TY - JOUR
T1 - Application of the Behaviour Change Wheel to Promote Utilisation of a Cognitive Impairment Screening Tool
AU - Zbukvic, Isabel
AU - Bryce, Shayden
AU - Pilkington, Vita
AU - Mills, Robyn
AU - Smith, Desiree
AU - L, Alahakoon
AU - Crlenjak, C
AU - Benson, Melinda
AU - Delprado, Jacinta
AU - Kamminga, Jody
AU - Allott, Kelly
PY - 2025/3
Y1 - 2025/3
N2 - The Youth Risk of Cognitive Impairment Toolkit (Youth ROCIT) is a free, online written guide designed to help health and mental health workforces screen for risk of cognitive difficulties in young people aged 12–25. The Behaviour Change Wheel (BCW) provides a structured approach to behaviour change initiatives for workforces and can be utilised to support the implementation of tools like the Youth ROCIT. Using a modified BCW method, this project aimed to develop and pilot a tailored behaviour change approach to improve screening for cognitive impairment risk using the Youth ROCIT in an Australian youth (12–18 years) drug and alcohol service. The BCW method was applied to understand and address behavioural drivers of cognitive screening within a multidisciplinary team, and design strategies to support the implementation of the Youth ROCIT in routine clinical practice. Data on context, practices, barriers, enablers, and perspectives on the Youth ROCIT were collected through surveys, interviews, and interactive workshops. Routine service data from the patient management system was used to understand behaviour change. Multiple strategies were identified to support the implementation of the Youth ROCIT and the methodology was seen as acceptable and feasible by implementation facilitators and workshop participants. The service team rated the Youth ROCIT as acceptable, appropriate, and feasible, and reported high intentions to use the tool with young people. Service data showed changes in practice following the initiative. The BCW provided an acceptable and feasible framework for developing strategies to support the implementation of the Youth ROCIT in a youth health service setting.
AB - The Youth Risk of Cognitive Impairment Toolkit (Youth ROCIT) is a free, online written guide designed to help health and mental health workforces screen for risk of cognitive difficulties in young people aged 12–25. The Behaviour Change Wheel (BCW) provides a structured approach to behaviour change initiatives for workforces and can be utilised to support the implementation of tools like the Youth ROCIT. Using a modified BCW method, this project aimed to develop and pilot a tailored behaviour change approach to improve screening for cognitive impairment risk using the Youth ROCIT in an Australian youth (12–18 years) drug and alcohol service. The BCW method was applied to understand and address behavioural drivers of cognitive screening within a multidisciplinary team, and design strategies to support the implementation of the Youth ROCIT in routine clinical practice. Data on context, practices, barriers, enablers, and perspectives on the Youth ROCIT were collected through surveys, interviews, and interactive workshops. Routine service data from the patient management system was used to understand behaviour change. Multiple strategies were identified to support the implementation of the Youth ROCIT and the methodology was seen as acceptable and feasible by implementation facilitators and workshop participants. The service team rated the Youth ROCIT as acceptable, appropriate, and feasible, and reported high intentions to use the tool with young people. Service data showed changes in practice following the initiative. The BCW provided an acceptable and feasible framework for developing strategies to support the implementation of the Youth ROCIT in a youth health service setting.
U2 - 10.1007/s43477-024-00146-2
DO - 10.1007/s43477-024-00146-2
M3 - Article
VL - 5
JO - Global Implementation Research and Applications
JF - Global Implementation Research and Applications
ER -