Evidence map›Paper›PMID 37593567›Full record

ArticleWellcome open research2023

The Behaviour Change Technique Ontology: Transforming the Behaviour Change Technique Taxonomy v1.

Marta M Marques, Alison J Wright, Elizabeth Corker, Marie Johnston, Robert West, Janna Hastings, Lisa Zhang, Susan Michie

Abstract read
In one paragraph

Article in Wellcome open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 19 pooled it
–field-weighted citation impact
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

125 citing papers in PubMed, 19 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effects of activity pacing-related interventions on cancer-related fatigue and classification of behavior change techniques: A systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  9. Behavior change techniques in low-calorie and very low-calorie diet interventions for weight loss: A systematic review with meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  13. Emotional Eating Interventions for Adults Living With Overweight and Obesity: A Systematic Review and Meta-Analysis of Behaviour Change Techniques.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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65 more citing papers are in PubMed but not listed here.

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

8 authors.

Marta M Marques *Centre for Behaviour Change, University College London, London, England, UK.ORCID https://orcid.org/0000-0002-4797-9557
Alison J Wright *Centre for Behaviour Change, University College London, London, England, UK.ORCID https://orcid.org/0000-0002-0373-5219
Elizabeth CorkerClinical and Applied Psychology Unit, Department of Psychology, The University of Sheffield, Sheffield, England, UK.ORCID https://orcid.org/0000-0002-2055-7493
Marie JohnstonAberdeen Health Psychology Group, University of Aberdeen, Aberdeen, Scotland, UK.ORCID https://orcid.org/0000-0003-0124-4827
Robert WestCentre for Behaviour Change, University College London, London, England, UK.ORCID https://orcid.org/0000-0001-6398-0921
Janna HastingsInstitute for Implementation Science in Health Care, Faculty of Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-3469-4923
Lisa ZhangCentre for Behaviour Change, University College London, London, England, UK.ORCID https://orcid.org/0000-0002-4255-9609
Susan MichieCentre for Behaviour Change, University College London, London, England, UK.ORCID https://orcid.org/0000-0003-0063-6378

Funding

Medical Research Council MR/L011115/1Wellcome Trust
6 · The paper itself

Abstract

Background: The Behaviour Change Technique Taxonomy v1 (BCTTv1) specifies the potentially active content of behaviour change interventions. Evaluation of BCTTv1 showed the need to extend it into a formal ontology, improve its labels and definitions, add BCTs and subdivide existing BCTs. We aimed to develop a Behaviour Change Technique Ontology (BCTO) that would meet these needs. Methods: The BCTO was developed by: (1) collating and synthesising feedback from multiple sources; (2) extracting information from published studies and classification systems; (3) multiple iterations of reviewing and refining entities, and their labels, definitions and relationships; (4) refining the ontology via expert stakeholder review of its comprehensiveness and clarity; (5) testing whether researchers could reliably apply the ontology to identify BCTs in intervention reports; and (6) making it available online and creating a computer-readable version. Results: Initially there were 282 proposed changes to BCTTv1. Following first-round review, 19 BCTs were split into two or more BCTs, 27 new BCTs were added and 26 BCTs were moved into a different group, giving 161 BCTs hierarchically organised into 12 logically defined higher-level groups in up to five hierarchical levels. Following expert stakeholder review, the refined ontology had 247 BCTs hierarchically organised into 20 higher-level groups. Independent annotations of intervention evaluation reports by researchers familiar and unfamiliar with the ontology resulted in good levels of inter-rater reliability (0.82 and 0.79, respectively). Following revision informed by this exercise, 34 BCTs were added, resulting in the first published version of the BCTO containing 281 BCTs organised into 20 higher-level groups over five hierarchical levels. Discussion: The BCTO provides a standard terminology and comprehensive classification system for the content of behaviour change interventions that can be reliably used to describe interventions. The development and maintenance of an ontology is an iterative and ongoing process; no ontology is ever 'finished'. The BCTO will continue to evolve and grow (e.g. new BCTs or improved definitions) as a result of user feedback and new available evidence.

Indexed as

behaviour change techniquesintervention reportingontologyuser feedback

Identifiers

PMID37593567
PMCPMC10427801

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.