Using Intervention Mapping and Behavior Change Techniques to Develop a Digital Intervention for Self-Management in...

Area of Science:

• Implementation Science
• Digital Health Interventions
• Rehabilitation Technology

Background:

• Digital therapeutics offer promise for chronic condition self-management.
• Evidence for technology-based self-management in stroke is limited, with poorly described development processes.

Purpose of the Study:

• To demonstrate the application of Intervention Mapping (IM) and the taxonomy of Behavior Change Techniques (BCTs) in designing a digital self-management intervention for post-stroke individuals.
• To develop an intervention supporting chronic symptom management and daily life participation.

Main Methods:

• Utilized the first four steps of the IM process to adapt a face-to-face psychoeducation program into a digital intervention (iSMART).
• Involved planning group members in intervention adaptation and assessed iSMART's acceptability, appropriateness, and feasibility.

Main Results:

• Needs assessment identified key post-stroke needs including symptom management and cognitive enhancement.
• The digital intervention (iSMART) was developed incorporating BCTs, SMS text messaging, and behavioral coaching.
• iSMART demonstrated high acceptability (4.63/5), appropriateness (4.63/5), and feasibility (4.58/5).

Conclusions:

• Intervention Mapping and BCT taxonomy provide a structured approach for developing digital self-management interventions for stroke survivors.
• The developed digital intervention (iSMART) is a viable tool for supporting chronic symptom management and promoting active participation in daily life.