Application of Intervention Mapping to the Development of a Complex Physical Therapist Intervention.

Abstract:

BACKGROUND:Physical therapist interventions, such as those designed to change physical activity behavior, are often complex and multifaceted. In order to facilitate rigorous evaluation and implementation of these complex interventions into clinical practice, the development process must be comprehensive, systematic, and transparent, with a sound theoretical basis. Intervention Mapping is designed to guide an iterative and problem-focused approach to the development of complex interventions. PURPOSE:The purpose of this case report is to demonstrate the application of an Intervention Mapping approach to the development of a complex physical therapist intervention, a remote self-management program aimed at increasing physical activity after acquired brain injury. CASE DESCRIPTION:Intervention Mapping consists of 6 steps to guide the development of complex interventions: (1) needs assessment; (2) identification of outcomes, performance objectives, and change objectives; (3) selection of theory-based intervention methods and practical applications; (4) organization of methods and applications into an intervention program; (5) creation of an implementation plan; and (6) generation of an evaluation plan. The rationale and detailed description of this process are presented using an example of the development of a novel and complex physical therapist intervention, myMoves-a program designed to help individuals with an acquired brain injury to change their physical activity behavior. CONCLUSION:The Intervention Mapping framework may be useful in the development of complex physical therapist interventions, ensuring the development is comprehensive, systematic, and thorough, with a sound theoretical basis. This process facilitates translation into clinical practice and allows for greater confidence and transparency when the program efficacy is investigated.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Jones TM,Dear BF,Hush JM,Titov N,Dean CM

doi

10.2522/ptj.20150387

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1994-2004

issue

12

eissn

0031-9023

issn

1538-6724

pii

ptj.20150387

journal_volume

96

pub_type

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