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

Abstract

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.

Keywords:

• Ear and hearing problems
• otology-
• audiology practice
• clinical implementation
• Behaviour Change Wheel
• ICF

Author contributions

The work presented in this manuscript was a collaboration between all authors. LvL, MP and SK analysed the data. All authors participated in the interpretation of the data. LvL had the leading role in the writing process. All authors revised the manuscript critically for important intellectual content and approved the current version to be submitted to the International Journal of Audiology.

Disclosure statement

The authors declare that they have no competing interests.

Additional information

Funding

The study was financially supported by the Stichting Het Heinsius-Houbolt Foundation.