Applying the Behaviour Change Wheel to UK Local Authority Policy Documents: A Content Analysis in the Context of Financial Behaviour
Abstract
:1. Introduction
1.1. Literature Review
1.2. The Current Research
Research Questions
- Research Question 1 (RQ1): To what extent are the target behaviours of interventions, reported in the documents, specified in terms of Action, Actor, Context, Target and Time (AACTT framework)?
- Research Question 2 (RQ2): Which sources of behaviour (capability, opportunity and/or motivation) are cited as barriers or enablers of relevant financial behaviour?
- Research Question 3 (RQ3): Which types of interventions, recognised by the BCW process, feature within the documents?
- Research Question 4 (RQ4): Which behavioural mechanisms could the selected interventions effect according to the BCW matrix?
2. Methods
2.1. Design
2.2. Document Search
2.3. Data Extraction
2.4. Analysis
2.4.1. Coding Form
- RQ1: To what extent are the target behaviours of interventions reported in the documents specified in terms of Action, Actor, Context, Target and Time (AACTT framework)?
- RQ2: Which sources of behaviour (capability, opportunity and/or motivation) are cited as barriers or enablers of relevant financial behaviour?
- RQ3: Which types of interventions, recognised by the BCW process, feature within the documents?
- RQ4: Which behavioural mechanisms could the selected interventions effect according to the BCW matrix?
2.4.2. Pilot Coding and Reliability Checks
3. Results
3.1. Document Search
3.2. Data Extraction
3.3. Analysis
Pilot Coding and Reliability Checks
- RQ1: To what extent are the target behaviours of interventions, reported in the documents, specified in terms of Action, Actor, Context, Target and Time (AACTT framework)?
- RQ2: Which sources of behaviour (capability, opportunity and/or motivation) are cited as barriers or enablers of relevant financial behaviour?
- RQ3: Which types of interventions, recognised by the BCW process, feature within the documents?
- RQ4: Which behavioural mechanisms could the selected interventions effect according to the BCW matrix?
4. Discussion
- RQ1: To what extent are the target behaviours of interventions, reported in the documents, specified in terms of Action, Actor, Context, Target and Time (AACTT framework)?
- RQ2: Which sources of behaviour (capability, opportunity and/or motivation) are cited as barriers or enablers of relevant financial behaviour?
- RQ3: Which types of interventions, recognised by the BCW process, feature within the documents?
- ITs
- BCTs
- RQ4: Which behavioural mechanisms could the selected interventions effect according to the BCW matrix?
4.1. Implications
4.2. Strengths and Limitations
4.3. Future Research
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Behavioural Area of Interest | Description |
---|---|
Claiming financial support | The take up of traditional financial support (e.g., state benefits) or other additional forms of financial support (e.g., free school meals, healthy start vouchers, local grants) |
Paying bills | Paying essential bills (e.g., rent, utilities, council tax) on time to avoid arrears or other debt. This does not include debt management behaviours (i.e., paying off arrears) |
Saving | Regular and appropriate saving to help protect against income shocks |
Target Behaviours (RQ1) | Recognised Barriers and Enablers (RQ2) | Interventions (RQ3, RQ4) | |
---|---|---|---|
Extraction criteria | The data must be attempting to describe a behaviour that would be performed by a council resident. The following definition was used as a guide: “Behaviours are physical events that occur in the body and are controlled in the brain” [35] The behaviour being described must be directly or indirectly linked to one of the three behavioural areas of interest. The behaviour must be described in the context of a behaviour change strategy (i.e., it must be the target behaviour) * | The data must be attempting to describe a barrier or enabler to a behaviour. Put simply, something that would inhibit or facilitate the performance of the behaviour. For example, a resident not knowing how to apply for benefits would be a barrier to them applying. Alternatively, a resident having high digital literacy skills would be an enabler to them making an online benefits application. The barrier or enabler must be directly or indirectly linked to one of the three behavioural areas of interest. | The data must be attempting to describe an intervention aiming to influence the behaviour of a resident. The following definition of behaviour change interventions was used as a guide: “Behaviour change interventions can be defined as coordinated sets of activities designed to change specified behaviour patterns.” [14] The intervention must be directly or indirectly linked with one of the three behavioural areas of interest. The council must have explicitly committed to implementing the intervention (e.g., within the “Action Plan” section of the document). Or the council must have already implemented the intervention (e.g., within the “Action to date” section of the document. |
AACTT Domain | Definition [20] | General Example [20] | Allocated Codes [31] |
---|---|---|---|
Action | A discrete observable behaviour | Prescribing antihypertensives, providing a referral to a specialist, washing hands, setting a policy | Yes—There is an action that is discrete and observable in the statement No—There is no discrete and observable action (s) present in the statement |
Actor | The individual or group of individuals who perform (or should/could) the Action | Primary care physician, pharmacist, social worker, resident, administrator, middle manager, head of unit, policymaker | Yes—Explicitly names the person OR persons responsible for performing the action No—No one is explicitly named to perform the action |
Context | The physical, emotional or social setting in which the Actor performs (or should/could) the Action | Examination room, doctor’s office, outside a patient room, in a boardroom, stressful vs. calm situation, when patients’ relatives are present or not | Yes—A location/context for the action has been explicitly named No—A location/context for the action has not been explicitly named or assumptions need to be made to interpret the context. MIN—A location/context has been named but there could be multiple. OR a location/context has been named but would more information would be needed to interpret. Or when nonspecific terms are used to refer to the context that could have multiple meanings and have not been pre-defined. |
Target | The individual or group of individuals for/with/on behalf of whom the Actor performs the Action | Patient with diabetes and blood pressure above 140/80 mmHg, patient wanting to quit smoking | Yes—An individual or group that the action is with/for and on behalf of is named. No—No individual or group that the action is with/for and on behalf of is named. OR assumptions have to be made to interpret who the Target is. MIN—When a reference to a Target is made but more information would be needed to interpret which specific individuals are the Target. Or one of with/for/behalf of is missing and should not be. NN—the Action does not require a Target or the Target is also the Actor. |
Time | The Time period and duration that the Actor performs the Action in the Context with/for the Target | At annual review, next time a patient visits, every week, over the next 6 months | Yes—Time period and duration if relevant are explicitly specified or the situation when the action should occur is stated. No—No Time period or duration is specified or assumptions were made about them. MIN—When a reference to Time is made but more information would be needed to interpret or assumptions would need to be made to interpret or duration and/or frequency are present but not both. |
COM-B Component | Definition [14,15] | General Example [14,15] | Criteria [11] | |
---|---|---|---|---|
Capability | Psychological Capability | Knowledge or psychological skills, strength or stamina to engage in the necessary mental processes | Understanding the impact of CO2 on the environment | Code Psychological Capability if the barrier/enabler is related to an individual’s psychological capacity to engage in the target behaviour. |
Physical Capability | Physical skills, strength or stamina | Having the skills to take a blood sample | Code Physical Capability if the barrier/enabler is related to an individual’s physical capacity to engage in the target behaviour. | |
Opportunity | Physical Opportunity | Opportunity afforded by the environment involving time, resources, locations, cues, physical ‘affordance’ | Being able to go running because one owns appropriate shoes | Code Physical Opportunity if the barrier/enabler is related to physical factors outside the individual that reduce the opportunity to engage in the target behaviour or prompt it. |
Social Opportunity | Opportunity afforded by interpersonal influences, social cues and cultural norms that influence the way that we think about things, e.g., the words and concepts that make up our language | Being able to smoke in the house of someone who smokes but not in the middle of a boardroom meeting | Code Social Opportunity if the barrier/enabler is related to social factors outside the individual that reduce the opportunity to engage in the target behaviour or prompt it. | |
Motivation | Reflective Motivation | Reflective processes involving plans (self-conscious intentions) and evaluations (beliefs about what is good and bad) | Intending to stop smoking | Code Reflective Motivation if the barrier/enabler is related to reflective brain processes that inhibit the target behaviour. |
Automatic Motivation | Automatic processes involving emotional reactions, desires (wants and needs), impulses, inhibitions, drive states and reflex responses. | Feeling anticipated pleasure at the prospect of eating a piece of chocolate cake | Code Automatic Motivation if the barrier/enabler is related to automatic brain processes that inhibit the target behaviour. | |
Too vague to be coded | Code “Too vague to be coded” if the barrier/enabler cannot be coded reliably to any of the COM-B components |
ITs | Definition [14,15] | General Example [14,15] | Relevant Example |
---|---|---|---|
Education | Increasing knowledge or understanding | Providing information to promote healthy eating | The council informing a resident of their entitlement to state benefits |
Persuasion | Using communication to induce positive or negative feeling or stimulate action | Using imagery to motivate increases in physical activity | The council writing to residents with a campaign that uses emotive communication to promote saving |
Incentivisation | Creating an expectation of reward | Using prize draws to induce attempts to stop smoking | The council offering a free monthly prize draw to tenants that pay rent via direct debit |
Coercion | Creating an expectation of punishment or cost | Raise the financial cost to reduce excessive alcohol consumption | The council applying a late payment charge to tenants that do not pay their rent on time |
Training | Imparting skills | Advanced driver training to increase safe driving | The council providing financial management training to residents. |
Restriction | Using rules to reduce the opportunity to engage in the target behaviour (or to increase the target behaviour by reducing opportunity to engage in competing behaviours) | Prohibiting sales of solvents to people under 18 to reduce use for intoxication | The council implementing a policy that all rent must be paid by direct debit |
Environmental restructuring | Changing the physical or social context | Providing on-screen prompts for GPs to ask about smoking behaviour | The council providing additional methods for tenants to pay their rent (e.g., direct debit, online, telephone) |
Modelling | Providing an example for people to aspire to or imitate | Using TV drama scenes involving safe-sex practices to increase condom use | The council delivering a media campaign that shows a resident going online to search for the financial support available to them |
Enablement | Increasing means/reducing barriers to increase capability (beyond training and education) or opportunity (beyond environmental restructuring) | Behavioural support for smoking cessation, medication for cognitive deficit, surgery to reduce obesity, protheses to promote physical activity | The council putting together a personalised budgeting plan for the resident |
Too vague to be coded | Code “Too vague to be coded” if the recommendation is not explicit enough to be coded reliably. | The council stating they will work with residents to help them apply for benefits |
ITs | |||||||||
---|---|---|---|---|---|---|---|---|---|
COM-B component | Education | Persuasion | Incentivisation | Coercion | Training | Restriction | Environmental restructuring | Modelling | Enablement |
Physical Capability | |||||||||
Psychological Capability | |||||||||
Physical Opportunity | |||||||||
Social Opportunity | |||||||||
Automatic Motivation | |||||||||
Reflective Motivation |
Behavioural Area of Interest | No. of Data Fragments (%) |
---|---|
Claiming financial support | 81 (34%) |
Paying bills | 146 (61%) |
Saving | 11 (5%) |
Total | 238 |
No. Descriptions of Target Behaviours | 131 | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Action | Actor | Context | Target | Time | |||||||||
Meets criteria No. (%) | Does not meet criteria No. (%) | Meets criteria No. (%) | Does not meet criteria No. (%) | Meets criteria No. (%) | Partially meets criteria No. (%) | Does not meet criteria No. (%) | Meets criteria No. (%) | Partially meets criteria No. (%) | Does not meet criteria No. (%) | Not needed No. (%) | Meets criteria No. (%) | Partially meets criteria No. (%) | Does not meet criteria No. (%) |
0 (0%) | 131 (100%) | 99 (76%) | 32 (24%) | 4 (3%) | 11 (8%) | 116 (89%) | 0 (0%) | 0 (0%) | 0 (0%) | 131 (100%) | 4 (3%) | 16 (12%) | 111 (85%) |
Description of the Target Behaviour | Were the Criteria Met? | Possible Amendments to Meet All Criteria (Amendment in Bold) | ||||
---|---|---|---|---|---|---|
Action | Actor | Context | Target | Time | ||
“Deliver and promote digital skills training to residents, to teach residents how to: Search for discounts, Search for financial information and advice”—Blackpool, Financial Inclusion Strategy | No—‘search’ does not give enough detail on how the resident should be searching or what they should use to search. | Yes—the resident | No—where should the resident search for this information? | NN—not needed as the resident is acting on behalf of themselves | No—when should the resident search for this information? | Deliver and promote digital skills training to residents, to teach residents how to: Search for discounts and financial information/advice using an online search engine at the library’s public computers when they come for an appointment with the council. |
“Before the signup stage, the Housing Officer will meet the prospective tenant and advise on the rent payment methods, and if applicable, to apply for Universal Credit or Housing Benefit.”—Dartford, Rent Arrears Policy | No—‘apply’ would involve several steps and there is no indication as to how the tenant should apply. | Yes—prospective tenant | No—where should the prospective tenant apply? | NN—not needed as the tenant would likely be applying on behalf of themselves | No—when should the prospective tenant apply? | Before the signup stage, the Housing Officer will meet the prospective tenant and advise on the rent payment methods, and if applicable, to make an online application for Universal Credit or Housing Benefit. This should be done online, via telephone or at the Job Centre Plus offices within one week of signing the tenancy agreement. |
“Work with Credit Unions to promote and increase the uptake of their services”—Blackpool, Financial Inclusion Strategy | No—there is no action specified. What action needs to occur to increase the uptake? | No—who should be taking up the services of Credit Unions? | No—where should they be taking up the services of Credit Unions? | NN—not needed as the Actor would likely be acting on behalf of themselves | No—when should they take up the service of Credit Unions? | Work with Credit Unions to promote and increase the number of residents in Blackpool that apply to open a savings account either online or in person when they start a new job. |
“Tenants who pay their rent weekly, need to pay on the Monday each week and tenants who pay it on a fortnightly or monthly basis need to pay in advance.”—East Devon, Income Management Strategy | No—how should be paying their rent each week? | Yes—tenants | No—where should they pay their rent? | NN—not needed as the tenant will likely be paying rent on behalf of themselves. | Yes—on the Monday each week or in advance. | Tenants who pay their rent weekly, need to pay on the Monday each week and tenants who pay it on a fortnightly or monthly basis need to pay in advance. This should be paid via direct debit, via telephone or in person. |
“Work with GP surgeries and walk-in-centre services to support residents in completing application forms and to promote signposting to current service providers”—Blackpool, Financial Inclusion Strategy | No—how will the residents go about completing application forms? What application forms? | Yes—residents | MIN—It could be implied that the behaviour should take place in the GP surgery/walk-in-centre but this should be made explicit | NN—not needed as the resident is likely to be completing the Action on behalf of themselves. | No—when should the resident complete the application form? | Work with GP surgeries and walk-in-centre services to support residents in completing online application forms for Universal Credit at the surgery whenever they come in for a check-up and to promote signposting to current service providers |
COM-B Component | No. of Descriptions of Barriers/Enablers (%) | Example |
---|---|---|
Psychological Capability | 8 (31%) | “Having poor financial knowledge or understanding can lead to costly credit or services which can reduce available income, leading to inability to budget and pay bills.”—West Lancashire, Financial Inclusion Strategy |
Physical Capability | 1 (4%) | “If the Council is aware that a tenant has difficulty in reading or understanding information given regarding their rent account and arrears, reasonable steps will be taken to ensure that the tenant understands any information given.”—Dartford, Rent Arrears Policy |
Social Opportunity | 0 (0%) | N/A |
Physical Opportunity | 19 (73%) | “High costs of living make it difficult for people on low incomes to meet basic costs”—Cambridge, Anti-Poverty Strategy |
Automatic Motivation | 0 (0%) | N/A |
Reflective Motivation | 0 (0%) | N/A |
Too vague to be coded | 4 (15%) | “Often, rent arrears are a symptom of underlying problems such as debt, illness or redundancy and if these problems can be addressed, then there is a good chance that rent arrears can be dealt with.” Dartford, Rent Arrears Policy |
ITs | No. Interventions Where IT Was Present (%) | Example |
---|---|---|
Education | 86 (46%) | “inform people of their entitlement to benefits, discounts, reliefs and exemptions where appropriate”—Bournemouth Christchurch and Poole, Debt Management Policy |
Persuasion | 1 (1%) | “Put in place customer facing documentation articulating RBC’s ‘support offer’. Explain the positivity’s of taking up support if offered and the consequences if refused.” (also coded to education and coercion)—Runnymede, Financial Wellbeing Strategy |
Incentivisation | 3 (2%) | “To encourage payment by direct debit there is a free monthly prize draw to those who pay by this method.”—Dartford, Rent Arrears Policy |
Coercion | 3 (2%) | “During this time the Housing Officer will: Remind the tenant of their responsibility to pay rent on time and explain the consequences of non-payment.” (also coded to education)—Dartford, Rent Arrears Policy |
Training | 11 (6%) | “Deliver and promote digital skills training to residents, to teach residents how to: Manage their money”—Blackpool, Financial Inclusion Strategy |
Restriction | 0 (0%) | N/A |
Environmental restructuring | 37 (20%) | “Promote and offer a wide variety of payment options”—Dartford, Rent Arrears Policy |
Modelling | 0 (0%) | N/A |
Enablement | 33 (18%) | “Our welfare benefit outreach workers: assist with applications”—Blackpool, Financial Inclusion Strategy |
Too vague to be coded | 52 (28%) | “Supporting low-income residents to access financial support”—Cambridge, Anti-Poverty Strategy |
Behaviour Change Technique (BCT) | No. Interventions Where BCT Was Present (%) | Example (Relevant Section Bolded) |
---|---|---|
Action planning | 2 (1%) | “During this time the Housing Officer will: Remind the tenant of their responsibility to pay rent on time and explain the consequences of non-payment. Check with the tenant how and when they will pay their rent and check which payment method will be used” (also coded to ‘Social Support (practical)’)—Dartford, Rent Arrears Policy |
Feedback on outcome(s) of behaviour | 9 (5%) | “Information will be provided about rent accounts through the issue of quarterly rent statements.”—East Devon, Income Management Strategy |
Social support (unspecified) | 2 (1%) | “The Council negotiate for competitive energy prices with the energy companies on behalf of residents and make the switching process as simple as possible.”—East Riding of Yorkshire, Financial Inclusion Strategy |
Social support (practical) | 35 (19%) | “Where support issues are identified at a new tenancy sign-up, we will refer tenants for local support to either specialist council officers or Citizen Advice.”—Welwyn Hatfield, Rent Arrears Policy |
Instruction on how to perform the behaviour | 8 (4%) | “Deliver and promote digital skills training to residents, to teach residents how to: Search for discounts, Search for financial information and advice”—Blackpool, Financial Inclusion Strategy |
Information about social and environmental consequences | 5 (3%) | “Put in place customer facing documentation articulating RBC’s ‘support offer’. Explain the positivity’s of taking up support if offered and the consequences if refused.”—Runnymede, Financial Wellbeing Strategy |
Prompts/cues | 6 (3%) | “We may send you a text message if you fall into arrears to prompt you to arrange payment.”—Hinckley and Bosworth, Rent Arrears and Recovery Policy |
Material incentive (behaviour) | 2 (1%) | “The Council aims to maximise tenant’s income by informing them of benefits they are entitled to.” (also coded to ‘Information about social and environmental consequences’ and ‘Incentive (outcome)’—Dartford, Rent Arrears Policy |
Material reward (behaviour) | 2 (1%) | “Eligible tenants that have rent arrears due to the under-occupation size criteria may be offered a financial incentive to downsize to a smaller property”—Medway, Rent Arrears Recovery Policy |
Incentive (outcome) | 2 (1%) | “inform people of their entitlement to benefits, discounts, reliefs and exemptions where appropriate” (also coded to ‘Information about social and environmental consequences’ and ‘Material incentive (behaviour’)—Bournemouth Christchurch and Poole, Debt Management Policy |
Future punishment | 1 (1%) | “We also explain the consequences of not paying rent” (Welwyn Hatfield, Rent Arrears Policy) |
Restructuring the physical environment | 6 (3%) | “Lead a free school meal take-up campaign: (1) Extend the pilot programme to simplify the application process for parents/guardians.”—Plymouth, Child Poverty Action Plan |
Adding objects to the environment | 33 (18%) | “Promote and offer a wide variety of payment options”—Dartford, Rent Arrears Policy |
Too vague to be coded | 104 (56%) | “Supported benefit claimants to receive their full entitlement of Housing Benefit and Council Tax reduction.”—Cambridge, Anti-Poverty Strategy |
COM-B Component | No. Interventions That Could Influence Component (%) |
---|---|
Psychological Capability | 112 (61%) |
Physical Capability | 43 (23%) |
Social Opportunity | 63 (34%) |
Physical Opportunity | 71 (38%) |
Automatic Motivation | 69 (37%) |
Reflective Motivation | 87 (47%) |
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Mills, Z.; Wright, K.; D’Lima, D. Applying the Behaviour Change Wheel to UK Local Authority Policy Documents: A Content Analysis in the Context of Financial Behaviour. Behav. Sci. 2023, 13, 991. https://doi.org/10.3390/bs13120991
Mills Z, Wright K, D’Lima D. Applying the Behaviour Change Wheel to UK Local Authority Policy Documents: A Content Analysis in the Context of Financial Behaviour. Behavioral Sciences. 2023; 13(12):991. https://doi.org/10.3390/bs13120991
Chicago/Turabian StyleMills, Zach, Katryn Wright, and Danielle D’Lima. 2023. "Applying the Behaviour Change Wheel to UK Local Authority Policy Documents: A Content Analysis in the Context of Financial Behaviour" Behavioral Sciences 13, no. 12: 991. https://doi.org/10.3390/bs13120991
APA StyleMills, Z., Wright, K., & D’Lima, D. (2023). Applying the Behaviour Change Wheel to UK Local Authority Policy Documents: A Content Analysis in the Context of Financial Behaviour. Behavioral Sciences, 13(12), 991. https://doi.org/10.3390/bs13120991