Using Intervention Mapping in the Systematic Development of a Behavior Change Intervention to Enhance Exercise Adherence among People with Persistent Musculoskeletal Pain

TY - JOUR

T1 - Using Intervention Mapping in the Systematic Development of a Behavior Change Intervention to Enhance Exercise Adherence among People with Persistent Musculoskeletal Pain

AU - Meade, Laura

AU - Bearne, Lindsay

AU - Godfrey, Emma

N1 - Publisher Copyright: © 2022, University of Toronto Press. All rights reserved.

PY - 2022/5

Y1 - 2022/5

N2 - Purpose: This article describes the first four steps of the intervention mapping framework used to design a programme aimed at increasing adherence to prescribed exercise by people with persistent musculoskeletal pain. Method: In Step 1, a systematic review and qualitative study was completed to inform Step 2 and the identification of the Health Action Process Approach as an appropriate theoretical framework for establishing two programme objectives: enhancing self-management and providing tailored and accessible exercise instructions. Step 3 encompassed the selection of the programme methods, and the programme is described in Step 4. The resulting programme provides virtually delivered motivational interviewing and an app-based exercise programme to support individuals’ adherence to exercise. Results: The resulting intervention was assessed in a proof-of-concept feasibility and acceptability study and was shown to be feasible and acceptable. Refinements to the programme included additional tailoring of the exercise app and modifying the motivational interviewing schedule. Conclusions: Using the intervention mapping approach enabled us to successfully develop an intervention aimed at supporting the development of self-management behaviours and addressing maladaptive beliefs as a means of enhancing individuals’ adherence to exercise. Evaluation and implementation of the intervention should now be carried out.

AB - Purpose: This article describes the first four steps of the intervention mapping framework used to design a programme aimed at increasing adherence to prescribed exercise by people with persistent musculoskeletal pain. Method: In Step 1, a systematic review and qualitative study was completed to inform Step 2 and the identification of the Health Action Process Approach as an appropriate theoretical framework for establishing two programme objectives: enhancing self-management and providing tailored and accessible exercise instructions. Step 3 encompassed the selection of the programme methods, and the programme is described in Step 4. The resulting programme provides virtually delivered motivational interviewing and an app-based exercise programme to support individuals’ adherence to exercise. Results: The resulting intervention was assessed in a proof-of-concept feasibility and acceptability study and was shown to be feasible and acceptable. Refinements to the programme included additional tailoring of the exercise app and modifying the motivational interviewing schedule. Conclusions: Using the intervention mapping approach enabled us to successfully develop an intervention aimed at supporting the development of self-management behaviours and addressing maladaptive beliefs as a means of enhancing individuals’ adherence to exercise. Evaluation and implementation of the intervention should now be carried out.

KW - exercise

KW - intervention development

KW - musculoskeletal pain

KW - patient compliance

UR - http://www.scopus.com/inward/record.url?scp=85129805774&partnerID=8YFLogxK

U2 - 10.3138/ptc-2020-0083

DO - 10.3138/ptc-2020-0083

M3 - Article

AN - SCOPUS:85129805774

SN - 0300-0508

VL - 74

SP - 216

EP - 223

JO - PHYSIOTHERAPY CANADA

JF - PHYSIOTHERAPY CANADA

IS - 2

M1 - 10.3138/ptc-2020-0083

ER -