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{"sheet":"Introduction","index":1,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
[]
[null,"This baseline assessment tool can be used to evaluate whether practice is in line with the recommendations in Behaviour change: individual approaches.  It can also help to plan activity to meet the recommendations."]
[]
[null,"The tool can be used by individual services or organisations. Alternatively, an assessment completed with the involvement of all relevant services or organisations would help to develop a picture of activity in the local area."]
[]
[null,"It should be used in conjunction with Behaviour change: individual approaches (NICE public health guideline PH49)."]
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[null,"In the first instance, consider whether the guideline is relevant and record the conclusion in the box below."]
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[null,"Is the guideline relevant?"]
[]
[]
[null,"The data sheet contains the recommendations from the guideline. Information can be entered about current activity relevant to the recommendation, actions needed to meet the recommendation, deadlines and the names of the responsible leads.  Useful documents can be added as hyperlinks."]
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[null,"The table can be adapted to include any other local information that is thought to be useful."]
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[null,"If it would be helpful to group the recommendations, for example those that are key priorities for implementation or by deadline, use the filter function in the data menu. "]
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[null,"Tools and resources to help put the guidance into practice are available on the NICE website. "]
[]
[]
[null,"National Institute for Health and Care Excellence\nLevel 1A, City Tower, Piccadilly Plaza, Manchester M1 4BT; www.nice.org.uk\n\nCopyright\n© NICE 2019. All rights reserved. Subject to Notice of rights.\n"]

{"sheet":"Who should take action","index":2,"n_rows":23,"n_cols":3,"rows_kept":23,"cut":false,"hidden":false,"merged":[[0,1,0,2]]}
["  ","Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
[]
[null,"Who should do what at a glance"]
[]
[null,"Who should take action","Recommendation"]
[null,"National policy makers","1, 4"]
[null,"Local policy makers","1, 3, 4"]
[null,"Commissioners","1, 5, 6, 9, 11, 15, 16"]
[null,"Health and wellbeing boards",1]
[null,"Individuals, groups or organisations wishing to work with health and social care service providers","1, 3, 4"]
[null,"Directors and employers","2, 11"]
[null,"Providers of behaviour change interventions and programmes","5, 7, 8, 9, 10, 15, 16"]
[null,"Intervention designers","5, 6, 7"]
[null,"Trained behaviour change practitioners; trained staff working in health, wellbeing and social care services who have contact with the general public","8, 9, 10"]
[null,"Local education and training boards",11]
[null,"Managers, supervisors and mentors of staff delivering interventions","2, 11, 14"]
[null,"Providers of training","12, 14, 17"]
[null,"Royal colleges, faculties, schools, voluntary sector and sector skills councils that train or accredit health and social care professionals","13, 17"]
[null,"Researchers","5, 6 ,7, 15, 16"]
[null,"Academics","5, 6 ,7, 15, 16"]
[null,"Research funders","16, 17"]
[null,"National organisations with a remit for improving or assessing health, providing services and training","13, 17"]
[null,"National organisations with a remit for supporting data monitoring, collection and surveillance",17]

{"sheet":"Recommendation 1","index":3,"n_rows":17,"n_cols":10,"rows_kept":17,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches  (NICE public health guideline PH49)"]
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[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 1 Develop a local behaviour change policy and strategy"]
[null,"National and local policy makers and commissioners of behaviour change services and their partners (see Who should take action?) should:"]
[null,"·     Ensure policies and strategies aim to improve everyone’s health and wellbeing. "]
[null,"·     Use health equity audit to ensure health inequalities will not increase, and if possible will decrease as a result of the local behaviour change strategy and related programmes and interventions. (See NICE’s local government briefing on health inequalities and population health for information about health equity audit.) "]
[null,"·     Develop a commissioning strategy, linked to relevant policies, for an evidence-based behaviour change programme of population, community, organisational and individual-level behaviour change interventions. For example, see NICE guidance on alcohol and obesity. Also note that Behaviour change: the principles for effective interventions (NICE public health guidance 6, 2007) recommends delivering individual interventions in tandem with complementary activities at the population, community and organisational levels."]
[null,"·     Work with the local community to develop the strategy (see Community engagement, NICE public health guidance 9). "]
[null,"·     Ensure the strategy, and any related policies, are sustainable and meet local needs, identified through joint strategic needs assessments (JSNAs) and other local data. "]
[null,"·     Identify the behaviours the strategy will address, and the outcomes it aims to achieve. Bear in mind that some interventions and programmes can address more than 1 behaviour (for example, sexual behaviour and alcohol consumption). "]
[null,"·     Ensure the content, scale and intensity of each intervention is proportionate to the level of social, economic or environmental disadvantage someone faces and the support they need (proportionate universalism). "]
[null,"·     Identify a leader within each local authority area, for example, the director of public health or an elected member of cabinet, to address specific behaviours (such as smoking and physical activity)."]

{"sheet":"Recommendation 2","index":4,"n_rows":14,"n_cols":10,"rows_kept":14,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches  (NICE public health guideline PH49)"]
[]
[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 2 Ensure organisation policies, strategies, resources and training all support behaviour change"]
[null,"·     Directors in national and local organisations whose employees deliver behaviour change interventions should ensure policies, strategies and resources are in place to provide behaviour change support for staff, as well as service users. This support could take the form of behaviour change services for staff. Or it could involve creating environments that support health-promoting behaviour (for examples, see NICE guidance on smoking and physical activity)."]
[null,"·     National and local organisations whose employees deliver behaviour change interventions should review job descriptions and person specifications to check that they include behaviour change knowledge and skills (or competencies), if they are a specific part of someone’s job (see recommendation 9)."]
[null,"·     Managers of health, wellbeing and social care services should determine which staff in contact with the public are best placed to deliver different levels of a behaviour change intervention (see recommendation 9). They should ensure those staff have the knowledge and skills (or competencies) needed to assess behaviours and individual needs (see recommendation 8) and to deliver the intervention."]
[null,"·     Employers should ensure staff are aware of the importance of being supportive, motivating people and showing them empathy (see recommendation 12). "]
[null,"·     Directors and managers should ensure staff receive behaviour change training and supervision related to their roles and responsibilities (see recommendation 9). They should also be offered ongoing professional development on behaviour change theories, methods and skills (see recommendation 12). "]
[null,"·     Mentors and supervisors with relevant training and experience (see recommendations 11 and 12) should support staff who are delivering behaviour change interventions. This includes helping them to set their own goals, providing constructive feedback on their practice and encouraging them to be aware of their duty of care. It also involves making them aware of the likely perceptions and expectations of those taking part in behaviour change interventions and programmes."]

{"sheet":"Recommendation 3","index":5,"n_rows":14,"n_cols":10,"rows_kept":14,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
[]
[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 3 Commission interventions from services willing to share intervention details and data"]
[null,"Commissioners of behaviour change services and their partners (see Who should take action?) should:"]
[null,"·     Only commission behaviour change interventions and programmes that meet the recommendations in this guidance and in Behaviour change: the principles for effective interventions (NICE public health guidance 6) ."]
[null,"·     Ensure behaviour change interventions aim to both initiate and maintain change. Interventions should include techniques to address relapse and recognise that it is common. "]
[null,"·     Commission interventions that are proven to be effective at changing and maintaining behaviour change. (See recommendation 4; also see NICE guidance on alcohol, diet, physical activity, sexual behaviour and smoking.)"]
[null,"•\tSpecify in service specifications that providers:\n-\tmake a detailed description of the intervention publicly available (see recommendation 6)\n-\tcollate accurate, standardised and comparable routine data on behaviours that affect health and wellbeing. (For example, behaviours covered by the Public Health Outcomes Framework.) "]
[null,"•\tCommission interventions from providers who agree to make their evaluation and monitoring data available to commissioners and local and national organisations. (The aim is to aid the design, delivery and monitoring of service processes and outcomes.) For example, data could be collected on:\n-\tprocess assessment and quality assurance \n-\thealth outcomes. "]

{"sheet":"Recommendation 4","index":6,"n_rows":14,"n_cols":10,"rows_kept":14,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
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[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 4 Commission high quality, effective behaviour change interventions"]
[null,"National and local policy makers, commissioners of behaviour change services and their partners (see Who should take action?) should:"]
[null,"·     Find out whether behaviour change interventions and programmes that are already in place are effective, cost effective and apply evidence-based principles. (See Behaviour change: the principles for effective interventions, NICE public health guidance 6)."]
[null,"·\tEnsure that, when commissioning behaviour change interventions and programmes: \n-\tEvaluation plans tailored for the intervention and target behaviours are built in from the outset. \n-\tResources (staff, time and funds) are allocated for independent evaluation of the short-, medium- and long-term outcomes. \n-\tA quality assurance process is in place to assess whether the intervention was delivered as planned (intervention fidelity), achieves the target behaviour change and health and wellbeing outcomes, and reduces health inequalities. (The frequency of quality assurance checks should be specified.) \n-\tThere are quality assurance checks if an intervention has already been shown to be effective. \n-\tAll information on intervention processes and outcomes is recorded in a form that can be made available if needed (for example, on a secure database)."]
[null,"·     Commission and evaluate a pilot if it is not clear whether an intervention shown to be effective for a specific behaviour, population or setting can be applied to other behaviours, settings or populations (see recommendation 16)."]
[null,"·     Commission an intervention for which there is no evidence of effectiveness only if it is accompanied by an adequately powered and controlled evaluation that measures relevant outcomes (see recommendation 16)."]
[null,"·     Stop running interventions or programmes if there is good evidence to suggest they are not effective or are harmful. "]

{"sheet":"Recommendation 5 ","index":7,"n_rows":13,"n_cols":10,"rows_kept":13,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches  (NICE public health guideline PH49)"]
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[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 5 Plan behaviour change interventions and programmes taking local needs into account"]
[null,"Commissioners and providers of behaviour change services, and intervention designers (see Who should take action?) should:"]
[null,"·     Work together and with other key stakeholders (for example, people who use services, communities and researchers) to select priority areas for interventions, based on local need. They should also identify suitable interventions that are acceptable to the target audiences. "]
[null,"·     Take into account the local social and cultural contexts to ensure equitable access for everyone who needs help and make best use of existing resources and skills. "]
[null,"·     Base behaviour change interventions and programmes on evidence of effectiveness (see recommendations 6 and 7)."]
[null,"·\tTake into account:\n-\tthe objectives of the intervention or programme\n-\tevaluation plans (see recommendations 4 and 16)\n-\tthe target population (including characteristics such as socioeconomic status)\n-\twhether there is a need to offer tailored interventions for specific subgroups (for example, see Preventing type 2 diabetes: risk identification and interventions for individuals at high risk, NICE public health guidance 38) \n-\tintervention characteristics: content, assessment of participants, mode of delivery, intensity and duration of the intervention, who will deliver it, where and when \n-\tthe training needs of those delivering the intervention or programme\n-\tthe quality of the behavioural support provided by those delivering the intervention or programme \n-\tavailability of, and access to, services once the intervention has finished\n-\tfollow up and support to maintain the new behaviour \n-\tplans to monitor and measure intervention fidelity. "]

{"sheet":"Recommendation 6","index":8,"n_rows":14,"n_cols":10,"rows_kept":14,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
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[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 6 Develop acceptable, practical and sustainable behaviour change interventions and programmes"]
[null,"Commissioners of behaviour change services and intervention designers (see Who should take action?) should:"]
[null,"·     Work together and with other key stakeholders (for example, people who use services, communities and researchers) to develop (co-produce) behaviour change interventions and programmes that are acceptable, practical and sustainable. This should also reduce duplication between services. "]
[null,"·\tDevelop interventions that: \n-\tare evidence-based\n-\thave clear objectives that have been developed and agreed with stakeholders\n-\tidentify the core skills, knowledge and experience (competencies) needed to deliver the intervention (including for the specific behaviour change techniques used)\n-\tprovide details of the training needed (including learning outcomes) for practitioners\n-\tinclude a monitoring and evaluation plan developed according to agreed objectives."]
[null,"·\tBefore implementing a behaviour-change intervention, describe in detail the principles it is based on. Put these details in a manual. This should include:\n-\tclearly stated objectives on what the intervention will deliver \n-\tthe evidence base used (such as from NICE guidance on a specific topic)\n-\tan explanation of how the intervention works (mechanism of action), for example, by targeting capability, opportunity and motivation."]
[null,"·\tEnsure manuals also include a detailed description of the intervention including:\n-\tresources, setting or context, activities, processes and outcomes (including a pictorial description of the relationship between these variables, such as a conceptual map or logic model)\n-\tintervention characteristics (see recommendation 5)\n-\ta clear definition of the behaviour change techniques used so that each component can be replicated (for example, by using a taxonomy) \n-\tdetails of how to tailor the intervention to meet individual needs (see recommendation 8)\n-\tplans to address long-term maintenance of behaviour change and relapse \n-\timplementation details: who will deliver what, to whom, when and how."]
[null,"·     Make the manual publicly available, for example, on a website (provide copyright details and ‘training before use’ requirements). If there are changes to an intervention during delivery, or after evaluation, ensure the manual is updated accordingly."]

{"sheet":"Recommendation 7","index":9,"n_rows":15,"n_cols":10,"rows_kept":15,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
[]
[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 7 Use proven behaviour change techniques when designing interventions"]
[null,"Providers of behaviour change interventions and programmes and intervention designers should:"]
[null,"•\tDesign behaviour change interventions to include techniques that have been shown to be effective at changing behaviour. These techniques  are described in principle 4 of Behaviour change: the principles for effective interventions (NICE public health guidance 6) and include:\n-\tGoals and planning. Work with the client to: \n*\tagree goals for behaviour and the resulting outcomes \n*\tdevelop action plans and prioritise actions\n*\tdevelop coping plans to prevent and manage relapses \n*\tconsider achievement of outcomes and further goals and plans.\n*\tFeedback and monitoring (for example, regular weight assessment for weight management interventions): \n*\tencourage and support self-monitoring of behaviour and its outcomes and \n*\tprovide feedback on behaviour and its outcomes.\n*\tSocial support. If appropriate advise on, and arrange for, friends, relatives, colleagues or ‘buddies’ to provide practical help, emotional support, praise or reward. "]
[null,"·     Ensure the techniques used match the service user’s needs (see recommendation 8). "]
[null,"·     Consider using other evidence-based behaviour change techniques that may also be effective. See NICE guidance on alcohol, diet, physical activity, sexual behaviour and smoking for details of specific techniques."]
[null,"·     Clearly define and provide a rationale for all behaviour change techniques that have been included."]
[null,"·     Ensure novel techniques – or those for which the evidence base is limited – are evaluated (see recommendation 16). "]
[null,"·     Consider delivering an intervention remotely (or providing remote follow-up) if there is evidence that this is an effective way of changing behaviour. For example, use the telephone, text messaging, apps or the internet. "]

{"sheet":"Receommendation 8","index":10,"n_rows":16,"n_cols":10,"rows_kept":16,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
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[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 8 Ensure interventions meet individual needs"]
[null,"Providers of behaviour change programmes and interventions and trained behaviour change practitioners should:"]
[null,"·     Ensure service users are given clear information on the behaviour change interventions and services available and how to use them. If necessary, they should help people to access the services."]
[null,"·     Ensure services are acceptable to, and meet, service users’ needs. This includes any needs in relation to a disability or another ‘protected characteristic’ in relation to equity."]
[null,"·     Recognise the times when people may be more open to change, such as when recovering from a behaviour-related condition (for example, following diagnosis of cardiovascular disease) or when becoming a parent. Also recognise when offering a behaviour change intervention may not be appropriate due to personal circumstances."]
[null,"Trained behaviour change practitioners (see recommendations 12 and 13) should:"]
[null,"•\tBefore starting an intervention:\n-\tAssess participants’ health in relation to the behaviour and the type of actions needed. For example, they should ensure the level and type of physical activity recommended is appropriate, bearing in mind the person’s physical health. (As an example, see Weight management before, during and after pregnancy, NICE public health guidance 27.)\n-\tEnsure the intensity of the intervention matches the person’s need for support to change their behaviour. \n-\tDiscuss what the likely impact will be if the participant makes changes to their behaviour (in terms of their health and wellbeing and the health and wellbeing of those they are in contact with)."]
[null,"·     Plan at what point before, during and after a behaviour change intervention a review will be undertaken to assess progress towards goals and  then tailor the intervention and follow-up support accordingly. "]
[null,"·\tTailor interventions to meet participants’ needs by assessing and then addressing:\n-\tPeople’s behaviour: if available, use a validated assessment tool appropriate for the specific population or setting. For example, alcohol screening tools used in prisons are different from those used in accident and emergency departments.\n-\tParticipants’ physical and psychological capability to make change.\n-\tThe context in which they live and work (that is, their physical, economic and social environment).\n-\tHow motivated they are to change: if many behaviours need to be changed, assess which one – or ones – the person is most motivated to tackle (see Capability, opportunity and motivation).\n-\tAny specific needs with regards to sexual orientation, gender identity, gender, culture, faith or any type of disability."]

{"sheet":"Recommendation 9","index":11,"n_rows":13,"n_cols":10,"rows_kept":13,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
[]
[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 9 Deliver very brief, brief, extended brief and high intensity behaviour change interventions and programmes"]
[null,"Commissioners and providers of behaviour change services should:"]
[null,"·     Encourage health, wellbeing and social care staff (see Who should take action?) in direct contact with the general public to use a very brief intervention to motivate people to change behaviours that may damage their health. The interventions should also be used to inform people about services or interventions that can help them improve their general health and wellbeing. "]
[null,"·     Encourage staff who regularly come into contact with people whose health and wellbeing could be at risk to provide them with a brief intervention. (The risk could be due to current behaviours, sociodemographic characteristics or family history.) "]
[null,"·     Encourage behaviour change service providers and other health and social care staff dealing with the general public to provide an extended brief intervention to people they regularly see for 30 minutes or more who: \n-\tare involved in risky behaviours (for example harmful drinking [high risk drinking])\n-\thave a number of health problems\n-\thave been assessed as being at increased or higher risk of harm\n-\thave been successfully making changes to their behaviour but need more support to maintain that change \n-\thave found it difficult to change or have not benefited from a very brief or brief intervention."]
[null,"· \tEncourage behaviour change service providers and practitioners to provide high intensity interventions (typically these last more than 30 minutes and are delivered over a number of sessions) for people they regularly work with who: \n-\thave been assessed as being at high risk of causing harm to their health and wellbeing (for example, adults with a BMI more than 40 – see Obesity, NICE clinical guideline 43) and/or\n-\thave a serious medical condition that needs specialist advice and monitoring (for example, people with type 2 diabetes or cardiovascular disease) and/or\n-\thave not benefited from lower-intensity interventions (for example, an extended brief intervention). "]

{"sheet":"Recommendation 10 ","index":12,"n_rows":14,"n_cols":10,"rows_kept":14,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
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[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 10 Ensure behaviour change is maintained for at least a year"]
[null,"Providers and practitioners involved with behaviour change programmes and interventions should help people maintain their behaviour change in the long term (more than 1 year) by ensuring they:"]
[null,"·     receive feedback and monitoring at regular intervals for a minimum of 1 year after they complete the intervention (the aim is to make sure they can get help if they show any sign of relapse)"]
[null,"·     have well-rehearsed action plans (such as ‘if–then’ plans) that they can easily put into practice if they relapse"]
[null,"·     have thought about how they can make changes to their own immediate physical environment to prevent a relapse"]
[null,"·     have the social support they need to maintain changes"]
[null,"·     are helped to develop routines that support the new behaviour (note that small, manageable changes to daily routine are most likely to be maintained). "]

{"sheet":"Recommendation 11","index":13,"n_rows":15,"n_cols":10,"rows_kept":15,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
[]
[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 11 Commission training for all staff involved in helping to change people’s behaviour"]
[null,"Commissioners, local education and training boards, and managers and supervisors (see Who should take action?) should:"]
[null,"•\tCommission training for relevant staff to meet the service specification for any behaviour change intervention or programme. This should:\n-\tcover all the various activities, from a very brief intervention offered when the opportunity arises to extended brief interventions \n-\tinclude assessment of people’s behaviours and needs\n-\taddress equity issues \n-\tprovide the latest available evidence of effectiveness and describe how an intervention works (mechanism of action). "]
[null,"·     Ensure training programmes on behaviour change provide:\n-\tevidence-based content (see recommendation 7)\n-\tevidence-based training methods \n-\ttrainers with proven skills, knowledge and experience (competencies) in the particular area (see recommendation 12)\n-\tmonitoring using relevant behaviour change competency frameworks or assessment."]
[null,"Commissioners and local education and training boards should:"]
[null,"·     Ensure training programmes consider:\n-\twhere programmes and interventions will be delivered\n-\ttraining participants’ characteristics (such as background)\n-\twhether behaviour change is part of participants’ main role, integral to their role but not the main focus, or an additional task (see recommendation 9)."]
[null,"·     Ensure training includes ongoing professional development on how to encourage behaviour change. This could include regular refresher training to maintain the quality of delivery of behaviour change interventions."]
[null,"·     Ensure training is evaluated in terms of outcomes (see recommendation 14) and process (for example, via participant feedback). "]

{"sheet":"Recommendation 12","index":14,"n_rows":16,"n_cols":10,"rows_kept":16,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
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[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 12 Provide training for behaviour change practitioners"]
[null,"Providers of behaviour change training should:"]
[null,"·     Ensure training objectives include the range of knowledge and skills (competences) needed to deliver specific interventions. "]
[null,"·     Ensure practitioners are trained to adopt a person-centred approach when assessing people’s needs and planning and developing an intervention for them."]
[null,"· \tEnsure behaviour change practitioners: \n-\tunderstand the factors that may affect behaviour change, including the psychological, social, cultural and economic factors (see recommendation 8)\n-\tare aware of behaviours that adversely affect people’s health and wellbeing, and the benefits of prevention and management\n-\tcan address health inequalities by tailoring interventions to people’s specific needs, including their cultural, social and economic needs and other ‘protected characteristics’\n-\tare able to assess people’s needs  and can help select appropriate evidence-based interventions \n-\tknow how an intervention works (mechanism of action) \n-\trecognise the specific behaviour change techniques used in the intervention they will be delivering\n-\tunderstand how to access, and how to direct and refer people to, specialist support services (for example, they should know how people can get help to change their behaviour after hospitalisation, a routine GP appointment or an intervention) \n\tunderstand local policy and demographics."]
[null,"· \tEnsure behaviour change practitioners have the skills to: \n-\tassess people’s behaviour using validated assessment tools and measures\n-\tcommunicate effectively, for example, by giving people health, wellbeing and other information, by using reflective listening and knowing how to show empathy\n-\tdevelop rapport and relationships with service users\n-\tdevelop a person’s motivation to change by encouraging and enabling them to manage their own behaviour (see recommendation 7)\n-\tdeliver the relevant behaviour change techniques\n-\thelp prevent and manage relapses (see recommendation 10). "]
[null,"· \tEnsure behaviour change practitioners who provide interventions to groups can:\n-\telicit group discussions\n-\tprovide group tasks that promote interaction or bonding \n-\tencourage mutual support within the group."]
[null,"·     Give practitioners the opportunity to learn how to tailor interventions to meet the needs and preferences of different groups and to test this ability (both during and after training). "]
[null,"·     Ensure trainers have adequate time and resources to assess participants’ motivation, skills, confidence and knowledge when they are delivering interventions to particular groups."]

{"sheet":"Recommendation 13","index":15,"n_rows":11,"n_cols":10,"rows_kept":11,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
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[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 13 Provide training for health and social care practitioners"]
[null,"All those who train or accredit health and social care professionals (see Who should take action?) should:"]
[null,"·     Ensure behaviour change knowledge, skills and delivery techniques comprise a formal element of initial training, work placements and ongoing continuous professional development for all those who deliver health and social care services. (See recommendation 12 for details of training content.)"]
[null,"·     Ensure all health and social care professionals can, as a minimum, deliver a very brief intervention. (Training modules can be found online, for example, see the National Centre for Smoking Cessation and Training’s very brief advice training module.)"]

{"sheet":"Recommendation 14","index":16,"n_rows":13,"n_cols":10,"rows_kept":13,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
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[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 14 Assess behaviour change practitioners and provide feedback"]
[null,"Providers of behaviour change training should:\n· \tAssess the ability of trainees to deliver behaviour change techniques and tailor interventions to meet people’s needs. "]
[null,"Employers (this includes workplace managers, supervisors and mentors of trainees) should:\n· \tEnsure behaviour change practitioners who have received training are regularly assessed on their ability to deliver behaviour change interventions. This ranges from a very brief intervention to a high intensity intervention (the latter typically lasts longer than 30 minutes and is delivered over multiple sessions). Assessment should reflect the intervention content. It should also include practitioners’ ability to provide participants with behaviour change techniques and to tailor interventions to participants’ needs. In addition, it should include service user feedback."]
[null,"Providers of behaviour change training and employers should:\n· \tIdeally, record behaviour change sessions as part of the assessment. Intervention components, such as behaviour change techniques, should be identified in transcripts. Audio or video recording equipment could be used. If this is not possible then, as a minimum, a reliable observation tool should be used to record the intervention. An example of the latter would be a checklist of key intervention components."]
[null,"·     Obtain the consent of the practitioner and service user for all assessments. They should also ensure the organisation’s confidentiality requirements are met."]
[null,"·     Provide behaviour change practitioners with feedback on their performance, both orally and in writing, starting with feedback on good performance. If necessary, negotiate and set jointly agreed goals and an action plan. Provide them with the option of refresher training."]

{"sheet":"Recommendation 15","index":17,"n_rows":10,"n_cols":10,"rows_kept":10,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches  (NICE public health guideline PH49)"]
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[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 15 Monitor behaviour change interventions"]
[null,"· \tCommissioners, providers and researchers (see Who should take action?) should ensure all interventions are monitored in terms of:\n-\tprocess measures (for example, uptake and reach of the intervention)\n-\timpact on health inequalities\n-\tbehavioural outcomes in the short, medium and long-term\n-\thow closely they follow the intervention manual (intervention fidelity) (see recommendation 6)."]
[null,"·     If possible, providers should adapt existing electronic systems to collect data on the behaviour of participants. For an example of what could be collected on smoking, see the National Centre for Smoking Cessation and Training stop smoking service client record form."]

{"sheet":"Recommendation 16","index":18,"n_rows":14,"n_cols":10,"rows_kept":14,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches (NICE public health guideline PH49)"]
[]
[null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(C8:C995,\"Yes\")","v":0}]
[null,null,null,"Number of recommendations met",{"$f":"COUNTIF(E8:E995,\"Yes\")","v":0}]
[null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(E4/E3),\"\",E4/E3)","v":""}]
[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 16 Evaluate behaviour change interventions"]
[null,"·     Before introducing a new intervention, commissioners and providers of behaviour change interventions and researchers should be clear about the objectives and how these will be measured and evaluated. (Researchers could include practitioners and others, for more details see Who should take action?) See Medical Research Council guidance on the development, evaluation and implementation of complex interventions to improve health."]
[null,"·     Commissioners and providers should ensure evaluation is carried out by a team of researchers or an organisation that has not been involved in delivering the intervention."]
[null,"·     Researchers should work with commissioners and providers to plan evaluation before the intervention takes place. This may entail getting specialist input (for example, from the NIHR research design service)."]
[null,"·     Researchers should use objective, validated measures of outcome and process if they are available. They should ensure the design makes it possible to provide new evidence of effectiveness and, ideally, cost effectiveness – and details on why it is effective (mechanism of action). See principles 7 and 8 in ‘Behaviour change: the principles for effective interventions’ (NICE public health guidance 6)."]
[null,"· \tCommissioners, providers and researchers should ensure evaluation includes: \n-\ta description of the evaluation design\n-\tassessment of  intervention fidelity \n-\tconsistent use of valid, reliable measures (using the same tools to assess behaviours) before, during and following an intervention (that is, ensuring baseline and outcome measures match) \n-\trigorous qualitative assessments to evaluate how well interventions will work in practice and how acceptable they are to services users and practitioners\n-\tassessment of processes and outcomes using both objective and self-reported measures\n-\testablishing and ensuring routine data collection \n-\tadequate sample sizes\n-\tassessment of long-term outcomes (more than 1 year)."]
[null,"·     Providers of existing interventions should work with researchers to ensure they are rigorously evaluated. "]

{"sheet":"Recommendation 17","index":19,"n_rows":11,"n_cols":10,"rows_kept":11,"cut":false,"hidden":false,"merged":[[0,1,0,9]]}
[null,"Baseline assessment tool for behaviour change: individual approaches  (NICE public health guideline PH49)"]
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[]
[null,"NICE recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"Recommendation 17 National support for behaviour change interventions and programmes"]
[null,"· \tNational organisations that support the monitoring, collection and surveillance of routine data should work together to:\n-\tdetermine what routine data health, social care and voluntary organisations should record on health-related behaviours (such as smoking and alcohol)\n-\tcollect these data to monitor the outcomes of activities to improve the public’s health (include: behaviour change interventions; national, regional and local policies and initiatives; and communication campaigns)\n-\ttrack the prevalence of these behaviours over time, region and social group and report on findings\n-\tsupport local implementation of behaviour change interventions based on evidence of effectiveness."]
[null,"· \tNational organisations responsible for behaviour change training and curricula (see Who should take action?) should work together to: \n-\tprovide a central repository for behaviour change training curricula\n-\tassess whether behaviour change competency frameworks and training curricula promote an evidence-based approach to behaviour change \n-\tprovide guidance on the suitability of these frameworks and curricula in terms of who they are aimed at and whether their content is evidence based."]
[null,"· \tNational organisations responsible for research funding should ensure research related to behaviour change includes, as a minimum, details of:\n-\tintervention content and how it was delivered\n-\twho delivered the intervention\n-\tformat (methods by which the intervention was administered)\n-\twhere and when the intervention was delivered\n-\trecipients \n-\tintervention intensity and duration\n-\tintervention fidelity."]