Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare

REID, Hamish, SMITH, Ralph, WILLIAMSON, Wilby, BALDOCK, James, CATERSON, Jessica, KLUZEK, Stefan, JONES, Natasha and COPELAND, Robert (2022). Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare. BMC Public Health, 22 (1): 1784.

12889_2022_Article_14178.pdf - Published Version
Creative Commons Attribution.

Download (1MB) | Preview
Official URL:
Open Access URL: (Published version)
Link to published version::


Abstract: Background: An implementation gap exists between the evidence supporting physical activity in the prevention and management of long-term medical conditions and clinical practice. Person-centred conversations, i.e. focussing on the values, preferences and aspirations of each individual, are required from healthcare professionals. However, many currently lack the capability, opportunity, and motivation to have these conversations. This study uses the Behaviour Change Wheel (BCW) to inform the development of practical and educational resources to help bridge this gap. Methods: The BCW provides a theoretical approach to enable the systematic development of behaviour change interventions. Authors followed the described eight-step process, considered results from a scoping review, consulted clinical working groups, tested and developed ideas across clinical pathways, and agreed on solutions to each stage by consensus. Results: The behavioural diagnosis identified healthcare professionals’ initiation of person-centred conversations on physical activity at all appropriate opportunities in routine medical care as a suitable primary target for interventions. Six intervention functions and five policy categories met the APEASE criteria. We mapped 17 Behavioural Change Techniques onto BCW intervention functions to define intervention strategies. Conclusions: This study uses the BCW to outline a coherent approach for intervention development to improve healthcare professionals’ frequency and quality of conversations on physical activity across clinical practice. Time-sensitive and role-specific resources might help healthcare professionals understand the focus of their intervention. Educational resources aimed at healthcare professionals and patients could have mutual benefit, should fit into existing care pathways and support professional development. A trusted information source with single-point access via the internet is likely to improve accessibility. Future evaluation of resources built and coded using this framework is required to establish the effectiveness of this approach and help improve understanding of what works to change conversations around physical activity in clinical practice.

Item Type: Article
Additional Information: ** From Springer Nature via Jisc Publications Router ** Licence for this article: ** Acknowledgements: Acknowledgements: The authors would like to acknowledge the contribution of the clinical working groups and the staff and patients at Oxford University Hospitals NHS Foundation Trust for their support of the Active Hospital project, where many of these ideas were explored in clinical environments. We would like to acknowledge Justin Varney, Mike Brannan and Jamie Blackshaw from Public Health England and the Office for Health Improvement and Disparities for conceptualising and managing delivery the Moving Healthcare Professionals Programme as well as Sarah Ruane and Suzanne Gardner from Sport England for their ongoing leadership and support of the programme. **Journal IDs: eissn 1471-2458 **Article IDs: publisher-id: s12889-022-14178-6; manuscript: 14178 **History: collection 12-2022; online 20-09-2022; published 20-09-2022; registration 14-09-2022; accepted 09-08-2022; submitted 09-02-2022
Uncontrolled Keywords: Research, Physical activity, Healthcare professional, Conversation, Behaviour change wheel
Identification Number:
SWORD Depositor: Colin Knott
Depositing User: Colin Knott
Date Deposited: 21 Sep 2022 15:57
Last Modified: 12 Oct 2023 10:02

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics