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From theory to practice: insights into intervention development of the NON-STOP app for children with Perthes'
Adam M Galloway1,2, Anna M Anderson1,3, Emma Casimir4
1University of Leeds, Leeds, UK.
Insights
Developing healthcare interventions requires strong theory for better engagement and effectiveness. This study guides complex intervention development using a digital tool for children with Perthes' disease.
Area of Science:
- Healthcare Intervention Development
- Digital Health Tools
- Pediatric Orthopaedics
Background:
- Healthcare interventions often lack theoretical grounding, impacting engagement and effectiveness.
- Complex interventions require structured development approaches.
- Digital self-management tools offer potential for pediatric chronic condition management.
Purpose of the Study:
- To provide practical guidance on developing complex healthcare interventions.
- To illustrate the development process using a digital tool for pediatric Perthes' disease.
- To share lessons learned for future intervention development.
Main Methods:
- Application of the Medical Research Council (MRC) framework for complex interventions.
- Integration of psychological theory to inform intervention design.
- Inclusion of stakeholder engagement throughout the development process.
Main Results:
- A digital self-management tool, the Non-Surgical Treatment of Perthes' (NON-STOP) app, was developed for children with Perthes' disease.
- The development process highlighted the importance of theoretical basis, psychological principles, and stakeholder input.
- Practical considerations and lessons learned were identified for developing similar interventions.
Conclusions:
- A structured approach, integrating theory and stakeholder input, is crucial for effective complex intervention development.
- The NON-STOP app exemplifies a theoretically-informed digital intervention for pediatric orthopaedic conditions.
- Findings offer actionable insights for clinicians and researchers in developing future healthcare interventions.
Abstract:
The development of interventions in healthcare often lacks a robust theoretical basis, which may contribute to suboptimal engagement and effectiveness. This paper provides insights into and practical guidance on the development of complex interventions in healthcare, using the example of a digital self-management tool for children with Perthes' disease, called the Non-Surgical Treatment of Perthes' (NON-STOP) app. We applied the Medical Research Council framework, used psychological theory, and integrated stakeholder engagement to develop the intervention. The lessons learned and considerations for the developments of other complex interventions provide practical actions for clinicians and researchers in orthopaedics.
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