Developing an intervention to implement an ICF-based e-intake tool in clinical otology and audiology practice

Objective: To develop an intervention for the implementation of an ICF-based e-intake tool in clinical oto-audiology practice. Design: Intervention design study using the eight-stepped Behaviour Change Wheel. Hearing health professionals’ (HHPs) and patients’ barriers to and enablers of the use of the tool were identified in our previous study (steps 1–4). Following these steps, relevant intervention functions and policy categories were selected to address the reported barriers and enablers (steps 5–6); and behaviour change techniques and delivery modes were chosen for the selected intervention functions (steps 7–8). Results: For HHPs, the intervention functions education, training, enablement, modelling, persuasion and environmental restructuring were selected (step 5). Guidelines, service provision, and changes in the environment were identified as appropriate policy categories (step 6). These were linked to nine behaviour change techniques (e.g. information on health consequences), delivered through educational/training materials and workshops, and environmental factors (steps 7–8). For patients, the intervention functions education and enablement were selected, supported through service provision (steps 5–6). These were linked to three behaviour change techniques (e.g. environmental factors), delivered through their incorporation into the tool (steps 7–8). Conclusions: A multifaceted intervention was proposed to support the successful implementation of the intake tool.

研究目标：旨在开发一套基于国际功能分类（ICF）的电子录入工具在临床耳科听力领域的实施干预方案。研究设计：采用八步行为改变轮盘干预设计研究方法。在前一阶段研究中，我们识别了听力健康专业人士（HHPs）和患者在使用该工具过程中所面临的障碍及其促动因素（步骤1-4）。在此基础上，根据所识别的障碍和促动因素，选定了相关的干预功能和政策类别以应对（步骤5-6）；并针对选定的干预功能选择了行为改变技术和交付模式（步骤7-8）。研究结果：针对HHPs，选定了教育、培训、赋能、示范、说服和环境重构等干预功能（步骤5）。将指南、服务提供和环境变化识别为适宜的政策类别（步骤6）。这些政策类别与九种行为改变技术（例如，关于健康后果的信息）相联系，通过教育和培训材料、研讨会以及环境因素进行实施（步骤7-8）。对于患者，选定了教育和赋能等干预功能，通过服务提供进行支持（步骤5-6）。这些功能与三种行为改变技术（例如，环境因素）相联系，通过将其纳入工具中进行实施（步骤7-8）。研究结论：提出了一种多方面的干预方案，以支持录入工具的成功实施。