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Reference: Hurley, DA, Murphy, LC, Hayes, D et al., (2016). Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS). Implementation Science, 11 (1), Article: 56.Citable link to this page:

 

Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS)

Abstract: The Medical Research Council framework provides a useful general approach to designing and evaluating complex interventions, but does not provide detailed guidance on how to do this and there is little evidence of how this framework is applied in practice. This study describes the use of intervention mapping (IM) in the design of a theory-driven, group-based complex intervention to support self-management (SM) of patients with osteoarthritis (OA) and chronic low back pain (CLBP) in Ireland's primary care health system.The six steps of the IM protocol were systematically applied to develop the self-management of osteoarthritis and low back pain through activity and skills (SOLAS) intervention through adaptation of the Facilitating Activity and Self-management in Arthritis (FASA) intervention. A needs assessment including literature reviews, interviews with patients and physiotherapists and resource evaluation was completed to identify the programme goals, determinants of SM behaviour, consolidated definition of SM and required adaptations to FASA to meet health service and patient needs and the evidence. The resultant SOLAS intervention behavioural outcomes, performance and change objectives were specified and practical application methods selected, followed by organised programme, adoption, implementation and evaluation plans underpinned by behaviour change theory.The SOLAS intervention consists of six weekly sessions of 90-min education and exercise designed to increase participants' physical activity level and use of evidence-based SM strategies (i.e. pain self-management, pain coping, healthy eating for weight management and specific exercise) through targeting of individual determinants of SM behaviour (knowledge, skills, self-efficacy, fear, catastrophizing, motivation, behavioural regulation), delivered by a trained physiotherapist to groups of up to eight individuals using a needs supportive interpersonal style based on self-determination theory. Strategies to support SOLAS intervention adoption and implementation included a consensus building workshop with physiotherapy stakeholders, development of a physiotherapist training programme and a pilot trial with physiotherapist and patient feedback.The SOLAS intervention is currently being evaluated in a cluster randomised controlled feasibility trial. IM is a time-intensive collaborative process, but the range of methods and resultant high level of transparency is invaluable and allows replication by future complex intervention and trial developers.

Publication status:PublishedPeer Review status:Peer reviewedVersion:Publisher's version Funder: Health Research Board   Notes:© 2016 Hurley et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Bibliographic Details

Publisher: BioMed Central

Publisher Website: http://www.biomedcentral.com/

Journal: Implementation Sciencesee more from them

Publication Website: http://implementationscience.biomedcentral.com/

Volume: 11

Issue: 1

Extent: Article: 56

Issue Date: 2016

pages:Article: 56Identifiers

Doi: https://doi.org/10.1186/s13012-016-0418-2

Issn: 1748-5908

Uuid: uuid:0a6062a8-cc45-418c-b965-530963f79bec

Urn: uri:0a6062a8-cc45-418c-b965-530963f79bec

Pubs-id: pubs:619880 Item Description

Type: journal-article;

Language: eng

Version: Publisher's versionKeywords: behaviour change intervention complex group intervention intervention mapping low back pain mixed methods osteoarthritis patient-public involvement physical activity physiotherapists self-management

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Autor: Hurley, DA - - - Murphy, LC - - - Hayes, D - - - Hall, AM - facultyOxford, SSD, Divisional Administration, Oxford Martin School -

Fuente: https://ora.ox.ac.uk/objects/uuid:0a6062a8-cc45-418c-b965-530963f79bec



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