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Using the Person-Based Approach to optimise a digital intervention for the management of hypertension

Katherine Bradbury Orcid Logo, Katherine Morton, Becky Band Orcid Logo, Anne van Woezik, Rebecca Grist, Richard J. McManus, Paul Little, Lucy Yardley

PLOS ONE, Volume: 13, Issue: 5, Start page: e0196868

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1371/journal.pone.0196868

Abstract

BackgroundFor behaviour-change interventions to be successful they must be acceptable to users and overcome barriers to behaviour change. The Person-Based Approach can help to optimise interventions to maximise acceptability and engagement. This article presents a novel, efficient and systematic met...

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Published in: PLOS ONE
ISSN: 1932-6203
Published: Public Library of Science (PLoS) 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa67036
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This article presents a novel, efficient and systematic method that can be used as part of the Person-Based Approach to rapidly analyse data from development studies to inform intervention modifications. We describe how we used this approach to optimise a digital intervention for patients with hypertension (HOME BP), which aims to implement medication and lifestyle changes to optimise blood pressure control.MethodsIn study 1, hypertensive patients (N = 12) each participated in three think-aloud interviews, providing feedback on a prototype of HOME BP. In study 2 patients (N = 11) used HOME BP for three weeks and were then interviewed about their experiences. Studies 1 and 2 were used to identify detailed changes to the intervention content and potential barriers to engagement with HOME BP. In study 3 (N = 7) we interviewed hypertensive patients who were not interested in using an intervention like HOME BP to identify potential barriers to uptake, which informed modifications to our recruitment materials. Analysis in all three studies involved detailed tabulation of patient data and comparison to our modification criteria.ResultsStudies 1 and 2 indicated that the HOME BP procedures were generally viewed as acceptable and feasible, but also highlighted concerns about monitoring blood pressure correctly at home and making medication changes remotely. Patients in study 3 had additional concerns about the safety and security of the intervention. Modifications improved the acceptability of the intervention and recruitment materials.ConclusionsThis paper provides a detailed illustration of how to use the Person-Based Approach to refine a digital intervention for hypertension. 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The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, or the Department of Health.</funders><projectreference/><lastEdited>2024-09-02T13:44:43.9862710</lastEdited><Created>2024-07-09T15:25:07.9416780</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Psychology</level></path><authors><author><firstname>Katherine</firstname><surname>Bradbury</surname><orcid>0000-0001-5513-7571</orcid><order>1</order></author><author><firstname>Katherine</firstname><surname>Morton</surname><order>2</order></author><author><firstname>Becky</firstname><surname>Band</surname><orcid>0000-0001-5403-1708</orcid><order>3</order></author><author><firstname>Anne van</firstname><surname>Woezik</surname><order>4</order></author><author><firstname>Rebecca</firstname><surname>Grist</surname><order>5</order></author><author><firstname>Richard J.</firstname><surname>McManus</surname><order>6</order></author><author><firstname>Paul</firstname><surname>Little</surname><order>7</order></author><author><firstname>Lucy</firstname><surname>Yardley</surname><order>8</order></author></authors><documents><document><filename>67036__31218__830b98727b934199b91c76c198b2159e.pdf</filename><originalFilename>67036.VoR.pdf</originalFilename><uploaded>2024-09-02T13:43:31.3452022</uploaded><type>Output</type><contentLength>775673</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© 2018 Bradbury et al. 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spelling v2 67036 2024-07-09 Using the Person-Based Approach to optimise a digital intervention for the management of hypertension 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC BackgroundFor behaviour-change interventions to be successful they must be acceptable to users and overcome barriers to behaviour change. The Person-Based Approach can help to optimise interventions to maximise acceptability and engagement. This article presents a novel, efficient and systematic method that can be used as part of the Person-Based Approach to rapidly analyse data from development studies to inform intervention modifications. We describe how we used this approach to optimise a digital intervention for patients with hypertension (HOME BP), which aims to implement medication and lifestyle changes to optimise blood pressure control.MethodsIn study 1, hypertensive patients (N = 12) each participated in three think-aloud interviews, providing feedback on a prototype of HOME BP. In study 2 patients (N = 11) used HOME BP for three weeks and were then interviewed about their experiences. Studies 1 and 2 were used to identify detailed changes to the intervention content and potential barriers to engagement with HOME BP. In study 3 (N = 7) we interviewed hypertensive patients who were not interested in using an intervention like HOME BP to identify potential barriers to uptake, which informed modifications to our recruitment materials. Analysis in all three studies involved detailed tabulation of patient data and comparison to our modification criteria.ResultsStudies 1 and 2 indicated that the HOME BP procedures were generally viewed as acceptable and feasible, but also highlighted concerns about monitoring blood pressure correctly at home and making medication changes remotely. Patients in study 3 had additional concerns about the safety and security of the intervention. Modifications improved the acceptability of the intervention and recruitment materials.ConclusionsThis paper provides a detailed illustration of how to use the Person-Based Approach to refine a digital intervention for hypertension. The novel, efficient approach to analysis and criteria for deciding when to implement intervention modifications described here may be useful to others developing interventions. Journal Article PLOS ONE 13 5 e0196868 Public Library of Science (PLoS) 1932-6203 3 5 2018 2018-05-03 10.1371/journal.pone.0196868 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University This independent research was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research Programme (Grant Reference Number RP-PG1211-20001). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, or the Department of Health. 2024-09-02T13:44:43.9862710 2024-07-09T15:25:07.9416780 Faculty of Medicine, Health and Life Sciences School of Psychology Katherine Bradbury 0000-0001-5513-7571 1 Katherine Morton 2 Becky Band 0000-0001-5403-1708 3 Anne van Woezik 4 Rebecca Grist 5 Richard J. McManus 6 Paul Little 7 Lucy Yardley 8 67036__31218__830b98727b934199b91c76c198b2159e.pdf 67036.VoR.pdf 2024-09-02T13:43:31.3452022 Output 775673 application/pdf Version of Record true © 2018 Bradbury et al. This is an open access article distributed under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
spellingShingle Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
Becky Band
title_short Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
title_full Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
title_fullStr Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
title_full_unstemmed Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
title_sort Using the Person-Based Approach to optimise a digital intervention for the management of hypertension
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Katherine Bradbury
Katherine Morton
Becky Band
Anne van Woezik
Rebecca Grist
Richard J. McManus
Paul Little
Lucy Yardley
format Journal article
container_title PLOS ONE
container_volume 13
container_issue 5
container_start_page e0196868
publishDate 2018
institution Swansea University
issn 1932-6203
doi_str_mv 10.1371/journal.pone.0196868
publisher Public Library of Science (PLoS)
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 BackgroundFor behaviour-change interventions to be successful they must be acceptable to users and overcome barriers to behaviour change. The Person-Based Approach can help to optimise interventions to maximise acceptability and engagement. This article presents a novel, efficient and systematic method that can be used as part of the Person-Based Approach to rapidly analyse data from development studies to inform intervention modifications. We describe how we used this approach to optimise a digital intervention for patients with hypertension (HOME BP), which aims to implement medication and lifestyle changes to optimise blood pressure control.MethodsIn study 1, hypertensive patients (N = 12) each participated in three think-aloud interviews, providing feedback on a prototype of HOME BP. In study 2 patients (N = 11) used HOME BP for three weeks and were then interviewed about their experiences. Studies 1 and 2 were used to identify detailed changes to the intervention content and potential barriers to engagement with HOME BP. In study 3 (N = 7) we interviewed hypertensive patients who were not interested in using an intervention like HOME BP to identify potential barriers to uptake, which informed modifications to our recruitment materials. Analysis in all three studies involved detailed tabulation of patient data and comparison to our modification criteria.ResultsStudies 1 and 2 indicated that the HOME BP procedures were generally viewed as acceptable and feasible, but also highlighted concerns about monitoring blood pressure correctly at home and making medication changes remotely. Patients in study 3 had additional concerns about the safety and security of the intervention. Modifications improved the acceptability of the intervention and recruitment materials.ConclusionsThis paper provides a detailed illustration of how to use the Person-Based Approach to refine a digital intervention for hypertension. The novel, efficient approach to analysis and criteria for deciding when to implement intervention modifications described here may be useful to others developing interventions.
published_date 2018-05-03T13:44:42Z
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