Table 3 Example of how behavior change techniques can be used to build an intervention targeting TDF domains related to barriers to reducing imaging for LBP
Barrier | Domains | Behavior Change Techniques*/Intervention Components |
|---|---|---|
Patient demand | Beliefs about consequences (Imaging reassures patients) | 5.3 Information about social and environmental consequences Inform clinicians that patients are frustrated about imaging findings that “don’t show anything” |
Beliefs about capabilities (It is difficult to convince patients that imaging isn’t useful) | 8.1 Behavioral practice Use role-play exercise in training physicians to use a new tool to facilitate conversation about why images aren’t useful | |
Social influences (patients pressure me for images) | 3.1. Social support Peer counselling or consults established to help work through issues with insistent patients |