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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 iterative process of the intervention content development.
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figure2: The iterative process of the intervention content development.

Mentions: In this step the program plan was developed, including the scope and sequence, and the program materials were formulated. Relevant stakeholders were involved in the development of the intervention materials, including cardiologists, HF nurses, and patients (Figure 2). The user interface was designed taking into account the presumed needs of the target group in terms of usability (eg, having a clear indication how to go forwards and backwards in the program, having a large font size), and usability sessions were conducted, leading to an identification of issues which were addressed in the next version. In preparation for the usability session, observation sheets were prepared in which various relevant usability attributes such as learnability, efficiency, and simplicity were specified; for each attribute specific indicators were specified, which could be observed and recorded by the researcher. The researcher observed patients while they were using the research prototype and took extensive notes while completing the usability sheets.


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 iterative process of the intervention content development.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

figure2: The iterative process of the intervention content development.
Mentions: In this step the program plan was developed, including the scope and sequence, and the program materials were formulated. Relevant stakeholders were involved in the development of the intervention materials, including cardiologists, HF nurses, and patients (Figure 2). The user interface was designed taking into account the presumed needs of the target group in terms of usability (eg, having a clear indication how to go forwards and backwards in the program, having a large font size), and usability sessions were conducted, leading to an identification of issues which were addressed in the next version. In preparation for the usability session, observation sheets were prepared in which various relevant usability attributes such as learnability, efficiency, and simplicity were specified; for each attribute specific indicators were specified, which could be observed and recorded by the researcher. The researcher observed patients while they were using the research prototype and took extensive notes while completing the usability sheets.

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