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Characterizing clients' verbal statements in behavioural support interventions: The case of smoking cessation
Author(s) -
Gainforth Heather L.,
Lorencatto Fabiana,
Erickson Karl,
West Robert,
Michie Susan
Publication year - 2016
Publication title -
british journal of health psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.05
H-Index - 88
eISSN - 2044-8287
pISSN - 1359-107X
DOI - 10.1111/bjhp.12188
Subject(s) - psychological intervention , psychology , behaviour change , smoking cessation , applied psychology , categorization , social psychology , medicine , computer science , psychiatry , pathology , artificial intelligence
Background Reliable methods have been developed for characterizing behavioural interventions in terms of component practitioner‐delivered behaviour change techniques ( BCT s). As yet, no corresponding methods have been developed for characterizing client responses. Purpose To develop a method for characterizing clients’ verbal statements in audio‐recordings of smoking cessation behavioural support consultations. Methods An established framework for specifying practitioner‐delivered BCT s was adapted to account for corresponding BCT s in clients’ verbal statements. A total of 1,429 client statements within 15 transcripts of audio‐recorded consultations were independently coded using the framework. Results Of the 58 BCT categories in the practitioner framework, 53 corresponding client BCT s were included and five codes unrelated to smoking cessation were added. Forty client BCT s were reliably identified at least once across sessions (75.1% agreement; PABAK  = .77). Conclusions It is possible to reliably categorize clients’ verbal statements in smoking cessation consultations in terms of responses to BCT s delivered by the practitioner. When used alongside the taxonomy of practitioner‐delivered BCT s, this method could provide a basis for investigating the dyadic interaction between the practitioner and client.Statement of contribution What is already known on this subject? Taxonomies exist for characterizing practitioner‐delivered behaviour change techniques ( BCT s) in interventions. Client responses and contributions are an important part of the behaviour change process. Examining clients’ receipt of BCT s can add explanatory value to the outcomes of interventions. Current taxonomies and methods do not characterize client responses in terms of BCT s.What does this study add? First method to characterize clients’ statements corresponding to a practitioner BCT taxonomy. Provides a method for investigating the dyadic practitioner–client interaction using BCT s. A method that has potential to add explanatory value to the outcomes of interventions.

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