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Annals of Behavioral Medicine · 2013

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Susan Michie, Michelle Richardson, Marie Johnston, Charles Abraham, Jill Francis, Wendy Hardeman, Martin P. Eccles, James Cane, Caroline E. Wood

The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques

Oxford University Press (OUP). 46(1). 81-95.

DOI PMID: 23512568 Open original source
Study type
Consensus development and reliability study
Review basis
Full text reviewed

A program described as behavioral support can contain very different activities from another program with the same label. The researchers addressed that problem by developing shared names and definitions for techniques intended to change behavior. Expert consultation and grouping tasks produced a classification of 93 techniques in 16 groups. Researchers then tested agreement when identifying techniques in intervention descriptions. Of 26 techniques occurring often enough to assess, 23 met the study's specified reliability criterion. That finding concerns consistent identification, not the success rate of the techniques in helping people change their behavior.

The distinction between naming a component and proving its effectiveness is essential. A taxonomy organizes what an intervention contains so that researchers can describe, compare and reproduce it more accurately. It does not show that every listed technique works, identify the best combination or guarantee an outcome. Delivery, setting and the skills of the person providing support can also influence what happens.

How Does This Show Up in Real Life?

Consider two services that both promise help with becoming more active. One might ask someone to record activity, while another might help plan when and where it will happen. A broad label can conceal that difference. The paper's approach makes the actual content easier to describe, so a claim about a program can be connected to what participants were asked to do. This is useful when reading research or trying to understand whether a service resembles an intervention studied elsewhere. It is not a menu of proven solutions from which more items necessarily produce better results. The practical benefit is clearer description. Judging whether a technique helps a particular person still requires evidence about that use, the surrounding program and its outcomes.

Reliability could not be established for many less frequently observed techniques. Experts were predominantly European and had psychological backgrounds, limiting confidence in generalization across cultures and disciplines. Some labeling decisions used pragmatic thresholds, and several distinctions remained difficult for coders. The paper tests a classification method; it does not establish long-term behavior change or the durability of an intervention built from it.

Why We Cite It

Alpekin can use this source when making the content of practical guidance explicit. It offers a basis for distinguishing the delivery format from the action a reader is being invited to take, so that an educational resource can be described and evaluated more precisely than by its format alone.

Treat the taxonomy as research infrastructure that improves clarity, with scope for refinement. A shared vocabulary can make claims easier to examine, but the vocabulary itself does not supply evidence of benefit. The next question remains what happened when a defined approach was actually tested.

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