) and behavioural change techniques (BCTs) to define the content of an intervention to change patients' adherence in bronchiectasis (Stage 1 and 2) and stakeholder expert panels to define its delivery (Stage 3).
methodsWe conducted semi-structured interviews with patients with bronchiectasis about barriers and motivators to adherence to treatment and focus groups or interviews with bronchiectasis healthcare professionals (HCPs) about their ability to change patients' adherence to treatment. We coded these data to the 12 domain TDF to identify relevant domains for patients and HCPs (Stage 1). Three researchers independently mapped relevant domains for patients and HCPs to a list of 35 BCTs to identify two lists (patient and HCP) of potential BCTs for inclusion (Stage 2). We presented these lists to three expert panels (two with patients and one with HCPs/academics from across the UK). We asked panels who the intervention should target, who should deliver it, at what intensity, in what format and setting, and using which outcome measures (Stage 3).
resultsEight TDF domains were perceived to influence patients' and HCPs' behaviours: Knowledge, Skills, Beliefs about capability, Beliefs about consequences, Motivation, Social influences, Behavioural regulation and Nature of behaviours (Stage 1). Twelve BCTs common to patients and HCPs were included in the intervention: Monitoring, Self-monitoring, Feedback, Action planning, Problem solving, Persuasive communication, Goal/target specified:behaviour/outcome, Information regarding behaviour/outcome, Role play, Social support and Cognitive restructuring (Stage 2). Participants thought that an individualised combination of these BCTs should be delivered to all patients, by a member of staff, over several one-to-one and/or group visits in secondary care. Efficacy should be measured using pulmonary exacerbations, hospital admissions and quality of life (Stage 3).
conclusionsTwelve BCTs form the intervention content. An individualised selection from these 12 BCTs will be delivered to all patients over several face-to-face visits in secondary care. Future research should focus on developing physical materials to aid delivery of the intervention prior to feasibility and pilot testing. If effective, this intervention may improve adherence and health outcomes for those with bronchiectasis in the future.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.