Identifying behaviour change techniques within randomized trials of interventions promoting deceased organ donation registration.

behaviour change techniques deceased organ donation registration interventions meta-regression randomized controlled trials

Journal

British journal of health psychology
ISSN: 2044-8287
Titre abrégé: Br J Health Psychol
Pays: England
ID NLM: 9605409

Informations de publication

Date de publication:
09 2022
Historique:
revised: 29 10 2021
received: 14 07 2021
pubmed: 11 12 2021
medline: 13 8 2022
entrez: 10 12 2021
Statut: ppublish

Résumé

Increasing deceased organ donation registration may increase the number of available organs for transplant to help save lives. This study aimed to identify which behaviour change techniques (BCTs; or 'active ingredients') are reported within randomized trials of interventions promoting deceased organ donation registration and of those, which are associated with a larger intervention effect. We conducted a secondary analysis of 45 trials included in a Cochrane systematic review of deceased organ donation registration interventions. Two researchers used the BCT Taxonomy v1 to independently code intervention content in all trial groups. Outcome data were pooled and we used meta-regression to explore associations between individual and combinations of recurring BCTs and effect on registration intention and/or registration behaviour. A total of 27 different BCTs (mean = 3.7, range = 1-9) were identified in intervention groups across the 45 trials. The five most common BCTs were: 'Information about health consequences' (71%); 'Instruction on how to perform the behaviour' (47%); 'Salience of consequences' (40%); 'Adding objects to the environment' (28%); and 'Credible source' (27%). Comparator groups in 20/45 trials also included identifiable BCTs (n = 12, mean = 3.1, range = 1-7). Meta-regression revealed that a combination of the three most common BCTs was associated with a larger intervention effect size for registration behaviour (k = 8, β = .19, p = .02). Trials of deceased organ donation registration interventions focus predominantly on providing information, instruction, and a means to register. While potentially effective, a much wider set of possible BCTs could be leveraged to address known barriers to registration.

Identifiants

pubmed: 34889488
doi: 10.1111/bjhp.12575
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

822-843

Informations de copyright

© 2021 The British Psychological Society.

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Auteurs

Jacob Crawshaw (J)

Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.
School of Epidemiology & Public Health, University of Ottawa, Ontario, Canada.

Alvin H Li (AH)

Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.

Amit X Garg (AX)

Lawson Health Research Institute, London, Ontario, Canada.
Institute for Clinical Evaluative Sciences (ICES), London, Ontario, Canada.
Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada.
Division of Nephrology, Western University, London, Ontario, Canada.

Michaël Chassé (M)

Department of Medicine (Critical Care), University of Montreal Hospital, Quebec, Canada.

Jeremy M Grimshaw (JM)

Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.
School of Epidemiology & Public Health, University of Ottawa, Ontario, Canada.
Department of Medicine, University of Ottawa, Ontario, Canada.

Justin Presseau (J)

Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.
School of Epidemiology & Public Health, University of Ottawa, Ontario, Canada.
School of Psychology, University of Ottawa, Ontario, Canada.

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