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

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dc.contributor.author Hurley, Deirdre A.
dc.contributor.author Murphy, Laura Currie
dc.contributor.author Hayes, David
dc.contributor.author Hall, Amanda M.
dc.contributor.author Toomey, Elaine C.
dc.contributor.author McDonough, Suzanne M.
dc.contributor.author Lonsdale, Chris
dc.contributor.author Walsh, Nicola E.
dc.contributor.author Guerin, Suzanne
dc.contributor.author Matthews, James
dc.date.accessioned 2020-11-13T14:08:51Z
dc.date.available 2020-11-13T14:08:51Z
dc.date.issued 2016
dc.identifier.issn 1748-5908
dc.identifier.uri http://hdl.handle.net/10344/9455
dc.description peer-reviewed en_US
dc.description.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. en_US
dc.language.iso eng en_US
dc.publisher BMC en_US
dc.relation.ispartofseries Implementation Science;11:56
dc.subject intervention mapping en_US
dc.subject complex group intervention en_US
dc.subject behaviour change intervention en_US
dc.subject self-management en_US
dc.title Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS). en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2020-11-13T12:59:51Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1186/s13012-016-0418-2
dc.contributor.sponsor HRB en_US
dc.relation.projectid HRA_HSR/2012/24 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2966573
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Implementation science : IS
dc.description.status peer-reviewed


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