Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme

Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme

Background: The Global Alliance for Chronic Diseases comprises the majority of the world's public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income c...

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Published in:Implementation Science
Main Author: Peiris D.; Thompson S.R.; Beratarrechea A.; Cárdenas M.K.; Diez-Canseco F.; Goudge J.; Gyamfi J.; Kamano J.H.; Irazola V.; Johnson C.; Kengne A.P.; Keat N.K.; Miranda J.J.; Mohan S.; Mukasa B.; Ng E.; Nieuwlaat R.; Ogedegbe O.; Ovbiagele B.; Plange-Rhule J.; Praveen D.; Salam A.; Thorogood M.; Thrift A.G.; Vedanthan R.; Waddy S.P.; Webster J.; Webster R.; Yeates K.; Yusoff K.; Featherstone A.; McCready T.; Jan S.; Chow C.; Neal B.; Gómez-Olivé F.X.; Myakayaka N.; Kabudula C.; Limbani F.; Masilela N.; Thorogoo M.; Rodgers A.; Stephen Jan A.; Joshi R.; MacMahon S.; Maulik P.; Bernabe-Ortiz A.; Ponce-Lucero V.; Kimaiyo S.; Kofler C.; Gebregziabher M.; Warth S.; Attaran A.; Yaya S.; Mills E.; Muldoon K.; de Villiers A.; Forrest J.; Kalyesubula R.; Kamwesiga J.; Lopez P.C.; Tayari J.-C.; Lopez P.; Casas J.L.; McKee M.; Zainal A.O.; Yusuf S.; Campbell N.; Kilonzo K.; Liu P.; Marr M.; Tobe S.; Feng X.; Yuan J.; He F.; MacGregor G.; Li X.; Wu Y.; Yan L.; Lin C.-P.; Zhang J.; Ma J.; Ma Y.; Wang H.; Nowson C.; Moodie M.; Kalyanram K.; Kartik K.; Sudhir T.; Evans R.; Arabshahi S.; Mahal A.; Heritier S.; Oldenburg B.; Riddell M.; Srikanth V.; Suresh O.; Thankappan K.; Thirunavukkarasu S.; Varma R.; Thomas N.; Clifford G.; Prabhakaran D.; Thom S.; Krishnan A.; Srinath Reddy K.; Faletoese S.; Ieremia M.; Schultz J.; Siitia J.; Snowdon W.; Pillay A.; Sukhu A.; Ulberg C.; Viali S.; Gilman R.H.; Sacksteder K.; Apusiga K.; Cooper R.; Ntim M.; Binanay C.; Bloomfield G.; Velazquez E.; DeLong A.; Hogan J.; Finkelstein E.; Fuster V.; Inui T.; Were M.; Menya D.; Naanyu V.; Rotich J.; Augustovski F.; Chen J.; Chemg J.; Dolan J.; He J.; Mills K.; Shi L.; Webber L.; Krousel-Wood M.; Poggio R.; Rubinstein A.; Akinyemi R.; Arulogun O.; Owolabi M.; Hurst S.; Uvere E.
Format: Article
Language:English
Published: BioMed Central Ltd 2015
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946566532&doi=10.1186%2fs13012-015-0331-0&partnerID=40&md5=a160f02df7852dfe1bf500bef8d4be7c
id 2-s2.0-84946566532
spelling 2-s2.0-84946566532
Peiris D.; Thompson S.R.; Beratarrechea A.; Cárdenas M.K.; Diez-Canseco F.; Goudge J.; Gyamfi J.; Kamano J.H.; Irazola V.; Johnson C.; Kengne A.P.; Keat N.K.; Miranda J.J.; Mohan S.; Mukasa B.; Ng E.; Nieuwlaat R.; Ogedegbe O.; Ovbiagele B.; Plange-Rhule J.; Praveen D.; Salam A.; Thorogood M.; Thrift A.G.; Vedanthan R.; Waddy S.P.; Webster J.; Webster R.; Yeates K.; Yusoff K.; Featherstone A.; McCready T.; Jan S.; Chow C.; Neal B.; Gómez-Olivé F.X.; Myakayaka N.; Kabudula C.; Limbani F.; Masilela N.; Thorogoo M.; Rodgers A.; Stephen Jan A.; Joshi R.; MacMahon S.; Maulik P.; Bernabe-Ortiz A.; Ponce-Lucero V.; Kimaiyo S.; Kofler C.; Gebregziabher M.; Warth S.; Attaran A.; Yaya S.; Mills E.; Muldoon K.; de Villiers A.; Forrest J.; Kalyesubula R.; Kamwesiga J.; Lopez P.C.; Tayari J.-C.; Lopez P.; Casas J.L.; McKee M.; Zainal A.O.; Yusuf S.; Campbell N.; Kilonzo K.; Liu P.; Marr M.; Tobe S.; Feng X.; Yuan J.; He F.; MacGregor G.; Li X.; Wu Y.; Yan L.; Lin C.-P.; Zhang J.; Ma J.; Ma Y.; Wang H.; Nowson C.; Moodie M.; Kalyanram K.; Kartik K.; Sudhir T.; Evans R.; Arabshahi S.; Mahal A.; Heritier S.; Oldenburg B.; Riddell M.; Srikanth V.; Suresh O.; Thankappan K.; Thirunavukkarasu S.; Varma R.; Thomas N.; Clifford G.; Prabhakaran D.; Thom S.; Krishnan A.; Srinath Reddy K.; Faletoese S.; Ieremia M.; Schultz J.; Siitia J.; Snowdon W.; Pillay A.; Sukhu A.; Ulberg C.; Viali S.; Gilman R.H.; Sacksteder K.; Apusiga K.; Cooper R.; Ntim M.; Binanay C.; Bloomfield G.; Velazquez E.; DeLong A.; Hogan J.; Finkelstein E.; Fuster V.; Inui T.; Were M.; Menya D.; Naanyu V.; Rotich J.; Augustovski F.; Chen J.; Chemg J.; Dolan J.; He J.; Mills K.; Shi L.; Webber L.; Krousel-Wood M.; Poggio R.; Rubinstein A.; Akinyemi R.; Arulogun O.; Owolabi M.; Hurst S.; Uvere E.
Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
2015
Implementation Science
10
1
10.1186/s13012-015-0331-0
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946566532&doi=10.1186%2fs13012-015-0331-0&partnerID=40&md5=a160f02df7852dfe1bf500bef8d4be7c
Background: The Global Alliance for Chronic Diseases comprises the majority of the world's public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects. Methods: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings. Results: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focussing on fiscal measures, regulation and legislation. Conclusions: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies. © 2015 Peiris et al.
BioMed Central Ltd
17485908
English
Article
All Open Access; Gold Open Access
author Peiris D.; Thompson S.R.; Beratarrechea A.; Cárdenas M.K.; Diez-Canseco F.; Goudge J.; Gyamfi J.; Kamano J.H.; Irazola V.; Johnson C.; Kengne A.P.; Keat N.K.; Miranda J.J.; Mohan S.; Mukasa B.; Ng E.; Nieuwlaat R.; Ogedegbe O.; Ovbiagele B.; Plange-Rhule J.; Praveen D.; Salam A.; Thorogood M.; Thrift A.G.; Vedanthan R.; Waddy S.P.; Webster J.; Webster R.; Yeates K.; Yusoff K.; Featherstone A.; McCready T.; Jan S.; Chow C.; Neal B.; Gómez-Olivé F.X.; Myakayaka N.; Kabudula C.; Limbani F.; Masilela N.; Thorogoo M.; Rodgers A.; Stephen Jan A.; Joshi R.; MacMahon S.; Maulik P.; Bernabe-Ortiz A.; Ponce-Lucero V.; Kimaiyo S.; Kofler C.; Gebregziabher M.; Warth S.; Attaran A.; Yaya S.; Mills E.; Muldoon K.; de Villiers A.; Forrest J.; Kalyesubula R.; Kamwesiga J.; Lopez P.C.; Tayari J.-C.; Lopez P.; Casas J.L.; McKee M.; Zainal A.O.; Yusuf S.; Campbell N.; Kilonzo K.; Liu P.; Marr M.; Tobe S.; Feng X.; Yuan J.; He F.; MacGregor G.; Li X.; Wu Y.; Yan L.; Lin C.-P.; Zhang J.; Ma J.; Ma Y.; Wang H.; Nowson C.; Moodie M.; Kalyanram K.; Kartik K.; Sudhir T.; Evans R.; Arabshahi S.; Mahal A.; Heritier S.; Oldenburg B.; Riddell M.; Srikanth V.; Suresh O.; Thankappan K.; Thirunavukkarasu S.; Varma R.; Thomas N.; Clifford G.; Prabhakaran D.; Thom S.; Krishnan A.; Srinath Reddy K.; Faletoese S.; Ieremia M.; Schultz J.; Siitia J.; Snowdon W.; Pillay A.; Sukhu A.; Ulberg C.; Viali S.; Gilman R.H.; Sacksteder K.; Apusiga K.; Cooper R.; Ntim M.; Binanay C.; Bloomfield G.; Velazquez E.; DeLong A.; Hogan J.; Finkelstein E.; Fuster V.; Inui T.; Were M.; Menya D.; Naanyu V.; Rotich J.; Augustovski F.; Chen J.; Chemg J.; Dolan J.; He J.; Mills K.; Shi L.; Webber L.; Krousel-Wood M.; Poggio R.; Rubinstein A.; Akinyemi R.; Arulogun O.; Owolabi M.; Hurst S.; Uvere E.
spellingShingle Peiris D.; Thompson S.R.; Beratarrechea A.; Cárdenas M.K.; Diez-Canseco F.; Goudge J.; Gyamfi J.; Kamano J.H.; Irazola V.; Johnson C.; Kengne A.P.; Keat N.K.; Miranda J.J.; Mohan S.; Mukasa B.; Ng E.; Nieuwlaat R.; Ogedegbe O.; Ovbiagele B.; Plange-Rhule J.; Praveen D.; Salam A.; Thorogood M.; Thrift A.G.; Vedanthan R.; Waddy S.P.; Webster J.; Webster R.; Yeates K.; Yusoff K.; Featherstone A.; McCready T.; Jan S.; Chow C.; Neal B.; Gómez-Olivé F.X.; Myakayaka N.; Kabudula C.; Limbani F.; Masilela N.; Thorogoo M.; Rodgers A.; Stephen Jan A.; Joshi R.; MacMahon S.; Maulik P.; Bernabe-Ortiz A.; Ponce-Lucero V.; Kimaiyo S.; Kofler C.; Gebregziabher M.; Warth S.; Attaran A.; Yaya S.; Mills E.; Muldoon K.; de Villiers A.; Forrest J.; Kalyesubula R.; Kamwesiga J.; Lopez P.C.; Tayari J.-C.; Lopez P.; Casas J.L.; McKee M.; Zainal A.O.; Yusuf S.; Campbell N.; Kilonzo K.; Liu P.; Marr M.; Tobe S.; Feng X.; Yuan J.; He F.; MacGregor G.; Li X.; Wu Y.; Yan L.; Lin C.-P.; Zhang J.; Ma J.; Ma Y.; Wang H.; Nowson C.; Moodie M.; Kalyanram K.; Kartik K.; Sudhir T.; Evans R.; Arabshahi S.; Mahal A.; Heritier S.; Oldenburg B.; Riddell M.; Srikanth V.; Suresh O.; Thankappan K.; Thirunavukkarasu S.; Varma R.; Thomas N.; Clifford G.; Prabhakaran D.; Thom S.; Krishnan A.; Srinath Reddy K.; Faletoese S.; Ieremia M.; Schultz J.; Siitia J.; Snowdon W.; Pillay A.; Sukhu A.; Ulberg C.; Viali S.; Gilman R.H.; Sacksteder K.; Apusiga K.; Cooper R.; Ntim M.; Binanay C.; Bloomfield G.; Velazquez E.; DeLong A.; Hogan J.; Finkelstein E.; Fuster V.; Inui T.; Were M.; Menya D.; Naanyu V.; Rotich J.; Augustovski F.; Chen J.; Chemg J.; Dolan J.; He J.; Mills K.; Shi L.; Webber L.; Krousel-Wood M.; Poggio R.; Rubinstein A.; Akinyemi R.; Arulogun O.; Owolabi M.; Hurst S.; Uvere E.
Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
author_facet Peiris D.; Thompson S.R.; Beratarrechea A.; Cárdenas M.K.; Diez-Canseco F.; Goudge J.; Gyamfi J.; Kamano J.H.; Irazola V.; Johnson C.; Kengne A.P.; Keat N.K.; Miranda J.J.; Mohan S.; Mukasa B.; Ng E.; Nieuwlaat R.; Ogedegbe O.; Ovbiagele B.; Plange-Rhule J.; Praveen D.; Salam A.; Thorogood M.; Thrift A.G.; Vedanthan R.; Waddy S.P.; Webster J.; Webster R.; Yeates K.; Yusoff K.; Featherstone A.; McCready T.; Jan S.; Chow C.; Neal B.; Gómez-Olivé F.X.; Myakayaka N.; Kabudula C.; Limbani F.; Masilela N.; Thorogoo M.; Rodgers A.; Stephen Jan A.; Joshi R.; MacMahon S.; Maulik P.; Bernabe-Ortiz A.; Ponce-Lucero V.; Kimaiyo S.; Kofler C.; Gebregziabher M.; Warth S.; Attaran A.; Yaya S.; Mills E.; Muldoon K.; de Villiers A.; Forrest J.; Kalyesubula R.; Kamwesiga J.; Lopez P.C.; Tayari J.-C.; Lopez P.; Casas J.L.; McKee M.; Zainal A.O.; Yusuf S.; Campbell N.; Kilonzo K.; Liu P.; Marr M.; Tobe S.; Feng X.; Yuan J.; He F.; MacGregor G.; Li X.; Wu Y.; Yan L.; Lin C.-P.; Zhang J.; Ma J.; Ma Y.; Wang H.; Nowson C.; Moodie M.; Kalyanram K.; Kartik K.; Sudhir T.; Evans R.; Arabshahi S.; Mahal A.; Heritier S.; Oldenburg B.; Riddell M.; Srikanth V.; Suresh O.; Thankappan K.; Thirunavukkarasu S.; Varma R.; Thomas N.; Clifford G.; Prabhakaran D.; Thom S.; Krishnan A.; Srinath Reddy K.; Faletoese S.; Ieremia M.; Schultz J.; Siitia J.; Snowdon W.; Pillay A.; Sukhu A.; Ulberg C.; Viali S.; Gilman R.H.; Sacksteder K.; Apusiga K.; Cooper R.; Ntim M.; Binanay C.; Bloomfield G.; Velazquez E.; DeLong A.; Hogan J.; Finkelstein E.; Fuster V.; Inui T.; Were M.; Menya D.; Naanyu V.; Rotich J.; Augustovski F.; Chen J.; Chemg J.; Dolan J.; He J.; Mills K.; Shi L.; Webber L.; Krousel-Wood M.; Poggio R.; Rubinstein A.; Akinyemi R.; Arulogun O.; Owolabi M.; Hurst S.; Uvere E.
author_sort Peiris D.; Thompson S.R.; Beratarrechea A.; Cárdenas M.K.; Diez-Canseco F.; Goudge J.; Gyamfi J.; Kamano J.H.; Irazola V.; Johnson C.; Kengne A.P.; Keat N.K.; Miranda J.J.; Mohan S.; Mukasa B.; Ng E.; Nieuwlaat R.; Ogedegbe O.; Ovbiagele B.; Plange-Rhule J.; Praveen D.; Salam A.; Thorogood M.; Thrift A.G.; Vedanthan R.; Waddy S.P.; Webster J.; Webster R.; Yeates K.; Yusoff K.; Featherstone A.; McCready T.; Jan S.; Chow C.; Neal B.; Gómez-Olivé F.X.; Myakayaka N.; Kabudula C.; Limbani F.; Masilela N.; Thorogoo M.; Rodgers A.; Stephen Jan A.; Joshi R.; MacMahon S.; Maulik P.; Bernabe-Ortiz A.; Ponce-Lucero V.; Kimaiyo S.; Kofler C.; Gebregziabher M.; Warth S.; Attaran A.; Yaya S.; Mills E.; Muldoon K.; de Villiers A.; Forrest J.; Kalyesubula R.; Kamwesiga J.; Lopez P.C.; Tayari J.-C.; Lopez P.; Casas J.L.; McKee M.; Zainal A.O.; Yusuf S.; Campbell N.; Kilonzo K.; Liu P.; Marr M.; Tobe S.; Feng X.; Yuan J.; He F.; MacGregor G.; Li X.; Wu Y.; Yan L.; Lin C.-P.; Zhang J.; Ma J.; Ma Y.; Wang H.; Nowson C.; Moodie M.; Kalyanram K.; Kartik K.; Sudhir T.; Evans R.; Arabshahi S.; Mahal A.; Heritier S.; Oldenburg B.; Riddell M.; Srikanth V.; Suresh O.; Thankappan K.; Thirunavukkarasu S.; Varma R.; Thomas N.; Clifford G.; Prabhakaran D.; Thom S.; Krishnan A.; Srinath Reddy K.; Faletoese S.; Ieremia M.; Schultz J.; Siitia J.; Snowdon W.; Pillay A.; Sukhu A.; Ulberg C.; Viali S.; Gilman R.H.; Sacksteder K.; Apusiga K.; Cooper R.; Ntim M.; Binanay C.; Bloomfield G.; Velazquez E.; DeLong A.; Hogan J.; Finkelstein E.; Fuster V.; Inui T.; Were M.; Menya D.; Naanyu V.; Rotich J.; Augustovski F.; Chen J.; Chemg J.; Dolan J.; He J.; Mills K.; Shi L.; Webber L.; Krousel-Wood M.; Poggio R.; Rubinstein A.; Akinyemi R.; Arulogun O.; Owolabi M.; Hurst S.; Uvere E.
title Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
title_short Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
title_full Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
title_fullStr Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
title_full_unstemmed Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
title_sort Behaviour change strategies for reducing blood pressure-related disease burden: Findings from a global implementation research programme
publishDate 2015
container_title Implementation Science
container_volume 10
container_issue 1
doi_str_mv 10.1186/s13012-015-0331-0
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946566532&doi=10.1186%2fs13012-015-0331-0&partnerID=40&md5=a160f02df7852dfe1bf500bef8d4be7c
description Background: The Global Alliance for Chronic Diseases comprises the majority of the world's public research funding agencies. It is focussed on implementation research to tackle the burden of chronic diseases in low- and middle-income countries and amongst vulnerable populations in high-income countries. In its inaugural research call, 15 projects were funded, focussing on lowering blood pressure-related disease burden. In this study, we describe a reflexive mapping exercise to identify the behaviour change strategies undertaken in each of these projects. Methods: Using the Behaviour Change Wheel framework, each team rated the capability, opportunity and motivation of the various actors who were integral to each project (e.g. community members, non-physician health workers and doctors in projects focussed on service delivery). Teams then mapped the interventions they were implementing and determined the principal policy categories in which those interventions were operating. Guidance was provided on the use of Behaviour Change Wheel to support consistency in responses across teams. Ratings were iteratively discussed and refined at several group meetings. Results: There was marked variation in the perceived capabilities, opportunities and motivation of the various actors who were being targeted for behaviour change strategies. Despite this variation, there was a high degree of synergy in interventions functions with most teams utilising complex interventions involving education, training, enablement, environmental restructuring and persuasion oriented strategies. Similar policy categories were also targeted across teams particularly in the areas of guidelines, communication/marketing and service provision with few teams focussing on fiscal measures, regulation and legislation. Conclusions: The large variation in preparedness to change behaviour amongst the principal actors across these projects suggests that the interventions themselves will be variably taken up, despite the similarity in approaches taken. The findings highlight the importance of contextual factors in driving success and failure of research programmes. Forthcoming outcome and process evaluations from each project will build on this exploratory work and provide a greater understanding of factors that might influence scale-up of intervention strategies. © 2015 Peiris et al.
publisher BioMed Central Ltd
issn 17485908
language English
format Article
accesstype All Open Access; Gold Open Access
record_format scopus
collection Scopus
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