Evidence map›Paper›PMID 33559009›Full record

ArticleInternational journal of behavioral medicine2021

The Fidelity of Training in Behaviour Change Techniques to Intervention Design in a National Diabetes Prevention Programme.

Rhiannon E Hawkes, Elaine Cameron, Lisa M Miles, David P French

Open access · hybridAbstract read
In one paragraph

Article in International journal of behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Preventing type 2 diabetes: a qualitative study exploring the complexity of health-related practices in people with prediabetes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  4. Article
  5. Review
  6. Building diabetes prevention and remission programs across Canada: learning from England.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Preventing type 2 diabetes: A research agenda for behavioural science.Diabetic medicine : a journal of the British Diabetic Association · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Is the NHS Diabetes Prevention Programme Intervention Delivered as Planned? An Observational Study of Fidelity of Intervention Delivery.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021
    Observational
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Rhiannon E HawkesDivision of Psychology and Mental Health, Manchester Centre of Health Psychology, University of Manchester, Coupland 1 Building, Manchester, M13 9PL, UK.ORCID http://orcid.org/0000-0003-0479-8163
Elaine CameronDivision of Psychology and Mental Health, Manchester Centre of Health Psychology, University of Manchester, Coupland 1 Building, Manchester, M13 9PL, UK.ORCID http://orcid.org/0000-0002-8959-5148
Lisa M MilesDivision of Psychology and Mental Health, Manchester Centre of Health Psychology, University of Manchester, Coupland 1 Building, Manchester, M13 9PL, UK.ORCID http://orcid.org/0000-0002-8971-125X
David P FrenchDivision of Psychology and Mental Health, Manchester Centre of Health Psychology, University of Manchester, Coupland 1 Building, Manchester, M13 9PL, UK. David.French@manchester.ac.uk.ORCID http://orcid.org/0000-0002-7663-7804
Manchester Academic Health Science Centre · GBUniversity of Stirling · GB

Funding

Department of Health 16/48/07Health Services and Delivery Research Programme 16/48/07
6 · The paper itself

Abstract

backgroundThe National Health Service Diabetes Prevention Programme (NHS-DPP) is a behavioural intervention for people identified as high risk for developing type 2 diabetes that has been rolled out across England. The present study evaluates whether the four commercial providers of the NHS-DPP train staff to deliver behaviour change technique (BCT) content with fidelity to intervention plans.

methodOne set of mandatory training courses across the four NHS-DPP providers (seven courses across 13 days) was audio-recorded, and all additional training materials used were collected. Recordings and training materials were coded for BCT content using the BCT Taxonomy v1. BCTs and depth of training (e.g. instruction, demonstration, practice) of BCT content was checked against providers' intervention plans.

resultsTen trainers and 78 trainees were observed, and 12 documents examined. The number of unique BCTs in audio recordings and associated training materials ranged from 19 to 44 across providers, and staff were trained in 53 unique BCTs across the whole NHS-DPP. Staff were trained in 66% of BCTs that were in intervention plans, though two providers trained staff in approximately half of BCTs to be delivered. The most common way that staff were trained in BCT delivery was through instruction. Training delivery style (e.g. experiential versus educational) varied between providers.

conclusionObserved training evidences dilution from providers' intervention plans. NHS-DPP providers should review their training to ensure staff are trained in all key intervention components, ensuring thorough training of BCTs (e.g. demonstrating and practicing how to deliver) to enhance BCT delivery.

Indexed as

Diabetes Mellitus, Type 2Behavior TherapyEnglandHumansState MedicineBehaviour change techniquesDiabetes preventionFidelityStaff trainingType 2 diabetes

Identifiers

PMID33559009
PMCPMC8551141
OpenAlexW3122008084

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.