The systematic development of a complex intervention: HealthMap, an online self-management support program for people with HIV

Millard, Tanya, Dodson, Sarity, McDonald, Karalyn, Klassen, Karen M, Osborne, Richard H, Battersby, Malcolm W, Fairley, Christopher K and Elliott, Julian H 2018, The systematic development of a complex intervention: HealthMap, an online self-management support program for people with HIV, BMC infectious diseases, vol. 18, pp. 1-10, doi: 10.1186/s12879-018-3518-6.

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Title The systematic development of a complex intervention: HealthMap, an online self-management support program for people with HIV
Author(s) Millard, Tanya
Dodson, Sarity
McDonald, Karalyn
Klassen, Karen M
Osborne, Richard HORCID iD for Osborne, Richard H orcid.org/0000-0002-9081-2699
Battersby, Malcolm W
Fairley, Christopher K
Elliott, Julian H
Journal name BMC infectious diseases
Volume number 18
Article ID 615
Start page 1
End page 10
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2018-12-04
ISSN 1471-2334
Keyword(s) Australia
Behaviour change
Complex intervention
HIV
Health education
Implementation research
Self-management
Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
Summary BACKGROUND: Despite persistent calls for HIV care to adopt a chronic care approach, few HIV treatment services have been able to establish service arrangements that prioritise self-management. To prevent cardiovascular and other chronic disease outcomes, the HealthMap program aims to enhance routine HIV care with opportunities for self-management support. This paper outlines the systematic process that was used to design and develop the HealthMap program, prior to its evaluation in a cluster-randomised trial. METHODS: Program development, planning and evaluation was informed by the PRECEDE-PROCOEDE Model and an Intervention Mapping approach and involved four steps: (1) a multifaceted needs assessment; (2) the identification of intervention priorities; (3) exploration and identification of the antecedents and reinforcing factors required to initiate and sustain desired change of risk behaviours; and finally (4) the development of intervention goals, strategies and methods and integrating them into a comprehensive description of the intervention components. RESULTS: The logic model incorporated the program's guiding principles, program elements, hypothesised causal processes, and intended program outcomes. Grounding the development of HealthMap on a clear conceptual base, informed by the research literature and stakeholder's perspectives, has ensured that the HealthMap program is targeted, relevant, provides transparency, and enables effective program evaluation. CONCLUSIONS: The use of a systematic process for intervention development facilitated the development of an intervention that is patient centred, accessible, and focuses on the key determinants of health-related outcomes for people with HIV in Australia. The techniques used here may offer a useful methodology for those involved in the development and implementation of complex interventions.
Language eng
DOI 10.1186/s12879-018-3518-6
Field of Research 0605 Microbiology
1103 Clinical Sciences
1108 Medical Microbiology
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Author(s)
Persistent URL http://hdl.handle.net/10536/DRO/DU:30117441

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