Characterizing clients' verbal statements in behavioural support interventions: The case of smoking cessation

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Abstract

Background

Reliable methods have been developed for characterizing behavioural interventions in terms of component practitioner-delivered behaviour change techniques (BCTs). As yet, no corresponding methods have been developed for characterizing client responses.

Purpose

To develop a method for characterizing clients’ verbal statements in audio-recordings of smoking cessation behavioural support consultations.

Methods

An established framework for specifying practitioner-delivered BCTs was adapted to account for corresponding BCTs in clients’ verbal statements. A total of 1,429 client statements within 15 transcripts of audio-recorded consultations were independently coded using the framework.

Results

Of the 58 BCT categories in the practitioner framework, 53 corresponding client BCTs were included and five codes unrelated to smoking cessation were added. Forty client BCTs were reliably identified at least once across sessions (75.1% agreement; PABAK = .77).

Conclusions

It is possible to reliably categorize clients’ verbal statements in smoking cessation consultations in terms of responses to BCTs delivered by the practitioner. When used alongside the taxonomy of practitioner-delivered BCTs, this method could provide a basis for investigating the dyadic interaction between the practitioner and client.

Statement of contribution

What is already known on this subject?

Statement of contribution

What does this study add?

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