WEBVTT

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I'm Amanda,
a speech and language therapist and

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researcher on the Phaetae Project at City
Saint George's, University of London.

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As part of the Phaetae research project,
we aim to design an online assessment

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toolkit for clinicians working with
people living with aphasia.

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We are delighted to share this toolkit
with you.

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This video explains how we created this
online assessment toolkit.

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You can find the toolkit on the City
Access Resources for Aphasia website or

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by scanning the QR code.

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This toolkit was developed using the
principles of the Behaviour Change Wheel.

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We worked through three key stages.

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The first is to establish our target
behaviour,

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which was to improve the use of online
assessment by clinicians for people

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living with aphasia.

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We started by understanding the target
behaviour and why we do the things the

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way we do them.

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To help us understand the behaviour,
we collected data from experts living

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with aphasia and speech and language
therapist over three years.

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We used survey findings, focus groups,
community engagement activities and

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usability testing to gather information.

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We analyse this data using a meta
ethnographic approach and synthesise this

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into three main themes, barriers,
facilitators and desires for an opinions

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of telehealth assessment.

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Next we mapped the sub themes against two
frameworks, the COMBI or Capability,

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Opportunity,
Motivation and Behaviour framework and

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the Theoretical Domains framework.

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These frameworks breakdown the behaviour
into the ability to do this behaviour,

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what environmental factors can enable the
behaviour and which habits,

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desires and opinions influence doing the
behaviour.

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From this we identified what needs to
happen for behaviour change.

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We identified intervention functions to
facilitate change.

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These were education, training,
persuasion, modelling,

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environment restructuring and enablement.

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These were chosen to be acceptable and
practical to deliver on.

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At stage 3 we identified the behaviour
change techniques or active ingredients

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which enable behaviour change.

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We selected these ingredients based on
what was practical to deliver on and

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those more frequently associated to the
intervention options chosen.

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Some examples of techniques used in the
toolkit are goal setting,

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demonstrating the behaviour,
giving information about health

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consequences and behaviour practise.

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We designed our toolkit content on the
techniques and interventions decided.

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Finally,
we built the toolkit aiming to improve

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use of online assessment for people
living with aphasia.

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You can find more information about the
Behaviour Change Wheel and how we develop

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this toolkit here.

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Thank you to all our experts who
contributed to making this toolkit and to

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Bart's Health Charity for funding this
research.