Application of the IDEAS Framework in Adapting a Web-Based Physical Activity Intervention for Young Adult College Students
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Abstract:
User-centered developmental processes are critical to ensuring acceptability of e-health behavioral interventions, and yet physical activity research continues to be inundated with top-down developmental approaches. The IDEAS (Integrate, Design, Assess, and Share) framework outlines a user-centered process for development of e-health interventions. The purpose of this manuscript is to describe the application of the IDEAS framework in adapting a web-based physical activity intervention for young adult college students. Steps 1-3 emphasized integrating insights from users and theory and Steps 4-7 focused on iterative and rapid design with user feedback. Data were collected via repeat qualitative interviews with young adult college students (N = 7). Resulting qualitative metathemes were engagement, accountability, and cultural fit. Therefore, intervention modifications focused on strategies to foster ongoing engagement with the program (e.g., increase interactivity), support personal and social accountability (e.g., private social media group), and provide a cultural fit within the college lifestyle (e.g., images relevant to student life). The resulting web-based intervention included eight weekly lessons, an expanded resource library, "how-to" videos, step and goal trackers, and a private social media group to be led by a wellness coach. In conclusion, the IDEAS framework guided an efficient, user-centered adaptation process that integrated empirical evidence and behavior change theory with user preferences and feedback. Furthermore, the process allowed us to address barriers to acceptability during the design and build stages rather than at later stages of pilot and efficacy testing.Keywords:
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Workers’ health surveillance (WHS) is an important preventive activity aimed at prevention of work-related diseases. However, WHS is not regularly implemented in some EU-countries. As occupational physicians (OPs) have to play an important role in implementation of WHS, this study aimed to develop an intervention to support OPs in implementation of WHS. The behavior change wheel framework (BCW) was used to develop the intervention. First, the problem was defined, and target behavior was selected by using results from a survey study among OPs. Subsequently, change objectives in target behavior were specified. Finally, appropriate intervention functions, behavior change techniques, and modes of delivery were identified to develop the intervention. Target behaviors were (1) OPs initiate WHS, and (2) OPs conduct preventive consultations with workers. OPs’ capabilities, and experienced opportunities were identified as change objectives. Intervention functions (education, training, enablement) and behavior change techniques (information about consequences, demonstration, instructions, behavioral practice, feedback on behavior, goal setting, action planning, reviewing goals) were selected to develop the intervention, delivered by face-to-face group training and e-learning. The proposed intervention consists of training and e-learning to support OPs in implementing WHS. Feasibility and effect of the intervention will be evaluated in future studies.
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The purpose of this study was to apply the Intervention Mapping approach as a framework in the development of a worksite intervention to improve the work ability of construction workers.Development of an intervention by using the Intervention Mapping approach.Construction worksite.Construction workers aged 45 years and older.According to the principles of Intervention Mapping, evidence from the literature was combined with data collected from stakeholders (e.g., construction workers, managers, providers).The Intervention Mapping approach resulted in an intervention with the following components: (1) two individual visits of a physical therapist to lower the physical workload, (2) a Rest-Break tool to improve the balance between work and recovery, and (3) two empowerment training sessions to increase the range of influence at the worksite.Application of Intervention Mapping in the development of a worksite prevention program was useful in the construction industry to obtain a positive attitude and commitment. Stakeholders could give input regarding the program components as well as provide specific leads for the practical intervention strategy. Moreover, it also gives insight in the current theoretical and empirical knowledge in the field of improving the work ability of older workers in the construction industry.
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Objectives: This paper aims to compare the intervention development steps of the revised PRECEDE-PROCEED model and the Intervention Mapping model. Methods: Concepts and structure of the intervention development step of each model are reviewed with examples. Results: The revised PRECEDE-PROCEED model and the Intervention Mapping model share characteristics in intervention development in employing PRECEDE assessments, applying a social ecological framework and behavior theories for intervention building, emphasizing multi-interventions at multiple levels, and involving stakeholders and existing resources in intervention development. A detailed explanation of the intervention alignment and matrix building is provided with illustration of examples. Conclusion: Intervention development should not be done compartmentally but in line with other steps in a planning model to sustain the program logic. For successful application of planning models for intervention development, solid understanding of the models and behavior theories are required. Multisectoral collaboration is also critical for the successful application.
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Introduction: In promoting positive behavior changes in adolescents, behavior change intervention is a crucial factor that requires attention. The aim is to develop an evidence-based social cognitive theory intervention. This paper details the intervention development, which is part of the broader NCD prevention program, targeting adolescents and motivating them to adopt healthy lifestyles. Methods: Intervention mapping is a systematic approach to developing health promotion programs and has six steps. (1) To assess the need, (2) to specify objectives and outcomes, (3) to design programs, (4) to develop intervention, (5) to plan an intervention implementation, and (6) to evaluate. Stakeholders were engaged actively to improve program feasibility. The needs assessment identified barriers to healthy lifestyle practices among adolescents. Results: Identified barriers among school management and teachers were lack of awareness, noncompliance to regular dietary practices and physical activities, time constraints, lack of motivation, space for physical activities, and guidance for healthy food choices. Interventions components were designed based on the social cognitive theory to address these barriers, involving role models and peer leaders, and providing tailored health information and activities. Conclusion: The intervention aims to motivate adolescents to adopt healthy lifestyles and promote peer support.
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This article describes the development of a peer-led home-based intervention to increase fruit and vegetable (FV) intake and family interaction among fourth graders and their families. Hi5+ intervention content and delivery strategies were developed using two complementary processes: cognitive mapping (CM), a consumerbased approach to identifying salient issues, and intervention mapping (IM), a comprehensive planning model. Step 1 involved creating plans to guide the design, implementation, and evaluation of Hi5+. We delineated our performance objectives and then prioritized those determinants we felt were most salient and changeable. Step 2 involved selecting and utilizing cognitive and behavioral theory constructs to develop intervention methods and strategies. Step 3 involved designing and pilot testing the instructional materials and other intervention components. Step 4 entailed developing plans for program adoption and implementation, while the final step (Step 5) involved creating a comprehensive evaluation plan. Implications of this multistep approach to intervention development are discussed.
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This study used the Intervention Mapping protocol to design an evidence-based intervention package for organizers of active charity events to support their participants in remaining or becoming regular exercisers. A mixed-methods approach following the Intervention Mapping protocol was used to develop intervention components. A needs assessment was initially performed to identify the behavioural and environmental determinants of exercise for charity event participants (Step 1). Next, the intended intervention outcomes, and performance and change objectives were specified (Step 2). Theory-based change methods were selected and matched with practical strategies (Step 3). This resulted in the design of the first iteration of the intervention which underwent pre-testing with former event participants and feasibility testing at an active charity event (Step 4). The evidence-based interventions included components to implement at events (e.g. an activity and information zone, and exercise planner), along with elements pre- and post-event (e.g. social media). Pre-testing indicated high acceptability of the planned components, but feasibility testing suggested low engagement with the intervention. Despite developing the intervention package through the systematic process of Intervention Mapping, preliminary data suggest that further development and testing is needed to refine the intervention before implementation.
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Objectives: This paper aims to compare the intervention development steps of the revised PRECEDE-PROCEED model and the Intervention Mapping model. Methods: Concepts and structure of the intervention development step of each model are reviewed with examples. Results: The revised PRECEDE-PROCEED model and the Intervention Mapping model share characteristics in intervention development in employing PRECEDE assessments, applying a social ecological framework and behavior theories for intervention building, emphasizing multi-interventions at multiple levels, and involving stakeholders and existing resources in intervention development. A detailed explanation of the intervention alignment and matrix building is provided with illustration of examples. Conclusion: Intervention development should not be done compartmentally but in line with other steps in a planning model to sustain the program logic. For successful application of planning models for intervention development, solid understanding of the models and behavior theories are required. Multisectoral collaboration is also critical for the successful application.
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Background: There is a paucity of knowledge and awareness regarding the variables that act as social barriers to healthy lifestyles and self-care behaviors among hypertension patients in the proposed study population. Hence, the objective of the study was to determine social lifestyle factors acting as barriers to the eleven (11) healthy lifestyle practices amongst individuals with high blood pressure (BP) in communities of the Idoma tribe, Benue State. Methods: A mixed-methods design was used for the study. Questionnaires and focus group discussions were used to elicit information from 1000 respondents. The data were analyzed using descriptive statistics and percentages, while thematic analysis was used for qualitative information. Results: Age, stress, forgetfulness, a lack of support, the high cost of medications, a lack of resources, a lack of self-motivation, a lack of time, social factors, and a fear of social isolation were among the major barriers to adherence to healthy lifestyles. Understanding these barriers is important for nurses to assist patients in overcoming these obstacles by offering focused assistance. Conclusion: The study has revealed social lifestyle barriers to hypertension in these communities.
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The Nyakaza-Move-for-Health intervention program was developed in response to the alarming rise in non-communicable diseases (NCDs) globally, in sub-Saharan Africa and South Africa. The rise in NCDs is attributed to the low levels of participation in physical activity (PA) among adolescents. Therefore, this study aimed to design a culturally tailored PA intervention for adolescents, guided by the Intervention Mapping (IM) protocol. The intervention program aims to address the multifaceted determinants of physical activity behavior, promote healthy lifestyles and improve adolescent fitness levels.
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This article advocates the use of functional behavioral assessments (FBAs) and behavioral intervention plans (BIPs) in the development of individualized family service plans for children with or at risk of developing behavioral disorders. The article reviews literature supporting early intervention and family collaboration. It describes the FBA and BIP processes and proposes a parent collaborative model for behavior assessment and plan implementation. The article also analyzes legal mandates and posits that collaboration with parents in the planning and implementation of FBAs and BIPs can yield positive outcomes for participating children, parents, and early intervention staff.
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