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Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy

Becky Band Orcid Logo, Lisa Hinton Orcid Logo, Katherine L. Tucker, Lucy C. Chappell, Carole Crawford, Marloes Franssen, Sheila Greenfield, James Hodgkinson, Christine McCourt, Richard J. McManus, Jane Sandall, Mauro Dala Santos, Carmelo Velardo, Lucy Yardley

Pilot and Feasibility Studies, Volume: 5, Issue: 1

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1186/s40814-019-0537-z

Abstract

BackgroundHypertensive disorders in pregnancy, particularly pre-eclampsia, pose a substantial health risk for both maternal and foetal outcomes. The BUMP (Blood Pressure Self-Monitoring in Pregnancy) interventions are being tested in a trial. They aim to facilitate the early detection of raised bloo...

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Published in: Pilot and Feasibility Studies
ISSN: 2055-5784
Published: Springer Science and Business Media LLC 2019
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URI: https://cronfa.swan.ac.uk/Record/cronfa67031
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Abstract: BackgroundHypertensive disorders in pregnancy, particularly pre-eclampsia, pose a substantial health risk for both maternal and foetal outcomes. The BUMP (Blood Pressure Self-Monitoring in Pregnancy) interventions are being tested in a trial. They aim to facilitate the early detection of raised blood pressure through self-monitoring. This article outlines how the self-monitoring interventions in the BUMP trial were developed and modified using the person-based approach to promote engagement and adherence.MethodsKey behavioural challenges associated with blood pressure self-monitoring in pregnancy were identified through synthesising qualitative pilot data and existing evidence, which informed guiding principles for the development process. Social cognitive theory was identified as an appropriate theoretical framework. A testable logic model was developed to illustrate the hypothesised processes of change associated with the intervention. Iterative qualitative feedback from women and staff informed modifications to the participant materials.ResultsThe evidence synthesis suggested women face challenges integrating self-monitoring into their lives and that adherence is challenging at certain time points in pregnancy (for example, starting maternity leave). Intervention modification included strategies to address adherence but also focussed on modifying outcome expectancies, by providing messages explaining pre-eclampsia and outlining the potential benefits of self-monitoring.ConclusionsWith an in-depth understanding of the target population, several methods and approaches to plan and develop interventions specifically relevant to pregnant women were successfully integrated, to address barriers to behaviour change while ensuring they are easy to engage with, persuasive and acceptable.
Keywords: Hypertension, Pregnancy, Pre-eclampsia, Digital intervention, Intervention planning, Person-based approach
College: Faculty of Medicine, Health and Life Sciences
Funders: This study was funded by the National Institute for Health Research (NIHR), Programme Grant for Applied Health Research grant number RP-PG-061420005. RM and KT receive funding from the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care Oxford at Oxford Health NHS Foundation Trust. LH is supported by the NIHR Oxford Biomedical Research Centre (BRC), grant BRC-1215-20008 to the Oxford University Hospitals NHS Foundation Trust and the University of Oxford. RB is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care Wessex. JS is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London at King’s College Hospital NHS Foundation Trust. MS and CV are funded by the NIHR Oxford BRC.
Issue: 1

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