In summary, the work reported in this paper is foundational
for our long-term goals of developing a comprehensive, hier-
archical, reliable, and generalizable BCT Taxonomy as a
method for specifying, evaluating, and implementing behav-
ior change interventions that can be applied to many different
types of intervention, including organizational and communi-
ty interventions, and that has multidisciplinary and interna-
tional acceptance and use. The work reported here is a step
toward the objective of developing agreed methods that per-
mit and facilitate the aims of CONSORT and UK MRC
guidance of precise reporting of complex behavioral interven-
tions. The next steps underway are to test the reliability and
usability of BCT Taxonomy v1 across different behaviors and
populations and to set up a system for its continuous devel-
opment guided by an international, multidisciplinary team.
Acknowledgments The present work carried out as part of the BCT
Taxonomy project was funded by the Medical Research Council. We
are grateful to the very helpful input from Felicity Roberts, Members of
the BCT Taxonomy project International Advisory Board (IAB), and
Conflicts of Interest The authors have no conflicts of interest to
1. Craig P, Dieppe P, Macintyre S, et al. Developing and evaluating
complex interventions: The new Medical Research Council guid-
ance. BMJ. 2008:337.
2. Michie S, Fixsen D, Grimshaw JM, Eccles MP. Specifying and
reporting complex behavior change interventions: The need for a
scientific method. Implement Sci. 2009;40:1-6.
3. Davidson KW, Goldstein M, Kaplan RM, et al. Evidence-based
behavioral medicine: What is it and how do we achieve it? Ann
Behav Med. 2003;26:161-171.
4. Boutron I, Moher D, Altman DG, et al. Extending the CONSORT
statement to randomized trials of non-pharmacologic treatment:
Explanation and elaboration. Ann Intern Med. 2008;148:295-309.
5. Michie S, Johnston M, Francis J, Hardeman W, Eccles M. From
theory to intervention: Mapping theoretically derived behavioral
determinants to behavior change techniques. Appl Psychol
6. Michie S, Hardeman W, Fanshawe T, Provost TA. Investigating
theoretical explanations for behavior change: The case study of
ProActive.Psychol Health. 2008;23:25-39.
7. Albarracin D, Gillette J, Earl AN, Glasman LR. A test of major
assumptions about behavior change: A comprehensive look at the
effects of passive and active HIV-prevention interventions since
the beginning of the epidemic. Psychol Bull. 2005;131:856-897.
8. Hardeman W, Griffin S, Johnston M, Kinmonth AL, Wareham NJ.
Interventions to prevent weight gain: A systematic review of
psychological models and behavior change methods. Int J Obesity.
9. Mischel W. Presidential address. Washington: Association for
Psychological Science Annual Convention; 2012.
10. West R, Walia A, Hyder N, Shahab L, Michie S. Behavior change
techniques used by the English Stop Smoking Services and their
associations with short-term quit outcomes. Nicotine Tob Res.
11. Abraham C, Michie S. A taxonomy of behavior change techniques
used in interventions. Health Psychol. 2008;27:379-387.
12. Michie S, Abraham C, Eccles MP, et al. Strengthening evaluation
and implementation by specifying components of behavior change
interventions: A study protocol. Implement Sci. 2011;6:10.
13. Michie S, Johnston M. Behavior change techniques. In: Gellman
MD, Turner JR, eds. Encyclopedia of behavioral medicine. New
York: Springer; 2011.
14. Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effec-
tive techniques in healthy eating and physical activity interven-
tions: A meta-regression. Health Psychol 2009;28:690-701.
15. Michie S, Hyder N, Walia A, West R. Development of a taxonomy
of behavior change techniques used in individual behavioral sup-
port for smoking cessation. Addict Behav. 2011;36:315-319.
16. Michie S, Whittington C, Hamoudi Z, et al. Identification of
behavior change techniques to reduce excessive alcohol consump-
tion. Addiction. 2012;107:1431-1440.
17. Abraham C, Good A, Warren MR, Huedo-Medina T, Johnson B.
Developing and testing a SHARP taxonomy of behavior change
techniques included in condom promotion interventions. Psychol
Health. 2011;26(Supplement 2):299.
18. Ivers N, Jamtvedt G, Flottorp S, Young JM, et al. Audit and
feedback: Effects on professional practice and patient outcomes.
Cochrane Database Syst Rev. 2012; (6): CD000259.
19. Araujo-Soares V, MacIntyre T, MacLennan G, Sniehotta FF. De-
velopment and exploratory cluster-randomized opportunistic trial
of a theory-based intervention to enhance physical activity among
adolescents. Psychol Health 2009;24:805-822.
20. Gardner B, Whittington C, McAteer J, Eccles MP, Michie S. Using
theory to synthesize evidence from behavior change interventions:
The example of audit and feedback. Soc Sci Med. 2010;70:1618-1625.
21. Michie S, Jochelson K, Markham WA, Bridle C. Low-income
groups and behavior change interventions: A review of interven-
tion content, effectiveness and theoretical frameworks. J
Epidemiol Community Health 2009;63:610-622.
22. Quinn F. On integrating biomedical and behavioral approaches to
activity limitation with chronic pain: Testing integrated models be-
tween and within persons. Aberdeen: University of Aberdeen; 2010.
23. Cahill K, Moher M, Lancaster T. Workplace interventions for
smoking cessation. Cochrane Database Syst Rev. 2008; (4):
24. Michie S, Churchill S, West R. Identifying evidence-based com-
petences required to deliver behavioral support for smoking ces-
sation. Ann Behav Med. 2011;41:59-70.
25. Dixon D, Johnston M. Health behavior change competency frame-
work: Competences to deliver interventions to change lifestyle be-
haviors that affect health. Edinburgh: Scottish Government; 2012.
26. Abraham C. Mapping change mechanisms and behaviour change
techniques: A systematic approach to promoting behaviour change
through text. In: Abraham C, Kools M, eds. Writing Health Com-
munication: An Evidence-Based Guide for Professionals. London:
SAGE Publications; 2011.
27. Stavri Z, Michie S. Classification systems in behavioral science:
Current systems and lessons from the natural, medical and social
sciences. Health Psychol Rev. 2012;6:113-140.
28. de Bruin M, Viechtbauer W, Hospers HJ, Schaalma HP, Kok G.
Standard care quality determines treatment outcomes in control
groups of HAART-adherence intervention studies: Implications for
the interpretation and comparison of intervention effects. Health
29. Dombrowski SU, Sniehotta FF, Avenell A, et al. Identifying active
ingredients in complex behavioral interventions for obese adults with
obesity-related co-morbidities or additional risk factors for co-
morbidities: A systematic review. Health Psychol Rev 2012;6:7-32.
94 ann. behav. med. (2013) 46:81–95