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Majid U, Kim C, Cako A, Gagliardi AR. Engaging stakeholders in the co-development of programs or interventions using Intervention Mapping: A scoping review. PLoS One 2018; 13:e0209826. [PMID: 30586425 PMCID: PMC6306258 DOI: 10.1371/journal.pone.0209826] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Accepted: 12/12/2018] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Health care innovations tailored to stakeholder context are more readily adopted. This study aimed to describe how Intervention Mapping (IM) was used to design health care innovations and how stakeholders were involved. METHODS A scoping review was conducted. MEDLINE, EMBASE, Cochrane Library, Scopus and Science Citation Index were searched from 2008 to November 2017. English language studies that used or cited Intervention Mapping were eligible. Screening and data extraction were done in triplicate. Summary statistics were used to describe study characteristics, IM steps employed, and stakeholder involvement. RESULTS A total of 852 studies were identified, 449 were unique, and 333 were excluded based on title and abstracts, 116 full-text articles were considered and 61 articles representing 60 studies from 13 countries for a variety of clinical issues were included. The number of studies published per year increased since 2008 and doubled in 2016 and 2017. The majority of studies employed multiple research methods (76.7%) and all 6 IM steps (73.3%). Resulting programs/interventions were single (55.4%) or multifaceted (46.4%), and 60.7% were pilot-tested. Programs or interventions were largely educational material or meetings, and were targeted to patients (70.2%), clinicians (14.0%) or both (15.8%). Studies provided few details about current or planned evaluation. Of the 4 (9.3%) studies that reported impact or outcomes, 3 achieved positive improvements in patient or professional behaviour or patient outcomes. Many studies (28.3%) did not involve stakeholders. Those that did (71.7%) often involved a combination of patients, clinicians, and community organizations. However, less than half (48.8%) described how they were engaged. Most often stakeholders were committee members and provide feedback on program or intervention content or format. CONCLUSIONS It is unclear if use of IM or stakeholder engagement in IM consistently results in effective programs or interventions. Those employing IM should report how stakeholders were involved in each IM step and how involvement influenced program or intervention design. They should also report the details or absence of planned evaluation. Future research should investigate how to optimize stakeholder engagement in IM, and whether use of IM itself or stakeholder engagement in IM are positively associated with effective programs or interventions.
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Affiliation(s)
- Umair Majid
- Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Claire Kim
- Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Albina Cako
- Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Anna R. Gagliardi
- Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada
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O'Connor A, Blewitt C, Nolan A, Skouteris H. Using Intervention Mapping for child development and wellbeing programs in early childhood education and care settings. EVALUATION AND PROGRAM PLANNING 2018; 68:57-63. [PMID: 29475058 DOI: 10.1016/j.evalprogplan.2018.02.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Revised: 01/05/2018] [Accepted: 02/11/2018] [Indexed: 05/17/2023]
Abstract
Supporting children's social and emotional learning benefits all elements of children's development and has been associated with positive mental health and wellbeing, development of values and life skills. However, literature relating to the creation of interventions designed for use within the early childhood education and care settings to support children's social and emotional skills and learning is lacking. Intervention Mapping (IM) is a systematic intervention development framework, utilising principles centred on participatory co-design methods, multiple theoretical approaches and existing literature to enable effective decision-making during the development process. Early childhood pedagogical programs are also shaped by these principles; however, educators tend to draw on implicit knowledge when working with families. IM offers this sector the opportunity to formally incorporate theoretical, evidence-based research into the development of early childhood education and care social and emotional interventions. Emerging literature indicates IM is useful for designing health and wellbeing interventions for children within early childhood education and care settings. Considering the similar underlying principles of IM, existing applications within early childhood education and care and development of interventions beyond health behaviour change, it is recommended IM be utilised to design early childhood education and care interventions focusing on supporting children's social and emotional development.
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Affiliation(s)
- Amanda O'Connor
- School of Psychology, Deakin University, Geelong, Victoria, Australia.
| | - Claire Blewitt
- Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University.
| | - Andrea Nolan
- Faculty of Arts and Education, Deakin University, Geelong, Victoria, Australia.
| | - Helen Skouteris
- Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University.
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Flash CA, Frost ELT, Giordano TP, Amico KR, Cully JA, Markham CM. HIV Pre-exposure Prophylaxis Program Implementation Using Intervention Mapping. Am J Prev Med 2018; 54:519-529. [PMID: 29433956 DOI: 10.1016/j.amepre.2017.12.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 11/22/2017] [Accepted: 12/13/2017] [Indexed: 11/19/2022]
Abstract
INTRODUCTION HIV pre-exposure prophylaxis has been proven to be an effective tool in HIV prevention. However, numerous barriers still exist in pre-exposure prophylaxis implementation. METHODS The framework of Intervention Mapping was used from August 2016 to October 2017 to describe the process of adoption, implementation, and maintenance of an HIV prevention program from 2012 through 2017 in Houston, Texas, that is nested within a county health system HIV clinic. Using the tasks outlined in the Intervention Mapping framework, potential program implementers were identified, outcomes and performance objectives established, matrices of change objectives created, and methods and practical applications formed. RESULTS Results include the formation of three matrices that document program outcomes, change agents involved in the process, and the determinants needed to facilitate program adoption, implementation, and maintenance. Key features that facilitated successful program adoption and implementation were obtaining leadership buy-in, leveraging existing resources, systematic evaluation of operations, ongoing education for both clinical and nonclinical staff, and attention to emergent issues during launch. CONCLUSIONS The utilization of Intervention Mapping to delineate the program planning steps can provide a model for pre-exposure prophylaxis implementation in other settings.
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Affiliation(s)
- Charlene A Flash
- Department of Internal Medicine, Division of Infectious Disease, Baylor College of Medicine, Houston, Texas.
| | - Elizabeth L T Frost
- Department of Internal Medicine, Division of Infectious Disease, Baylor College of Medicine, Houston, Texas
| | - Thomas P Giordano
- Department of Internal Medicine, Division of Infectious Disease, Baylor College of Medicine, Houston, Texas; Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas
| | - K Rivet Amico
- Department of Health Behavior and Health Education, University of Michigan, School of Public Health, Ann Arbor, Michigan
| | - Jeffrey A Cully
- Department of Health Behavior and Health Education, University of Michigan, School of Public Health, Ann Arbor, Michigan; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas
| | - Christine M Markham
- Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center at Houston School of Public Health, Houston, Texas
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Abbey M, Bartholomew LK, Chinbuah MA, Gyapong M, Gyapong JO, van den Borne B. Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach. BMC Public Health 2017; 17:120. [PMID: 28122594 PMCID: PMC5267456 DOI: 10.1186/s12889-016-3957-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Accepted: 12/16/2016] [Indexed: 01/15/2023] Open
Abstract
Background This paper describes the development and implementation of a program to promote prompt and appropriate care seeking for fever in children under the age of five. Designed as a multicomponent program, the intervention comprises elements to influence the behavior of caregivers of children, Community Health Workers, professional health care providers and the wider community. Methods Following the six fundamental steps of the Intervention Mapping protocol, we involved relevant stakeholders from the commencement of planning to program end. The IM protocol also recommends various behavior change methods to guide intervention development. Results The intervention components implemented were successful in achieving program goals. For example, the intervention resulted in the primary outcome of reductions in all-cause mortality of 30% and 44%, among children treated with an antimalarial and those treated with the antimalarial plus an antibiotic respectively. Most Community Health Workers were retained on the program, with an attrition rate of 21.2% over a period of 30 months and the Community Health Workers rate of adherence to performance guidelines was high at 94.6%. Conclusion We were able to systematically develop a theory- and evidence-based health promotion program based on the Intervention Mapping protocol. This article contributes to the response to recent calls for a more detailed description of the development of interventions and trials. The intervention mapping approach can serve as a guide for others interested in developing community- based health interventions in similar settings. Electronic supplementary material The online version of this article (doi:10.1186/s12889-016-3957-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Mercy Abbey
- Research and Development Division, Ghana Health Service, PM Bag 190, Accra, Ghana.
| | - L Kay Bartholomew
- School of Public Health, University of Texas Health Science Centre, 1200 Herman Pressler, Suite W238, Houston, TX, 77030, USA
| | - Margaret A Chinbuah
- Research and Development Division, Ghana Health Service, PM Bag 190, Accra, Ghana
| | - Margaret Gyapong
- Dodowa Health Research Centre, Ghana Health Service, P.O. Box 1, Dangme-West District, Ghana
| | - John O Gyapong
- Research and Development Division, Ghana Health Service, PM Bag 190, Accra, Ghana.,Present Address: University of Health and Allied Sciences, Ho, Ghana.,Current Address: University of Health & Allied Sciences, Ho, Volta Region, Ghana
| | - Bart van den Borne
- Department of Health Promotion, University of Maastricht, P.O. Box 616, Maastricht, 6200, MD, The Netherlands
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Kavanagh AM, Aitken Z, Emerson E, Sahabandu S, Milner A, Bentley R, LaMontagne AD, Pirkis J, Studdert D. Inequalities in socio-economic characteristics and health and wellbeing of men with and without disabilities: a cross-sectional analysis of the baseline wave of the Australian Longitudinal Study on Male Health. BMC Public Health 2016; 16:1042. [PMID: 28185560 PMCID: PMC5103237 DOI: 10.1186/s12889-016-3700-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Internationally, men with disabilities have higher rates of social and economic disadvantage and poorer health and wellbeing than men without disabilities. No single study has provided comprehensive, population-level information about the magnitude of such differences among adult men using a well-validated instrument to measure disability. METHODS We analysed baseline data from Ten to Men - an Australian longitudinal study of male health. Ten to Men used a stratified multi-stage cluster random sample design to recruit a national sample of males aged 10 to 55 years residing in private dwellings. Data were collected between October 2013 and July 2014 from 15,988 males. This analysis was restricted to 18-55 year old participants with data available on age and disability (n = 13,569). We compared the demographic, socio-economic characteristics and health and wellbeing of men with and without disabilities using chi squared tests for proportions and t tests for continuous variables. Linear regression adjusted for age was used to assess the association between disability status and health and wellbeing, which were measured using the SF-12 mental and physical health component scores and the Personal Wellbeing Index. RESULTS Men with disabilities were older and more likely to be born in Australia, speak English at home, be Aboriginal and Torres Strait Islander and were less likely to be married or de facto, or to live in urban areas. They were less likely to have completed secondary school, be employed and live in affordable housing, and were more likely to live on low incomes, in more socio-economically disadvantaged areas, and in rental accommodation and to experience shortages of money. Among employed men, those with disabilities were less likely to be in high skilled jobs, worked less hours on average, and were more likely to report that they would prefer to work more. Men with disabilities had lower levels of social support and community participation and poorer mental and physical health and overall wellbeing. CONCLUSION Adult men with disabilities experience marked social and economic disadvantage and poorer health and wellbeing. Improving the health and wellbeing of disabled men should be a priority for public health researchers and policy-makers.
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Affiliation(s)
- Anne M Kavanagh
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia.
| | - Zoe Aitken
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Eric Emerson
- Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Lidcombe, 2141, Australia
- Centre for Disability Research, Faculty of Health and Medicine, Lancaster University, Lancaster, LA1 4YG, UK
| | - Sash Sahabandu
- Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Allison Milner
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
- School of Health & Social Development, Deakin University, Burwood, 3125, Australia
| | - Rebecca Bentley
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Anthony D LaMontagne
- Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
- School of Health & Social Development, Deakin University, Burwood, 3125, Australia
| | - Jane Pirkis
- Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - David Studdert
- Centre for Health Policy/PCOR, Stanford University School of Medicine, Stanford, 94305, CA, USA
- Stanford Law School, Stanford, 94305, CA, USA
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Fassier JB, Lamort-Bouché M, Sarnin P, Durif-Bruckert C, Péron J, Letrilliart L, Durand MJ. [The intervention mapping protocol: A structured process to develop, implement and evaluate health promotion programs]. Rev Epidemiol Sante Publique 2016; 64:33-44. [PMID: 26745997 DOI: 10.1016/j.respe.2015.10.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2015] [Revised: 09/21/2015] [Accepted: 10/05/2015] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Health promotion programs are expected to improve population health and reduce social inequalities in health. However, their theoretical foundations are frequently ill-defined, and their implementation faces many obstacles. The aim of this article is to describe the intervention mapping protocol in health promotion programs planning, used recently in several countries. METHODS The challenges of planning health promotion programs are presented, and the six steps of the intervention mapping protocol are described with an example. Based on a literature review, the use of this protocol, its requirements and potential limitations are discussed. RESULTS The intervention mapping protocol has four essential characteristics: an ecological perspective (person-environment), a participative approach, the use of theoretical models in human and social sciences and the use of scientific evidence. It comprises six steps: conduct a health needs assessment, define change objectives, select theory-based change techniques and practical applications, organize techniques and applications into an intervention program (logic model), plan for program adoption, implementation, and sustainability, and generate an evaluation plan. This protocol was used in different countries and domains such as obesity, tobacco, physical activity, cancer and occupational health. Although its utilization requires resources and a critical stance, this protocol was used to develop interventions which efficacy was demonstrated. CONCLUSION The intervention mapping protocol is an integrated process that fits the scientific and practical challenges of health promotion. It could be tested in France as it was used in other countries, in particular to reduce social inequalities in health.
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Affiliation(s)
- J-B Fassier
- UMR T 9405, unité mixte de recherche épidémiologique et de surveillance transport travail environnement (UMRESTTE), université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69373 Lyon cedex 08, France; CAPRIT, campus Longueuil, université de Sherbrooke, 150, place Charles-Le Moyne, bureau 200, J4K 0A8 Longueuil, QC, Canada.
| | - M Lamort-Bouché
- UMR T 9405, unité mixte de recherche épidémiologique et de surveillance transport travail environnement (UMRESTTE), université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69373 Lyon cedex 08, France; Département de médecine générale, université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69373 Lyon cedex 08, France.
| | - P Sarnin
- EA 4163, institut de psychologie, groupe de recherche en psychologie sociale (GREPS), université Lyon 2, 5, avenue P.-Mendès-France, 69656 Bron, France.
| | - C Durif-Bruckert
- EA 4163, institut de psychologie, groupe de recherche en psychologie sociale (GREPS), université Lyon 2, 5, avenue P.-Mendès-France, 69656 Bron, France.
| | - J Péron
- UMR 5558, laboratoire de biométrie et biologie évolutive (LBBE), hôpital Lyon Sud, université Claude-Bernard Lyon 1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - L Letrilliart
- Département de médecine générale, université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69373 Lyon cedex 08, France; EA 4129, santé individu société (SIS), institut de psychologie, université Lyon 2, 5, avenue P.-Mendès-France, 69676 Bron, France.
| | - M-J Durand
- CAPRIT, campus Longueuil, université de Sherbrooke, 150, place Charles-Le Moyne, bureau 200, J4K 0A8 Longueuil, QC, Canada.
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