Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
For behaviour-change interventions to be successful they must be acceptable to users and overcome barriers to behaviour change. The Person-Based Approach can help to optimise interventions to maximise acceptability and engagement. This article presents a novel, efficient and systematic method that c...
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| Veröffentlicht in: | PloS one 2018-05, Vol.13 (5), p.e0196868-e0196868 |
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| creator | Bradbury, Katherine Morton, Katherine Band, Rebecca van Woezik, Anne Grist, Rebecca McManus, Richard J Little, Paul Yardley, Lucy |
| description | For behaviour-change interventions to be successful they must be acceptable to users and overcome barriers to behaviour change. The Person-Based Approach can help to optimise interventions to maximise acceptability and engagement. This article presents a novel, efficient and systematic method that can be used as part of the Person-Based Approach to rapidly analyse data from development studies to inform intervention modifications. We describe how we used this approach to optimise a digital intervention for patients with hypertension (HOME BP), which aims to implement medication and lifestyle changes to optimise blood pressure control.
In study 1, hypertensive patients (N = 12) each participated in three think-aloud interviews, providing feedback on a prototype of HOME BP. In study 2 patients (N = 11) used HOME BP for three weeks and were then interviewed about their experiences. Studies 1 and 2 were used to identify detailed changes to the intervention content and potential barriers to engagement with HOME BP. In study 3 (N = 7) we interviewed hypertensive patients who were not interested in using an intervention like HOME BP to identify potential barriers to uptake, which informed modifications to our recruitment materials. Analysis in all three studies involved detailed tabulation of patient data and comparison to our modification criteria.
Studies 1 and 2 indicated that the HOME BP procedures were generally viewed as acceptable and feasible, but also highlighted concerns about monitoring blood pressure correctly at home and making medication changes remotely. Patients in study 3 had additional concerns about the safety and security of the intervention. Modifications improved the acceptability of the intervention and recruitment materials.
This paper provides a detailed illustration of how to use the Person-Based Approach to refine a digital intervention for hypertension. The novel, efficient approach to analysis and criteria for deciding when to implement intervention modifications described here may be useful to others developing interventions. |
| doi_str_mv | 10.1371/journal.pone.0196868 |
| format | Article |
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In study 1, hypertensive patients (N = 12) each participated in three think-aloud interviews, providing feedback on a prototype of HOME BP. In study 2 patients (N = 11) used HOME BP for three weeks and were then interviewed about their experiences. Studies 1 and 2 were used to identify detailed changes to the intervention content and potential barriers to engagement with HOME BP. In study 3 (N = 7) we interviewed hypertensive patients who were not interested in using an intervention like HOME BP to identify potential barriers to uptake, which informed modifications to our recruitment materials. Analysis in all three studies involved detailed tabulation of patient data and comparison to our modification criteria.
Studies 1 and 2 indicated that the HOME BP procedures were generally viewed as acceptable and feasible, but also highlighted concerns about monitoring blood pressure correctly at home and making medication changes remotely. Patients in study 3 had additional concerns about the safety and security of the intervention. Modifications improved the acceptability of the intervention and recruitment materials.
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In study 1, hypertensive patients (N = 12) each participated in three think-aloud interviews, providing feedback on a prototype of HOME BP. In study 2 patients (N = 11) used HOME BP for three weeks and were then interviewed about their experiences. Studies 1 and 2 were used to identify detailed changes to the intervention content and potential barriers to engagement with HOME BP. In study 3 (N = 7) we interviewed hypertensive patients who were not interested in using an intervention like HOME BP to identify potential barriers to uptake, which informed modifications to our recruitment materials. Analysis in all three studies involved detailed tabulation of patient data and comparison to our modification criteria.
Studies 1 and 2 indicated that the HOME BP procedures were generally viewed as acceptable and feasible, but also highlighted concerns about monitoring blood pressure correctly at home and making medication changes remotely. Patients in study 3 had additional concerns about the safety and security of the intervention. Modifications improved the acceptability of the intervention and recruitment materials.
This paper provides a detailed illustration of how to use the Person-Based Approach to refine a digital intervention for hypertension. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bradbury, Katherine</au><au>Morton, Katherine</au><au>Band, Rebecca</au><au>van Woezik, Anne</au><au>Grist, Rebecca</au><au>McManus, Richard J</au><au>Little, Paul</au><au>Yardley, Lucy</au><au>Aslani, Parisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using the Person-Based Approach to optimise a digital intervention for the management of hypertension</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-05-03</date><risdate>2018</risdate><volume>13</volume><issue>5</issue><spage>e0196868</spage><epage>e0196868</epage><pages>e0196868-e0196868</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>For behaviour-change interventions to be successful they must be acceptable to users and overcome barriers to behaviour change. The Person-Based Approach can help to optimise interventions to maximise acceptability and engagement. This article presents a novel, efficient and systematic method that can be used as part of the Person-Based Approach to rapidly analyse data from development studies to inform intervention modifications. We describe how we used this approach to optimise a digital intervention for patients with hypertension (HOME BP), which aims to implement medication and lifestyle changes to optimise blood pressure control.
In study 1, hypertensive patients (N = 12) each participated in three think-aloud interviews, providing feedback on a prototype of HOME BP. In study 2 patients (N = 11) used HOME BP for three weeks and were then interviewed about their experiences. Studies 1 and 2 were used to identify detailed changes to the intervention content and potential barriers to engagement with HOME BP. In study 3 (N = 7) we interviewed hypertensive patients who were not interested in using an intervention like HOME BP to identify potential barriers to uptake, which informed modifications to our recruitment materials. Analysis in all three studies involved detailed tabulation of patient data and comparison to our modification criteria.
Studies 1 and 2 indicated that the HOME BP procedures were generally viewed as acceptable and feasible, but also highlighted concerns about monitoring blood pressure correctly at home and making medication changes remotely. Patients in study 3 had additional concerns about the safety and security of the intervention. Modifications improved the acceptability of the intervention and recruitment materials.
This paper provides a detailed illustration of how to use the Person-Based Approach to refine a digital intervention for hypertension. The novel, efficient approach to analysis and criteria for deciding when to implement intervention modifications described here may be useful to others developing interventions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29723262</pmid><doi>10.1371/journal.pone.0196868</doi><tpages>e0196868</tpages><orcidid>https://orcid.org/0000-0001-5513-7571</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2018-05, Vol.13 (5), p.e0196868-e0196868 |
| issn | 1932-6203 1932-6203 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acceptability Adult Aged Aged, 80 and over Analysis Antihypertensive Agents - therapeutic use Biology and Life Sciences Blood Blood Pressure Blood Pressure Determination Blood Pressure Monitoring, Ambulatory - methods Care and treatment Control methods Data collection Data processing Disease Management Drugs Feedback Female Funding Human behavior Humans Hypertension Hypertension - drug therapy Hypertension - physiopathology Hypertension - psychology Intervention Intervention (Psychology) Lifestyles Male Medical research Medicine and Health Sciences Methods Middle Aged Patient education Patients Physical Sciences Primary care Qualitative research Recruitment Research and Analysis Methods Security Self Care - psychology Studies Supervision Surveys and Questionnaires Systematic review Tabulation Telemedicine - methods United Kingdom |
| title | Using the Person-Based Approach to optimise a digital intervention for the management of hypertension |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-03T04%3A32%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Using%20the%20Person-Based%20Approach%20to%20optimise%20a%20digital%20intervention%20for%20the%20management%20of%20hypertension&rft.jtitle=PloS%20one&rft.au=Bradbury,%20Katherine&rft.date=2018-05-03&rft.volume=13&rft.issue=5&rft.spage=e0196868&rft.epage=e0196868&rft.pages=e0196868-e0196868&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0196868&rft_dat=%3Cgale_plos_%3EA537218308%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2034346465&rft_id=info:pmid/29723262&rft_galeid=A537218308&rft_doaj_id=oai_doaj_org_article_e0f90611a77f4979a812537e5efcb084&rfr_iscdi=true |