![]() Figure Figure2 2 shows how the TDF domains are linked to COM-B with the 14 more detailed domains and their associated constructs sitting within the broader COM-B model. (Fig.1), 1), the Theoretical Domains Framework (TDF), and the Behaviour Change Techniques Taxonomy (BCTTv1), may be specifically useful for describing intervention content and for investigating congruence between barriers to and facilitators of behaviour. Tools such as the behaviour change wheel, which includes the theoretical model of behaviour COM-B (Fig. We termed this process ‘strategic behavioural analysis.’ Exploring theoretical congruence in the context of already widely implemented interventions enables strategic identification of opportunities for intervention and policy refinement. the match) between intervention content and barriers to and facilitators of CAUTI-related behaviours. Investigating this can be facilitated by applying behavioural theory and evidence-based tools to determine the congruence (i.e. This is a notable gap considering interventions which target factors influencing behaviour (barriers and facilitators) are more likely to be effective in achieving behaviour change. It is not currently known on the extent to which barriers to and facilitators of behaviours related to CAUTI are targeted in current interventions. Some of these have been widely adopted across the country such as the Houdini protocol (seven criteria for nurse-driven decision-making on catheter removal) and the catheter passport (patient-held record of catheter decision-making and care). In the English National Health Service (NHS), interventions targeting behaviours that prevent CAUTI have been implemented at different levels from national evidence-based guidelines to local interventions to implement these guidelines. These infections can be acquired by unnecessary use, poor insertion technique that can introduce bacteria, and leaving a catheter in too long allowing bacteria to travel up the catheter to the bladder causing UTI and potentially onward into the blood.Ĭatheter-associated urinary tract infections (CAUTI) are a product of a complex set of interrelated behaviours performed by multiple individuals. Urinary tract infection (UTI) is one of the most common healthcare associated infections with approximately half associated with the presence of a urinary catheter. Houdini protocol skin#surgery, inserting catheters and other devices), continence care, and avoiding breach in skin or mucous membranes. Relevant HCP behaviours include keeping hands, equipment and environments clean, observing IPC protocols during invasive medical procedures (e.g. primary, secondary and community care and nursing homes. ![]() Reducing the need for antibiotic use by preventing infections occurring requires behaviours to change in health care professionals (HCPs), patients and the general population across healthcare settings, e.g. Improving infection prevention and control (IPC) is a crucial step in addressing the global health threat of antimicrobial resistance. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. ![]()
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