Using intervention mapping to develop an outpatient nursing nutritional intervention to improve nutritional status in undernourished patients planned for surgery

Noort, Harm H J van; Heinen, Maud; Asseldonk, Martien van; Ettema, Roelof; Vermeulen, Hester; Waal, Getty Huisman–de

doi:10.1186/s12913-020-4964-6

Cited by 8 publications

(12 citation statements)

References 58 publications

(91 reference statements)

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“…In step 1, the needs assessments showed that in addition to patients, healthcare professionals and relatives were also important target groups to address in the intervention. Nutrition is described as a core area of nursing care [51], which contrasts with the insufficient delivery of nutritional care that we identified, and which is also reported in several other studies [19,32]. In alignment with Noort et al, who developed a nutritional intervention for an anesthesia outpatient clinic [19], we developed a program for education and training for nursing staff to ensure intervention delivery.…”

Section: Discussionmentioning

confidence: 73%

“…Nutrition is described as a core area of nursing care [51], which contrasts with the insufficient delivery of nutritional care that we identified, and which is also reported in several other studies [19,32]. In alignment with Noort et al, who developed a nutritional intervention for an anesthesia outpatient clinic [19], we developed a program for education and training for nursing staff to ensure intervention delivery. The logic models (steps 1 and 2) emphasized that in addition to the nutrition perspective, it was important to enhance nursing staff 's knowledge, skills, and attitudes regarding patient involvement.…”

Section: Discussionmentioning

confidence: 73%

“…The IM framework is inspired by the discipline of health education, which is important for our study as it involved the development of an educative intervention. Use of IM is a time-consuming process, as has been reported in other studies [ 19 ]. However, we argue that IM facilitates a stepwise systematic approach that enhances the possibility of designing and developing a complex intervention, taking the complexity of the local context and its end users into account.…”

Section: Discussionmentioning

confidence: 88%

“…IM has been widely used to develop health promotion interventions, including in hospital settings [17,18]. Positive findings have been reported by other authors who have used IM to develop behavioral nutrition interventions [19,20] and in studies developing eHealth interventions [21,22]. IM is based on a social ecological approach that guides the program planner to understand the intervention as part of a system in which individuals and environmental factors are interrelated, and must therefore be addressed when developing interventions.…”

Section: Introductionmentioning

confidence: 99%

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Theory-driven development of an educative nutritional intervention (ENI) supporting older hospital patients to eat sufficiently, assisted by an eHealth solution: an intervention mapping approach

Terp

Lindhardt

Kayser

2022

BMC Health Serv Res

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Background: Insufficient protein and energy intake is a prevalent and serious problem in older hospital patients. Here, we describe the development of a program consisting of 1) an educative nutritional intervention (ENI) to support older hospital patients to participate in their own nutritional care using the eHealth solution Food’n’Go, and 2) a plan for education and support of healthcare professionals, enabling them to conduct the ENI. Further, we describe the evaluation of the acceptability of the program as perceived by nursing staff and dieticians. Methods: The Intervention Mapping (IM) framework was used to design and develop the ENI through six steps: 1) a logic model of the problem was developed; 2) performance objectives and related change objectives were defined for patients, relatives, and healthcare professionals; 3) the intervention was designed using relevant theory-based change methods; 4) program materials were produced; and finally, 5) implementation and maintenance were planned and 6) evaluation of the program was planned. End users (patients, relatives, and healthcare professionals) were involved in the design and development of the ENI. Results: Based on the logic model, the personal determinants (knowledge, skills, self-efficacy, outcome expectation, social support, attitude, and awareness) related to the patients and their relatives were addressed in the ENI, and those related to the healthcare professionals were addressed in the plan for their education and support. Theories of behavioral change, technology acceptance, and nutritional management for older persons were applied. A plan for evaluation of the effectiveness (intake of energy and protein) and feasibility of the ENI was conducted. The feasibility measurements were the behaviors and determinants related to the intervention outcome that were identified in the logic model of change. The ENI was perceived as acceptable by the nursing staff and dieticians. Conclusion: We developed a theory- and evidence-based intervention guided by the IM framework and a sociotechnical approach, which was perceived as acceptable and ready for use to support older hospital patients to eat sufficiently assisted by eHealth.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Theory-driven development of an educative nutritional intervention (ENI) supporting older hospital patients to eat sufficiently, assisted by an eHealth solution: an intervention mapping approach

Terp

Lindhardt

Kayser

2022

BMC Health Serv Res

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“…Generally physical exercise is a crucial factor in multidisciplinary cancer care [25]. But the implementation of a nutritional and psychological intervention into a prehabilitation program may impact clinical outcomes [26][27][28]. Multimodal prehabilitation can include a broad spectrum of interventions like: general conditioning exercises, targeted exercises, nutritional interventions, psychological interventions, smoking cessation, and education [18].…”

Section: Types Of Prehabilitationmentioning

confidence: 99%

Prehabilitation as an extra approach to usual care for cancer patients

Rucińska

Osowiecka

2022

Nowotwory. Journal of Oncology

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Prehabilitation seems to be an important issue in oncology. The main purpose of prehabilitation is to improve a patient's physical and psychological condition at the beginning of and during cancer treatment. Prehabilitation also reduces the risk of potential complications, average length of stay at hospital, stress and risk of depression, and improves quality of life. Prehabilitation activities should be individualized. Multimodal prehabilitation is more recommended and it can include a spectrum of interventions like: general conditioning exercise, targeted exercise, nutritional interventions, psychological interventions, smoking cessation and education. There is a lack of clinical trials concerning prehabilitation. Therefore new studies are still needed to standardize protocols for different types of cancer and clinical situations, and to estimate the efficacy of prehabilitation programs.

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Systematic adaptation of the adherence improving self‐management strategy to support breast cancer survivors' adherence to adjuvant endocrine therapy: An intervention mapping approach

Janssen¹,

Dam²,

Prins³

et al. 2022

European J Cancer Care

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Objective Non‐adherence to adjuvant endocrine therapy (AET) for breast cancer leads to increased recurrence and mortality risk and healthcare costs. Evidence on feasible, effective AET adherence interventions is scarce. This paper describes the systematic adaptation of the cost‐effective adherence improving self‐management strategy (AIMS) for patients with HIV to AET for women after breast cancer treatment. Methods We followed the intervention mapping protocol for adapting interventions by conducting a needs assessment, reviewing target behaviours and determinants, reassessing behaviour change methods and adapting programme content. Therefore, we performed a literature review, consulted behavioural theory and organised nine advisory board meetings with patients and healthcare professionals. Results Non‐adherence occurs frequently among AET users. Compared to HIV treatment, AET is less effective, and AET side effects are more burdensome. This drives AET treatment discontinuation. However, the key determinants of non‐adherence are largely similar to HIV treatment (e.g. motivation, self‐regulation and patient–provider relationship); therefore, most strategies in AIMS‐HIV also seem suitable for AIMS‐AET. Modifications were required, however, regarding supporting patients with coping with side effects and sustaining treatment motivation. Conclusion AIMS seems to be a suitable framework for adherence self‐management across conditions and treatments. Intervention mapping offered a transparent, systematic approach to adapting AIMS‐HIV to AET.

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Using intervention mapping to develop an outpatient nursing nutritional intervention to improve nutritional status in undernourished patients planned for surgery

Abstract: Getty Huisman-de Waal 2 and On the behalf of the Basic Care Revisited (BCR) Research group

Cited by 8 publications

References 58 publications

Theory-driven development of an educative nutritional intervention (ENI) supporting older hospital patients to eat sufficiently, assisted by an eHealth solution: an intervention mapping approach

Theory-driven development of an educative nutritional intervention (ENI) supporting older hospital patients to eat sufficiently, assisted by an eHealth solution: an intervention mapping approach

Prehabilitation as an extra approach to usual care for cancer patients

Systematic adaptation of the adherence improving self‐management strategy to support breast cancer survivors' adherence to adjuvant endocrine therapy: An intervention mapping approach

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