scholarly journals Intervention development for exercise promotion at active charity events in the UK

2020 ◽  
Vol 35 (6) ◽  
pp. 1341-1352
Author(s):  
Bethany Alice Jones ◽  
Fehmidah Munir ◽  
Philine S Harris ◽  
Prachi Bhatnagar ◽  
Clare Stevinson
Keyword(s):  
Intervention Mapping ◽  
Intervention Development ◽  
Evidence Based ◽  
Intervention Package ◽  
Intervention Mapping Protocol ◽  
Feasibility Testing ◽  
And Performance ◽  
The Uk ◽  
Exercise Promotion ◽  
Further Development

Abstract This study used the Intervention Mapping protocol to design an evidence-based intervention package for organizers of active charity events to support their participants in remaining or becoming regular exercisers. A mixed-methods approach following the Intervention Mapping protocol was used to develop intervention components. A needs assessment was initially performed to identify the behavioural and environmental determinants of exercise for charity event participants (Step 1). Next, the intended intervention outcomes, and performance and change objectives were specified (Step 2). Theory-based change methods were selected and matched with practical strategies (Step 3). This resulted in the design of the first iteration of the intervention which underwent pre-testing with former event participants and feasibility testing at an active charity event (Step 4). The evidence-based interventions included components to implement at events (e.g. an activity and information zone, and exercise planner), along with elements pre- and post-event (e.g. social media). Pre-testing indicated high acceptability of the planned components, but feasibility testing suggested low engagement with the intervention. Despite developing the intervention package through the systematic process of Intervention Mapping, preliminary data suggest that further development and testing is needed to refine the intervention before implementation.

Radiotherapy research activity and radiographer involvement in the UK

2009 ◽  
Vol 8 (2) ◽  
pp. 105-110 ◽  
Author(s):  
Julie Davies ◽  
Christine Rawlings
Keyword(s):  
Clinical Trials ◽  
New Technologies ◽  
Research Process ◽  
Standards Of Care ◽  
Service Development ◽  
Evidence Based ◽  
Research Activity ◽  
Local Initiatives ◽  
The Uk ◽  
Further Development

AbstractIn the UK, radiotherapy research is being conducted at national and international levels which include multi-centre clinical trials. Local initiatives and trials are also ongoing where work is being performed to develop techniques or protocols for new technologies and service development. Active participation within these studies is now leading to a culture change with radiographers (radiation therapists) becoming an integral part of the research process. There are currently 70 radiographers in the UK participating in research. This accounts for 2.5% of the UK profession. With the extension of role diversification, research radiographers are undertaking many new roles; however, there is still scope for further development. The therapists’ role in working within this research environment is to ensure improved standards of care focussed on evidence-based practice.

scholarly journals Identifying interventions with Gypsies, Roma and Travellers to promote immunisation uptake: methodological approach and findings

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lisa Dyson ◽  
Helen Bedford ◽  
Louise Condon ◽  
Carol Emslie ◽  
Lana Ireland ◽  
...  
Keyword(s):  
Ecological Model ◽  
Service Providers ◽  
Methodological Approach ◽  
Intervention Mapping ◽  
Intervention Development ◽  
Cost Effective ◽  
Social Ecological Model ◽  
Social Ecological ◽  
The Social ◽  
The Uk

Abstract Background In the UK, Gypsy, Roma and Traveller (GRT) communities are generally considered to be at risk of low or variable immunisation uptake. Many strategies to increase uptake for the general population are relevant for GRT communities, however additional approaches may also be required, and importantly one cannot assume that “one size fits all”. Robust methods are needed to identify content and methods of delivery that are likely to be acceptable, feasible, effective and cost effective. In this paper, we describe the approach taken to identify potential interventions to increase uptake of immunisations in six GRT communities in four UK cities; and present the list of prioritised interventions that emerged. Methods This work was conducted in three stages: (1) a modified intervention mapping process to identify ideas for potential interventions; (2) a two-step prioritisation activity at workshops with 51 GRTs and 25 Service Providers to agree a prioritised list of potentially feasible and acceptable interventions for each community; (3) cross-community synthesis to produce a final list of interventions. The theoretical framework underpinning the study was the Social Ecological Model. Results Five priority interventions were agreed across communities and Service Providers to improve the uptake of immunisation amongst GRTs who are housed or settled on an authorised site. These interventions are all at the Institutional (e.g. cultural competence training) and Policy (e.g. protected funding) levels of the Social Ecological Model. Conclusions The “upstream” nature of the five interventions reinforces the key role of GP practices, frontline workers and wider NHS systems on improving immunisation uptake. All five interventions have potentially broader applicability than GRTs. We believe that their impact would be enhanced if delivered as a combined package. The robust intervention development and co-production methods described could usefully be applied to other communities where poor uptake of immunisation is a concern. Study registration Current Controlled Trials ISRCTN20019630, Date of registration 01-08-2013, Prospectively registered.

scholarly journals Can-Pain-a digital intervention to optimise cancer pain control in the community: development and feasibility testing

2020 ◽  
Vol 29 (2) ◽  
pp. 759-769
Author(s):  
Rosalind Adam ◽  
Christine M. Bond ◽  
Christopher D. Burton ◽  
Marijn de Bruin ◽  
Peter Murchie
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Pain Control ◽  
Intervention Mapping ◽  
Intervention Development ◽  
Small Scale ◽  
Digital Intervention ◽  
Outcome Monitoring ◽  
Patient Reported ◽  
Feasibility Testing

Abstract Purpose To develop a novel digital intervention to optimise cancer pain control in the community. This paper describes intervention development, content/rationale and initial feasibility testing. Methods Determinants of suboptimal cancer pain management were characterised through two systematic reviews; patient, caregiver and healthcare professional (HCP) interviews (n = 39); and two HCP focus groups (n = 12). Intervention mapping was used to translate results into theory-based content, creating the app “Can-Pain”. Patients with/without a linked caregiver, their general practitioners and community palliative care nurses were recruited to feasibility test Can-Pain over 4 weeks. Results Patients on strong opioids described challenges balancing pain levels with opioid intake, side effects and activities and communicating about pain management problems with HCPs. Can-Pain addresses these challenges through educational resources, contemporaneous short-acting opioid tracking and weekly patient-reported outcome monitoring. Novel aspects of Can-Pain include the use of contemporaneous breakthrough analgesic reports as a surrogate measure of pain control and measuring the level at which pain becomes bothersome to the individual. Patients were unwell due to advanced cancer, making recruitment to feasibility testing difficult. Two patients and one caregiver used Can-Pain for 4 weeks, sharing weekly reports with four HCPs. Can-Pain highlighted unrecognised problems, promoted shared understanding about symptoms between patients and HCPs and supported shared decision-making. Conclusions Preliminary testing suggests that Can-Pain is feasible and could promote patient-centred pain management. We will conduct further small-scale evaluations to inform a future randomised, stepped-wedge trial. Trial registration Qualitative research: ClinicalTrials.gov, reference NCT02341846 Feasibility study: NIHR CPMS database ID 34172

Developing the Choosing Health digital weight loss and maintenance intervention using an Intervention Mapping approach (Preprint)

2021 ◽  
Author(s):  
Iga Palacz-Poborczyk ◽  
Paulina Idziak ◽  
Anna Januszewicz ◽  
Aleksandra Luszczynska ◽  
Eleanor Quested ◽  
...  
Keyword(s):  
Health Promotion ◽  
Weight Loss ◽  
Body Weight ◽  
Intervention Mapping ◽  
Health Intervention ◽  
Overweight And Obesity ◽  
Excess Body Weight ◽  
Evidence Based ◽  
Intervention Mapping Protocol ◽  
Health Promotion Programs

BACKGROUND Digital health promotion programs tailored to the individual are a potential cost-effective and scalable solution to enable self-management and provide support to people with excess body weight. However, solutions that are personalised, theory- and evidence- based and widely accessible are still limited. OBJECTIVE This study aimed to develop a digital behaviour change program, Choosing Health, that could identify modifiable predictors of weight loss and maintenance for each individual and utilise these to provide tailored support. METHODS We applied an Intervention Mapping protocol to design the program. This systematic approach to develop theory- and evidence-based health promotion programs consisted of 6 steps: development of (1) a logic model of the problem, (2) model of change, (3) intervention design and (4) production, (5) the implementation plan, and (6) evaluation plan. The decisions made during the Intervention Mapping process were guided by theory, existing evidence, and our own research (including four focus groups, N=40, expert consultations, N=12 and interviews, N=11). The stakeholders included researchers, public representatives (including individuals with overweight and obesity), and experts from the variety of relevant backgrounds (including nutrition, physical activity, and healthcare sector). RESULTS Following a structured process, we developed a tailored intervention that has potential to reduce excess body weight and support behaviour changes in people with overweight and obesity. The Choosing Health intervention consists of tailored personalised text messages and email support that correspond with theoretical domains potentially predictive of weight outcomes for each participant. Intervention content includes behaviour change techniques to support motivation maintenance, self-regulation, habit formation, environmental restructuring, social support and addressing physical and psychological resources. CONCLUSIONS Use of an Intervention Mapping protocol enabled the systematic development of the Choosing Health intervention and guided the implementation and evaluation of the program. Through the involvement of different stakeholders, including representatives of general public, we were able to map out program facilitators and barriers while increasing ecological validity of the program, to ensure that we build an intervention that is useful, user friendly, and informative. We also summarised lessons learnt for the Choosing Health intervention development and for other health promotion programs. CLINICALTRIAL This is an Intervention Mapping study which is currently evaluated through a Randomised Controlled Trial. This trial was registered with www.clinicaltrials.gov; registration number NCT04291482. INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2020-040183

scholarly journals Evidence-based practice education for healthcare professions: an expert view

2018 ◽  
Vol 24 (3) ◽  
pp. 103-108 ◽  
Author(s):  
Elaine Lehane ◽  
Patricia Leahy-Warren ◽  
Cliona O’Riordan ◽  
Eileen Savage ◽  
Jonathan Drennan ◽  
...  
Keyword(s):  
Professional Education ◽  
Evidence Based Practice ◽  
Clinical Care ◽  
Evidence Based ◽  
Pragmatic Approach ◽  
Healthcare Professions ◽  
Effective Development ◽  
The Uk ◽  
Further Development ◽  
Healthcare Professional Education

Internationally, evidence-based practice (EBP) is recognised as a foundational element of healthcare professional education. Achieving competency in this area is a complex undertaking that is reflected in disparities between ‘best EBP’ and actual clinical care. The effective development and implementation of professional education to facilitate EBP remains a major and immediate challenge. To ascertain nuanced perspectives on the provision of EBP education internationally, interviews were conducted with five EBP education experts from the UK, Canada, Australia and New Zealand. Definitive advice was provided in relation to (1) EBP curriculum considerations, (2) teaching EBP and (3) stakeholder engagement in EBP education. While a considerable amount of EBP activity throughout health profession education is apparent, effectively embedding EBP throughout curricula requires further development, with a ‘real-world’ pragmatic approach that engenders dialogue and engagement with all stakeholders required.

scholarly journals PREVENT Policing in Practice—The Need for Evidenced-Based Research

2019 ◽  
Author(s):  
Paul Dresser
Keyword(s):  
Evidence Based ◽  
Structured Interviews ◽  
Counter Terrorism ◽  
The Third ◽  
Wide Range ◽  
And Performance ◽  
Evidenced Based ◽  
The Uk

Abstract This article examines the PREVENT agenda, part of the UK government’s counter-terrorism strategy, CONTEST. Informed by semi-structured interviews conducted with a Special Branch PREVENT team, as well as individuals drawn from various security disciplines, this article highlights several practical barriers to realizing collaborative counter-radicalization. This is important given the third objective of PREVENT: to work with a wide range of institutions where there are risks of radicalization. This article departs from analyses that have examined PREVENT in the context of suspect profiling; rather, the focus is on illuminating the implementation, (re)configuration and performance of PREVENT policing. The article concludes by advocating the necessity for evidence-based research—this proffers pragmatic implications for the governance of counter-terrorism.

Development of a pre-adolescent inter-generational intervention to address HIV and obesity using intervention mapping

2020 ◽  
Vol 79 (8) ◽  
pp. 932-947
Author(s):  
Keshni Arthur ◽  
Nicola Christofides ◽  
Gill Nelson
Keyword(s):  
South Africa ◽  
Needs Assessment ◽  
Scoping Review ◽  
School Environment ◽  
Primary Schools ◽  
Intervention Mapping ◽  
Intervention Development ◽  
Implementation Strategies ◽  
School Curriculum ◽  
Intervention Mapping Protocol

Background: South Africa has a high prevalence of HIV and obesity. Interventions to date have primarily focused on adolescents and adults. Prevention of obesity, in particular, is not addressed substantively in the current pre-adolescent school curriculum. Education about factors underlying these issues early in life could reach beyond children, to their parents. Objective: We aimed to increase awareness about HIV and obesity/underweight risks and prevention through the development of a combined intervention delivered directly to pre-adolescent learners and indirectly to their parents, for immediate- and long-term benefits. Design: Scoping review and needs assessment. Setting: Five government-run primary schools in a district in Gauteng Province, South Africa. Method: Five of the six-step intervention mapping protocol guided intervention development: (1) a formative study, comprising a scoping review and needs assessment; (2) definition of programme objectives; (3) selection of theory-based intervention methods; (4) programme development and (5) adoption, implementation and sustainability planning. Results: Educators perceived that health and lifestyle issues among learners affected classroom learning and saw a need for school-based health curricula. They highlighted that HIV was an issue in their communities and that malnutrition was a concern in rural schools. The scoping review shortlisted 11 evidence-based practices which informed the design. Intervention components comprised a learning curriculum, environmental support and activity-based constituents that targeted the learner in the school environment and the parent in the home environment. The intervention was designed to increase knowledge about HIV and nutrition, enhance skills and strengthen autonomous self-efficacy in communication. Accompanying resources were designed, and implementation strategies were developed. Conclusion: The scoping review and the needs assessment informed intervention development as well as critical adaptations. In particular, stakeholder engagement guided the tailoring of the intervention to fit the target populations and context.

scholarly journals Using the Intervention Mapping Approach to Develop a Mental Health Intervention: A Case Study on Improving the Reporting Standards for Developing Psychological Interventions

2021 ◽  
Vol 12 ◽  
Author(s):  
Joep van Agteren ◽  
Matthew Iasiello ◽  
Kathina Ali ◽  
Daniel B. Fassnacht ◽  
Gareth Furber ◽  
...  
Keyword(s):  
Mental Health ◽  
Development Process ◽  
Intervention Mapping ◽  
Intervention Development ◽  
Health Intervention ◽  
Psychological Interventions ◽  
Evidence Based ◽  
Mental Health Intervention ◽  
Reporting Standards ◽  
Mapping Approach

Replicating or distilling information from psychological interventions reported in the scientific literature is hindered by inadequate reporting, despite the existence of various methodologies to guide study reporting and intervention development. This article provides an in-depth explanation of the scientific development process for a mental health intervention, and by doing so illustrates how intervention development methodologies can be used to improve development reporting standards of interventions. Intervention development was guided by the Intervention Mapping approach and the Theoretical Domains Framework. It relied on an extensive literature review, input from a multi-disciplinary group of stakeholders and the learnings from projects on similar psychological interventions. The developed programme, called the “Be Well Plan”, focuses on self-exploration to determine key motivators, resources and challenges to improve mental health outcomes. The programme contains an online assessment to build awareness about one’s mental health status. In combination with the exploration of different evidence-based mental health activities from various therapeutic backgrounds, the programme teaches individuals to create a personalised mental health and wellbeing plan. The use of best-practice intervention development frameworks and evidence-based behavioural change techniques aims to ensure optimal intervention impact, while reporting on the development process provides researchers and other stakeholders with an ability to scientifically interrogate and replicate similar psychological interventions.

scholarly journals Preconception Care Program for Women with Inflammatory Bowel Disease Using Intervention Mapping: A Protocol for Program Development

2020 ◽  
Vol 17 (24) ◽  
pp. 9365
Author(s):  
Young Jin Lee ◽  
Yeon Hee Kim ◽  
Hae Won Kim
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Intervention Mapping ◽  
Care Program ◽  
Program Outcomes ◽  
Behavioral Skills ◽  
Validity Assessment ◽  
Intervention Mapping Protocol ◽  
Inflammatory Bowel ◽  
And Performance

The prevalence of inflammatory bowel disease in Korea is rapidly increasing. Women with inflammatory bowel disease have a higher risk of adverse birth outcomes than healthy women, and the magnitude of this risk is related to the severity of the disease at the time of pregnancy. For a woman with inflammatory bowel disease to have a healthy pregnancy, interventions are needed to manage the disease before pregnancy—implying a need for pregnancy planning. In this study, the intervention mapping protocol was used to develop a program for this purpose. This protocol contains the following stages: needs assessment, setting of program outcomes and performance objectives, selection of methods and strategies based on theory, and development of the program and its materials. Through individual in-depth interviews and a literature review, individual and environmental determinants were assessed and six change objectives of the program were set. The methods and practical strategies were developed based on the information-motivation-behavioral skills model, self-efficacy theory, and social support theory. The final program, consisting of four sessions and the corresponding materials, was completed by making revisions based on a content validity assessment by experts and a pilot test. Follow-up studies on the implementation of this program will be conducted in the future.

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