Using intervention mapping to design a self-management programme for older people with chronic conditions

Area of Science:

• Gerontology
• Health Psychology
• Community Health Programs

Background:

• Self-management programs are crucial for individuals with chronic illnesses.
• Older adults with long-term multimorbidity face complex health challenges requiring integrated support.
• Psychological distress is common in chronic illness management.

Purpose of the Study:

• To describe the development of a community-based self-management program.
• To integrate a transdiagnostic approach with mindfulness for enhanced psychological coping.
• To target older adults experiencing long-term multimorbidity.

Main Methods:

• Utilized the six steps of intervention mapping (IM) for systematic program development.
• Incorporated Bandura's social cognitive theory to guide delivery methods and strategies.
• Conducted needs assessments to formulate program objectives and inform design.

Main Results:

• The program addresses transdiagnostic dimensions like fatigue, pain, and sleep disturbances.
• Mindfulness is employed to improve coping and reduce psychological distress.
• Feasibility and pilot studies informed the program's conceptualization and refinement.

Conclusions:

• Intervention mapping provided a robust framework for evidence-based program design.
• The program demonstrates clear links between behavioral goals and design elements for desired outcomes.
• This approach offers a structured method for developing effective self-management interventions for complex patient groups.