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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 Motivate4Change intervention structure.
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figure3: The Motivate4Change intervention structure.

Mentions: The resulting program included an introduction, which included an explanation of the intention of the program and a summary of the key take-away messages in relation to medication adherence and physical activity for HF patients, and two modules, the first on medication adherence and the second on physical activity (Figure 3). Medication adherence was deemed more urgent to address based on input from clinicians, and it was therefore placed first. The medication adherence module included three parts; one which was meant to increase practical knowledge on taking HF medications, another to assess barriers to taking HF medications and provide solutions to identified barriers, and a third part to assess problematic beliefs relating to medications and providing messages to address those problematic beliefs. The physical activity module had two parts; one aiming to increase practical knowledge on performing physical activity and the other another assessing barriers to performance and providing solutions to identified barriers. Within modules, patients are presented with videos followed by assessments and immediate tailored feedback messages (Figures 4 and 5), depending on their answers. The videos were from the Philips Motiva telehealth system.


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 Motivate4Change intervention structure.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

figure3: The Motivate4Change intervention structure.
Mentions: The resulting program included an introduction, which included an explanation of the intention of the program and a summary of the key take-away messages in relation to medication adherence and physical activity for HF patients, and two modules, the first on medication adherence and the second on physical activity (Figure 3). Medication adherence was deemed more urgent to address based on input from clinicians, and it was therefore placed first. The medication adherence module included three parts; one which was meant to increase practical knowledge on taking HF medications, another to assess barriers to taking HF medications and provide solutions to identified barriers, and a third part to assess problematic beliefs relating to medications and providing messages to address those problematic beliefs. The physical activity module had two parts; one aiming to increase practical knowledge on performing physical activity and the other another assessing barriers to performance and providing solutions to identified barriers. Within modules, patients are presented with videos followed by assessments and immediate tailored feedback messages (Figures 4 and 5), depending on their answers. The videos were from the Philips Motiva telehealth system.

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