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Table 5 Major behaviour change techniques (BCT) used and their mechanism of action in the intervention package to support tobacco cessation (based on different stages of behaviour change, based on the ‘transtheoretical model’)

From: Co-producing an intervention for tobacco cessation and improvement of oral health among diabetic patients in Bangladesh

 

Pre-contemplation

Contemplation

Preparation

Action

Maintenance

1. BCT used

5.1 Information about health consequences

5.1 Information about health consequences

9.2 Pros and Cons

5.2 Salience of consequences

1.1 Goal setting (behavior)

1.3 Goal Setting (outcome)

1.5 Review behavior goals

1.7 Review outcome goals

1.2 problem solving

12.3 Avoidance/ reducing exposure to cues for the behaviour

11.2 Reduce negative emotions

1.2 problem solving

12.3 Avoidance/ reducing exposure to cues for the behaviour

11.2 Reduce negative emotions

Mechanism of Action

Knowledge

Knowledge, belief about consequences

Goals, beliefs about capability

Beliefs about capability. environmental context and resources, emotion

Beliefs about capability. environmental context and resources, emotion

Content used in flip chart

1.Ingredients used in cigarettes and ST

2. Health effects of tobacco (general health, specific dental health)

1. Ingredients used in cigarettes and ST

2. Health effects of tobacco

(general health, specific dental health)

Use of scales: Importance to quit

Readiness to quit

Confidence to quit

Guidance for preparation

1. Guidance for cessation

2. Identify social cues and situations that lead to tobacco use

3.Tips to control the cues

4. Tips to control the withdrawal symptoms

1. Guidance for cessation

2. Identify social cues and situations that lead to tobacco use

3.Tips to control the cues

4. Tips to control the withdrawal symptoms

Content used in video

1.Ingredients used in cigarettes and ST

2. Health effects of tobacco

1.Ingredients used in cigarette and ST

2. Health effects of tobacco

   

2. BCT used

3.1 Social support (unspecified)

3.1 Social support (unspecified)

3.2 Social support (practical)

3.1 Social support (unspecified)

3.2 Social support (practical)

3.1 Social support (unspecified)

3.2 Social support (practical)

Mechanism of Action

Environmental context and resources

Environmental context and resources

Social influence

Social influence

Social influence

Content used in flip chart

Financial gain over time not buying tobacco products. Alternative use of saved money

Financial gain over time not buying tobacco products. Alternative use of saved money

Tips to use friends, family and children as sources of encouragement in quitting tobacco

1. Tips to use friends, family and children as sources of encouragement in quitting tobacco

2 Improving public image and boosting confidence to attend social events because of quitting tobacco

1. Tips to use friends, family and children as sources of encouragement in quitting tobacco

2. Improving public image and boosting confidence to attend social events because of quitting tobacco

3. BCT used

3.2 Social support (practical)

3.2 Social support (practical)

   

Mechanism of Action

Social influence

Social influence

   

Intervention setting

1. Accessing professional support for tobacco cessation

2. Supportive environment at the dental clinic

3. Delivery of the intervention by dentists or dental nurses

1. Accessing professional support for tobacco cessation

2. Supportive environment at the dental clinic

3. Delivery of the intervention by dentists or dental nurses

   

Pharmacological

   

NRT

NRT