Using intervention mapping to develop and facilitate implementation of a multifaceted behavioural intervention...

Area of Science:

• Stroke rehabilitation
• Behavioral science
• Public health

Background:

• Stroke survivors often have low physical activity levels and high sedentary behavior, impacting recovery.
• Improved physical activity offers significant benefits for stroke survivors' function and well-being.
• Current physical activity engagement is below recommended levels for this population.

Purpose of the Study:

• To develop a multifaceted behavioral intervention targeting physical activity and sedentary behavior in stroke survivors.
• To create an accompanying implementation plan for the intervention.
• To design a protocol for evaluating the intervention's feasibility.

Main Methods:

• Intervention Mapping framework guided the development process.
• Systematic review, focus groups with survivors and healthcare professionals (HCPs), and pathway reviews informed intervention design.
• Behavior change techniques (BCTs) were selected based on social cognitive determinants.

Main Results:

• Nine 'promising' BCTs, including problem-solving, were identified and incorporated.
• Focus groups highlighted the need for a tailored, pathway-integrated intervention with HCP training.
• Feasibility assessments identified needs for improved self-monitoring tools and a local service repository.

Conclusions:

• A systematic, evidence- and theory-informed intervention (Physical Activity Routines After Stroke - PARAS) was developed.
• The intervention is designed for delivery by community stroke rehabilitation teams.
• A feasibility study protocol was created to evaluate the intervention.