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Table 1 Barriers and enablers and possible solutions proposed within the behaviour change wheel [29]

From: Implementation of an evidence-based intervention to improve the wellbeing of people with dementia and their carers: study protocol for ‘Care of People with dementia in their Environments (COPE)’ in the Australian context

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