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Development of Motivate4Change Using the Intervention Mapping Protocol: An Interactive Technology Physical Activity and Medication Adherence Promotion Program for Hospitalized Heart Failure Patients.

Oosterom-Calo R, Te Velde SJ, Stut W, Brug J - JMIR Res Protoc (2015)

Bottom Line: The resulting intervention, Motivate4Change, makes use of interactive technology and provides HF patients with personalized feedback and advice.The relevant behavioral determinants for the physical activity program were practical knowledge on physical activity performance and self-efficacy for, and perceived benefits of, physical activity.The intervention's efficacy is yet to be determined in evaluation research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Philips Research, Briarcliff Manor, NY, United States. rony.calo@philips.com.

ABSTRACT

Background: It is important that heart failure (HF) patients adhere to their medication regimen and engage in physical activity. Evidence shows that adherence to these HF self-management behaviors can be improved with appropriate interventions.

Objective: To further promote medication adherence and physical activity among HF patients, we developed an intervention for hospitalized HF patients.

Methods: The intervention mapping protocol was applied in the development of the intervention. This entailed performing a needs assessment, defining change objectives, selecting determinants and strategies, and developing the materials.

Results: The resulting intervention, Motivate4Change, makes use of interactive technology and provides HF patients with personalized feedback and advice. Specific change objectives were defined. The relevant behavioral determinants for the physical activity program were practical knowledge on physical activity performance and self-efficacy for, and perceived benefits of, physical activity. For medication-taking, the selected determinants were practical knowledge on medication-taking, perceived barriers to medication-taking, beliefs about the necessity and harm regarding the medication prescribed, and beliefs about overprescribing and harm of medication in general. The change objectives and behavior change determinants were translated in feedback and advice strategies in an interactive technology program that included tailored feedback and advice, and role models in videos in which the behaviors and overcoming barriers were demonstrated. Relevant stakeholders were involved in the interventions development process. The intervention was pretested among HF patients and adjustments were made accordingly.

Conclusions: The interactive technology physical activity and medication adherence promotion program for hospitalized HF patients was systematically developed using the intervention mapping protocol and was based on the available theory and evidence regarding HF self-management behavior change. The intervention's efficacy is yet to be determined in evaluation research.

No MeSH data available.


Related in: MedlinePlus

The intervention mapping protocol. Source: Bartholomew et al (2001) [21].
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figure1: The intervention mapping protocol. Source: Bartholomew et al (2001) [21].

Mentions: We aimed to develop an individually tailored interactive technology program for the promotion of medication adherence and physical activity among HF patients, for delivery in the hospital setting. The goal of the program, which we named Motivate4Change, is to educate and motivate patients to engage in physical activity and medication adherence after their discharge from the hospital. To increase the level of confidence that the intervention we develop would be efficacious, we worked according to the intervention mapping protocol. The intervention mapping protocol is a stepwise method (Figure 1) used to develop interventions systematically using relevant theory and evidence [20]. By going through the steps and creating matrices, decisions are made regarding the specific behavioral change objectives and how to achieve these changes by identifying theory and evidence-based strategies and behavior change techniques. This allows targeting the behavioral determinants and using behavior change strategies that are most likely to affect the desired outcomes. In the current paper we report on the design of Motivate4Change using an intervention mapping approach.


Development of Motivate4Change Using the Intervention Mapping Protocol: An Interactive Technology Physical Activity and Medication Adherence Promotion Program for Hospitalized Heart Failure Patients.

Oosterom-Calo R, Te Velde SJ, Stut W, Brug J - JMIR Res Protoc (2015)

The intervention mapping protocol. Source: Bartholomew et al (2001) [21].
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4527006&req=5

figure1: The intervention mapping protocol. Source: Bartholomew et al (2001) [21].
Mentions: We aimed to develop an individually tailored interactive technology program for the promotion of medication adherence and physical activity among HF patients, for delivery in the hospital setting. The goal of the program, which we named Motivate4Change, is to educate and motivate patients to engage in physical activity and medication adherence after their discharge from the hospital. To increase the level of confidence that the intervention we develop would be efficacious, we worked according to the intervention mapping protocol. The intervention mapping protocol is a stepwise method (Figure 1) used to develop interventions systematically using relevant theory and evidence [20]. By going through the steps and creating matrices, decisions are made regarding the specific behavioral change objectives and how to achieve these changes by identifying theory and evidence-based strategies and behavior change techniques. This allows targeting the behavioral determinants and using behavior change strategies that are most likely to affect the desired outcomes. In the current paper we report on the design of Motivate4Change using an intervention mapping approach.

Bottom Line: The resulting intervention, Motivate4Change, makes use of interactive technology and provides HF patients with personalized feedback and advice.The relevant behavioral determinants for the physical activity program were practical knowledge on physical activity performance and self-efficacy for, and perceived benefits of, physical activity.The intervention's efficacy is yet to be determined in evaluation research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Philips Research, Briarcliff Manor, NY, United States. rony.calo@philips.com.

ABSTRACT

Background: It is important that heart failure (HF) patients adhere to their medication regimen and engage in physical activity. Evidence shows that adherence to these HF self-management behaviors can be improved with appropriate interventions.

Objective: To further promote medication adherence and physical activity among HF patients, we developed an intervention for hospitalized HF patients.

Methods: The intervention mapping protocol was applied in the development of the intervention. This entailed performing a needs assessment, defining change objectives, selecting determinants and strategies, and developing the materials.

Results: The resulting intervention, Motivate4Change, makes use of interactive technology and provides HF patients with personalized feedback and advice. Specific change objectives were defined. The relevant behavioral determinants for the physical activity program were practical knowledge on physical activity performance and self-efficacy for, and perceived benefits of, physical activity. For medication-taking, the selected determinants were practical knowledge on medication-taking, perceived barriers to medication-taking, beliefs about the necessity and harm regarding the medication prescribed, and beliefs about overprescribing and harm of medication in general. The change objectives and behavior change determinants were translated in feedback and advice strategies in an interactive technology program that included tailored feedback and advice, and role models in videos in which the behaviors and overcoming barriers were demonstrated. Relevant stakeholders were involved in the interventions development process. The intervention was pretested among HF patients and adjustments were made accordingly.

Conclusions: The interactive technology physical activity and medication adherence promotion program for hospitalized HF patients was systematically developed using the intervention mapping protocol and was based on the available theory and evidence regarding HF self-management behavior change. The intervention's efficacy is yet to be determined in evaluation research.

No MeSH data available.


Related in: MedlinePlus