Table 1 Barriers and enablers and possible solutions proposed within the behaviour change wheel [29]
Behaviour Change Wheel components | Barriers and enablers | Possible solutions |
|---|---|---|
Capability | Health professionals have reported limited knowledge regarding best practice dementia care [33]. Working with people with dementia and carers can be complex and requires high level cognitive and interpersonal skills [23]. Therapists tend to provide care-based established patterns and changing therapist behviour is difficult [49]. | Education, Training, Enablement |
Opportunity | Evidence supports programs delivered over a number of consultations which can be difficult to achieve in the Australian settings [50]. Occupational therapists often receive referrals for home and safety assessments rather than management of the symptoms of dementia | Environmental restructuring, Enablement |
Motivation | Therapists report reduced confidence in intervention so may lack confidence that they can make a difference [33]. Therapists tend to work autonomously so they receive little positive reinforcement about their work from within their organisation or from their peers. | Educate, Persuasion, Enablement |