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Table 1 Overview of mapping process to identify implementation strategies and behaviour change techniques (BCTs) to address identified barriers

From: Impact of a multi-component implementation strategy to increase outdoor free play opportunities in early childhood education and care (ECEC) services: the get outside get active (GOGA) randomised controlled trial

Target behaviour: Amending all indoor-only free play time to either indoor-outdoor or outdoor-only to increase duration children allowed to access outdoor areas

Barriers reported by ECEC services

COM-B and (TDF)

Intervention function

BCTs applied

Implementation strategy (modality)

Staff lack of awareness of the benefits of outdoor play

Capability– psychological (Knowledge)

Environmental restructuring

Education

Information about health consequences

Information about social and environmental consequences

Instruction on how to perform the behaviour

Develop and distribute educational materials (email and hard copies)

Lack of time to implement

Perceived priority for the service

Motivation- reflective (Intentions, Beliefs about capabilities)

Enablement

Persuasion

Verbal persuasion about capability

Focus on past success

Discrepancy between current behaviour and goal

Social support

Conduct educational outreach visits (online meetings, phone calls)

Identify and prepare GOGA champions (email and online meeting)

Lack of awareness of alignment with COVID-19 Guidelines for NSW ECEC services and the National Quality Framework

Motivation- reflective (Social /professional role and identify)

Enablement

Education

Credible source

Information about social and environmental consequences

Conduct educational sessions (online meeting)

Develop and distribute educational materials (email and hard copies)

Provide local centralized technical assistance

Logistical arrangements: Including service staffing, service layout not conducive to outdoor play

Lack of specific plans to put the intervention into effect

Capability–physical opportunity (Environmental context and resources)

Environmental restructuring

Enablement

Restructuring the physical environment

Goal setting (behaviour)

Problem solving

Action planning

Conduct educational sessions (online meeting)

Provide local centralized technical assistance (online meetings and phone calls)

Performance review and feedback (online meeting, phone)

Develop a formal implementation blueprint (online meetings)

Perceived lack of support from service managers/peers/ parents

Opportunity-social (Social influences)

Persuasion

Social support (practical)

Information about others’ approval

Identify and prepare GOGA champions (email and online meeting)

Develop and distribute educational materials (email and hard copies)

Unable to identify and attribute positive changes/outcomes to implementation efforts

Motivation- reflection (Intentions, Beliefs about consequences)

Persuasion

Enablement

Review behaviour goals

Self-monitoring of behaviour

Feedback on outcome of behaviour

Performance review and feedback (feedback summary (email), online meeting, phone and face-to-face (n = 1))

  1. ECEC: Early childhood education and care; TDF: Theoretical Domains Framework; COM-B: Capability, opportunity, and motivation model of behaviour; GOGA: Get Outside Get Active