FIGURE 1
Overview of the development of the Train4Health competency framework and core set of linked behaviour change techniques ( reproduced from 2 )
PRIMARY AIM Develop an interprofessional cometency framework to support behaviour change for the selfmanagement of chronic disease at a European level
SECONDARY AIM Derive a set of behaviour change techniques ( BCTs ) from an established taxonomy to be linked with the framework competencies
Part 1 : Delphi study to develop the behaviour change competency framework
METHOD
Part 2 : Deriving a set of BCTs to be linked with framework competencies
Preparatory work Draft list of 27 competencies iteratively compiled for inclusion in the e-Delphi , based on 7 existing competency frameworks
Preparatory work
• 7 high priority chronic diseases selected , based on two EU projects on self-management in chronic disease
• 5 target behaviours selected for the selfmanagement of the high priority chronic diseases , based on international clinical guidelines e-Delphi consensus ( two rounds ) 26 consensus-approved competencies , split into 12 foundational competencies for behaviour change in self-mangement of chronic disease ( F1 – F2 ) and 14 behaviour change competencies in selfmanagement of chronic disease ( BC1 – BC14 )
4 behaviour change competencies related to BCTs ( BC3 , BC10 , BC11 , BC12 )
RESULTS
Literature search on BCTs yielded 29 BCTs effective for the 5 target behaviours in people living with the selected high priority chronic diseases
Expert feedback on BCTs Core set of 21 BCTs deemed applicable to 5 target behaviours in the 7 high priority chronic diseases
Behaviour change competency framework for health and other professionals to support selfmanagement of chronic diease , linked with a core set of BCTs from an established taxonomy
behavioural science and co-production of educational products with users . The project envisages a continuum in behaviour change support education , in which an interprofessional competency framework , relevant for those currently practising , guides the development of a learning outcomesbased curriculum and an educational package for future professionals ( today ’ s undergraduate students ). The educational package , comprising case studies , a massive open online course and a simulation software package , is aligned with the European Union policy on digital transformation in education and training .
Pursuing the Train4Health aim required an interprofessional competency framework agreed across disciplines and European countries , focused on selfmanagement in chronic disease and linked to a set of BCTs from a standardised taxonomy . 7
Overview of the Train4Health competency framework Previous work 2 had the primary aim of developing an interprofessional competency framework to support behaviour change in persons self-managing chronic disease ( Figure 1 ). A secondary aim was to derive a set of standardised BCTs to link with framework competencies that directly support behaviour change ( Figure 1 ).
The competency framework comprises 26 competency statements , classified into two categories : 12 foundational competencies ( F ) and 14 behaviour change competencies ( BC ). 2 These were consensualised through an e-Delphi panel , composed of 48 participants from 12 European countries and a variety of disciplines : pharmacy , nursing , sport sciences / physiotherapy , general practice , nutrition , psychology and public health . 2
General communication competencies and professionalism are encompassed in the foundational category ( for example , F6 : Ability to communicate effectively in partnership with people and families ; F11 : Ability to demonstrate professional behaviour , respectively ). Competencies that directly support behaviour change in the self-management of chronic disease
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