A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children
-
Published:2020-11-02
Issue:1
Volume:20
Page:
-
ISSN:1471-2288
-
Container-title:BMC Medical Research Methodology
-
language:en
-
Short-container-title:BMC Med Res Methodol
Author:
Lakhanpaul Monica,Culley Lorraine,Robertson Noelle,Alexander Emma C.,Bird Deborah,Hudson Nicky,Johal Narynder,McFeeters Melanie,Hamlyn-Williams Charlotte,Manikam Logan,Boo Yebeen Ysabelle,Lakhanpaul Maya,Johnson Mark R. D.
Abstract
Abstract
Background
To describe how using a combined approach of community-based participatory research and intervention mapping principles could inform the development of a tailored complex intervention to improve management of asthma for South Asian (SA) children; Management and Interventions for Asthma (MIA) study.
Methods
A qualitative study using interviews, focus groups, workshops, and modified intervention mapping procedures to develop an intervention planning framework in an urban community setting in Leicester, UK. The modified form of intervention mapping (IM) included: systematic evidence synthesis; community study; families and healthcare professionals study; and development of potential collaborative intervention strategies. Participants in the community study were 63 SA community members and 12 key informants; in-depth semi-structured interviews involved 30 SA families, 14 White British (WB) families and 37 Healthcare Professionals (HCPs) treating SA children living with asthma; prioritisation workshops involved 145 SA, 6 WB and 37 HCP participants; 30 participants in finalisation workshops.
Results
Two key principles were utilised throughout the development of the intervention; community-based participatory research (CBPR) principles and intervention mapping (IM) procedures. The CBPR approach allowed close engagement with stakeholders and generated valuable knowledge to inform intervention development. It accounted for diverse perceptions and experiences with regard to asthma and recognised the priorities of patients and their families/caregivers for service improvement. The ‘ACT on Asthma’ programme was devised, comprising four arms of an intervention strategy: education and training, clinical support, advice centre and raising awareness, to be co-ordinated by a central team.
Conclusions
The modified IM principles utilised in this study were systematic and informed by theory. The combined IM and participatory approach could be considered when tailoring interventions for other clinical problems within diverse communities. The IM approach to intervention development was however resource intensive. Working in meaningful collaboration with minority communities requires specific resources and a culturally competent methodology.
Funder
National Institute for Health Research, Health Services and Delivery Research
Publisher
Springer Science and Business Media LLC
Subject
Health Informatics,Epidemiology
Reference87 articles.
1. The Nuffield Trust, International comparisons of health and wellbeing in adolescence and early adulthood. 2019.
2. Erickson S. Effect of race on asthma management and outcomes in a large, integrated managed care organisation. Arch Intern Med. 2007;167(17):1846–52.
3. Department of Health. Tackling Health Inequalities: a Programme for Action. London: Department of Health Publications; 2003.
4. Department of Health. Better health, better care and better value for all: equality objectives action plan September 2012–December 2013. London: Department of Health; 2012.
5. Smedley BD, Stith AY, Nelson AR. Unequal treatment: confronting racial and ethnic disparities in health care. Washington DC: National Academy Press; 2002.
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献