title: Characterizing clients' verbal statements in behavioural support interventions: The case of smoking cessation.
abstract: 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.
  
  
  
  To develop a method for characterizing clients' verbal statements in audio-recordings of smoking cessation behavioural support consultations.
  
  
  
  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.
  
  
  
  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).
  
  
  
  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? Taxonomies exist for characterizing practitioner-delivered behaviour change techniques (BCTs) in interventions. Client responses and contributions are an important part of the behaviour change process. Examining clients' receipt of BCTs can add explanatory value to the outcomes of interventions. Current taxonomies and methods do not characterize client responses in terms of BCTs. What does this study add? First method to characterize clients' statements corresponding to a practitioner BCT taxonomy. Provides a method for investigating the dyadic practitioner-client interaction using BCTs. A method that has potential to add explanatory value to the outcomes of interventions.
authors.affiliation: School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada.
authors.forename: Heather L
authors.identifier: 0000-0002-3281-1110
authors.initials: HL
authors.lastname: Gainforth
authors.affiliation: School of Health Sciences, City University London, UK.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Lorencatto
authors.affiliation: Department of Kinesiology, Michigan State University, East Lansing, Michigan, USA.
authors.forename: Karl
authors.initials: K
authors.lastname: Erickson
authors.affiliation: Department of Epidemiology & Public Health, University College London, UK.
authors.forename: Robert
authors.initials: R
authors.lastname: West
authors.affiliation: Department of Clinical, Educational and Health Psychology, University College London, UK.
authors.forename: Susan
authors.initials: S
authors.lastname: Michie
mesh_terms: D001294:Attitude to Health; D001521:Behavior Therapy / Q000379:methods*; D006801:Humans; D012017:Referral and Consultation; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology*; D013637:Tape Recording; D009626:Terminology as Topic
keywords: behaviour change techniques; behavioural support; client; interaction; intervention; smoking; smoking cessation