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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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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.</abstract><type>Journal Article</type><journal>Pilot and Feasibility Studies</journal><volume>5</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2055-5784</issnElectronic><keywords>Hypertension, Pregnancy, Pre-eclampsia, Digital intervention, Intervention planning, Person-based approach</keywords><publishedDay>20</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2019</publishedYear><publishedDate>2019-12-20</publishedDate><doi>10.1186/s40814-019-0537-z</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm/><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.</funders><projectreference/><lastEdited>2024-09-02T14:30:26.5370652</lastEdited><Created>2024-07-09T15:23:50.7697804</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Psychology</level></path><authors><author><firstname>Becky</firstname><surname>Band</surname><orcid>0000-0001-5403-1708</orcid><order>1</order></author><author><firstname>Lisa</firstname><surname>Hinton</surname><orcid>0000-0002-6082-3151</orcid><order>2</order></author><author><firstname>Katherine L.</firstname><surname>Tucker</surname><order>3</order></author><author><firstname>Lucy C.</firstname><surname>Chappell</surname><order>4</order></author><author><firstname>Carole</firstname><surname>Crawford</surname><order>5</order></author><author><firstname>Marloes</firstname><surname>Franssen</surname><order>6</order></author><author><firstname>Sheila</firstname><surname>Greenfield</surname><order>7</order></author><author><firstname>James</firstname><surname>Hodgkinson</surname><order>8</order></author><author><firstname>Christine</firstname><surname>McCourt</surname><order>9</order></author><author><firstname>Richard J.</firstname><surname>McManus</surname><order>10</order></author><author><firstname>Jane</firstname><surname>Sandall</surname><order>11</order></author><author><firstname>Mauro Dala</firstname><surname>Santos</surname><order>12</order></author><author><firstname>Carmelo</firstname><surname>Velardo</surname><order>13</order></author><author><firstname>Lucy</firstname><surname>Yardley</surname><order>14</order></author></authors><documents><document><filename>67031__31223__375a10dc30cb44638ba81bacda013606.pdf</filename><originalFilename>67031.VoR.pdf</originalFilename><uploaded>2024-09-02T14:29:11.6312519</uploaded><type>Output</type><contentLength>2213627</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© The Author(s) 2019. 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spelling v2 67031 2024-07-09 Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC 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. Journal Article Pilot and Feasibility Studies 5 1 Springer Science and Business Media LLC 2055-5784 Hypertension, Pregnancy, Pre-eclampsia, Digital intervention, Intervention planning, Person-based approach 20 12 2019 2019-12-20 10.1186/s40814-019-0537-z COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University 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. 2024-09-02T14:30:26.5370652 2024-07-09T15:23:50.7697804 Faculty of Medicine, Health and Life Sciences School of Psychology Becky Band 0000-0001-5403-1708 1 Lisa Hinton 0000-0002-6082-3151 2 Katherine L. Tucker 3 Lucy C. Chappell 4 Carole Crawford 5 Marloes Franssen 6 Sheila Greenfield 7 James Hodgkinson 8 Christine McCourt 9 Richard J. McManus 10 Jane Sandall 11 Mauro Dala Santos 12 Carmelo Velardo 13 Lucy Yardley 14 67031__31223__375a10dc30cb44638ba81bacda013606.pdf 67031.VoR.pdf 2024-09-02T14:29:11.6312519 Output 2213627 application/pdf Version of Record true © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy
spellingShingle Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy
Becky Band
title_short Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy
title_full Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy
title_fullStr Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy
title_full_unstemmed Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy
title_sort Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Becky Band
Lisa Hinton
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
format Journal article
container_title Pilot and Feasibility Studies
container_volume 5
container_issue 1
publishDate 2019
institution Swansea University
issn 2055-5784
doi_str_mv 10.1186/s40814-019-0537-z
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description 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.
published_date 2019-12-20T14:30:25Z
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score 11.030209

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