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Related Experiment Video

Updated: Jul 22, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Using Intervention Mapping and Behavior Change Techniques to Develop a Digital Intervention for Self-Management in

Alex W K Wong1,2,3, Mandy W M Fong2, Elizabeth G S Munsell1,4

  • 1Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, United States.

JMIR Human Factors
|July 24, 2023
PubMed
Summary

This study details the creation of a digital self-management tool for stroke survivors using intervention mapping and behavior change techniques. The developed intervention, iSMART, is acceptable, appropriate, and feasible for improving daily life participation.

Keywords:
SMS text messagingbehavior changedigital interventionintervention mappingmobile healthmobile phonerehabilitationself-managementstroketechnology

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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.