Cited by 287Health Policy Implementation ScienceBehavioral Health and InterventionsInnovations in Medical Education

The DOI matches its Crossref record; 48 of the 50 references it cites were found in a registry or an index; 8 of the 82 sources its claims cite were checked for support.

Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review

Open access

Abstract

BACKGROUND: Systematic reviews consistently indicate that interventions to change healthcare professional (HCP) behaviour are haphazardly designed and poorly specified. Clarity about methods for designing and specifying interventions is needed. The objective of this review was to identify published methods for designing interventions to change HCP behaviour. METHODS: A search of MEDLINE, Embase, and PsycINFO was conducted from 1996 to April 2015. Using inclusion/exclusion criteria, a broad screen of abstracts by one rater was followed by a strict screen of full text for all potentially relevant papers by three raters. An inductive approach was first applied to the included studies to identify commonalities and differences between the descriptions of methods across the papers. Based on this process and knowledge of related literatures, we developed a data extraction framework that included, e.g. level of change (e.g. individual versus organization); context of development; a brief description of the method; tasks included in the method (e.g. barrier identification, component selection, use of theory). RESULTS: 3966 titles and abstracts and 64 full-text papers were screened to yield 15 papers included in the review, each outlining one design method. All of the papers reported methods developed within a specific context. Thirteen papers included barrier identification and 13 included linking barriers to intervention components; although not the same 13 papers. Thirteen papers targeted individual HCPs with only one paper targeting change across individual, organization, and system levels. The use of theory and user engagement were included in 13/15 and 13/15 papers, respectively. CONCLUSIONS: There is an agreement across methods of four tasks that need to be completed when designing individual-level interventions: identifying barriers, selecting intervention components, using theory, and engaging end-users. Methods also consist of further additional tasks. Examples of methods for designing the organisation and system-level interventions were limited. Further analysis of design tasks could facilitate the development of detailed guidelines for designing interventions.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This systematic review identified 15 published methods for designing interventions to change healthcare professionals’ behaviour. Across these methods, four design tasks were commonly included: barrier identification, linking barriers to intervention components, using theory, and engaging end-users.

Key findings

  • From 3966 screened citations and 64 full-text papers, 15 papers were included, each outlining one design method; methods were published between 2001 and 2014.
  • 13/15 papers included barrier identification and 13/15 linked barriers to intervention components, though these were not the same 13 papers; 13/15 used theory and 13/15 included user engagement.
  • 13/15 methods targeted individual healthcare professionals, while only one method targeted change across individual, organization, and system levels.
  • Design tasks ranged from 2 to 7 steps, with a median of 5 tasks; 11/15 methods incorporated other published approaches, tools, or resources.

Methods

  • Systematic review searching MEDLINE, Embase, and PsycINFO from 1996 to April 2015, with no published protocol; inclusion required a paper to describe a method for designing interventions to change healthcare professionals’ behaviour and focus primarily on the intervention design process.
  • Title/abstract screening was done by one rater, followed by full-text screening by three raters independently; mean Kappa across all pairs was .43, indicating moderate agreement.
  • Data extraction used a two-stage process: an inductive framework was developed by three reviewers, then data were extracted by two individuals independently followed by consensus discussion for discrepancies.

Limitations

  • The paper states that only one rater screened titles and abstracts, which may have increased the possibility of omitting relevant studies; it also did not include books or book chapters, excluded studies that reported intervention testing alongside development, did not search grey literature, and used only three databases, making the review susceptible to publication bias.
  • The paper states that all included methods were developed specifically for healthcare environments, and methods from other disciplines or before 1996 may have been missed.
  • The paper notes that it did not measure the degree to which the identified methods are used; the text also makes evident that the search ended in April 2015 and excluded non-English articles.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1186/s13012-017-0560-5

Cites

48 of 48 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Fig. 1 PRISMA diagram
Fig. 1 PRISMA diagramCC BY · PubMed Central

Verification

Claims the paper makes

31 Not checked yet · 24 Own result · 13 Own method · 7 Own interpretation · 4 No basis given · 1 Partly supported · 1 Mixed support · accuracy not yet measured

Verify all 74 references — free account

Show all 44 claims

  • Probably not a substantial claim. 25
  • It may state two separate claims as one. 18
37 of 37
  • The paper relies on this without support.

    The search strategy and databases used were sufficient to identify all relevant published methods for designing interventions to change healthcare professionals' behaviour.

    “A sensitive search strategy was designed in consultation with an information science specialist (CF) using both subject headings and text terms and comprised a combination of three facets: professional behaviour change; theory, framework or technique; and interventions.”
  • The paper relies on this without support.

    The included papers' descriptions of methods were sufficiently detailed and representative to allow extraction of the common design tasks.

    “we excluded papers that lacked enough detail for replication.”
  • The paper relies on this without support.

    The descriptive variables selected for extraction were the most critical for understanding intervention design tasks.

    “The resulting descriptive variables to be extracted were believed to be the most critical, and it included a brief description of the design tasks.”
3 of 3

Claims other papers make about this one

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

3 of 3

Citations

Cites

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Metadata

Authors
Colquhoun, H. L., Squires, J. E., Kolehmainen, N., Fraser, C., & Grimshaw, J. M.
Affiliations
  • University of Toronto (CA)
  • University of Ottawa (CA)
  • Newcastle University (GB)
  • University of Aberdeen (GB)
Corresponding author
Colquhoun, Heather L.
Venue
Implementation Science
Published
2017-03-04
Volume
12
Issue
1
Pages
30-30
ISSN
1748-5908 (ISSN-L)
OpenAlex
W2591591866
Cited by
283
References
50
Citations by year
2026: 11 · 2025: 25 · 2024: 40 · 2023: 35 · 2022: 41 · 2021: 40 · 2020: 27 · 2019: 28 · 2018: 25 · 2017: 10
FWCI
4.34
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Implementation Science (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • TSpace (University of Toronto) (submittedVersion, cc-by)
  • uO Research (University of Ottawa) (submittedVersion, public-domain)
  • Newcastle University ePrints (Newcastle Univesity) (cc-by)
Funders
  • Canadian Institutes of Health Research
  • Medical Research Council
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Social Sciences › Education › Innovations in Medical Education
Keywords
intervention design, behaviour change interventions, barriers to change, theory-based intervention design, user engagement, organizational change, system-level interventions, design guidelines
MeSH terms
Health Personnel, Humans, Inservice Training, Health Knowledge, Attitudes, Practice, Professional Practice, Translational Research, Biomedical

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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