A co-production approach guided by the behaviour change wheel to develop an intervention for reducing sedentary behaviour after stroke.

Behaviour change wheel COM-B Caregiver Co-production Intervention development Sedentary behaviour Stroke

Journal

Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536

Informations de publication

Date de publication:
2020
Historique:
received: 14 03 2020
accepted: 07 08 2020
entrez: 22 8 2020
pubmed: 22 8 2020
medline: 22 8 2020
Statut: epublish

Résumé

Stroke survivors are highly sedentary; thus, breaking up long uninterrupted bouts of sedentary behaviour could have substantial health benefit. However, there are no intervention strategies specifically aimed at reducing sedentary behaviour tailored for stroke survivors. The purpose of this study was to use co-production approaches to develop an intervention to reduce sedentary behaviour after stroke. A series of five co-production workshops with stroke survivors, their caregivers, stroke service staff, exercise professionals, and researchers were conducted in parallel in two-stroke services (England and Scotland). Workshop format was informed by the behaviour change wheel (BCW) framework for developing interventions and incorporated systematic review and empirical evidence. Taking an iterative approach, data from activities and audio recordings were analysed following each workshop and findings used to inform subsequent workshops, to inform both the activities of the next workshop and ongoing intervention development. Co-production workshop participants ( To our knowledge, this is the first study that has combined the use of co-production and the BCW to develop an intervention for use in stroke care. In-depth reporting of how a co-production approach was combined with the BCW framework, including the design of bespoke materials for workshop activities, should prove useful to other researchers and practitioners involved in intervention development in stroke.

Sections du résumé

BACKGROUND BACKGROUND
Stroke survivors are highly sedentary; thus, breaking up long uninterrupted bouts of sedentary behaviour could have substantial health benefit. However, there are no intervention strategies specifically aimed at reducing sedentary behaviour tailored for stroke survivors. The purpose of this study was to use co-production approaches to develop an intervention to reduce sedentary behaviour after stroke.
METHODS METHODS
A series of five co-production workshops with stroke survivors, their caregivers, stroke service staff, exercise professionals, and researchers were conducted in parallel in two-stroke services (England and Scotland). Workshop format was informed by the behaviour change wheel (BCW) framework for developing interventions and incorporated systematic review and empirical evidence. Taking an iterative approach, data from activities and audio recordings were analysed following each workshop and findings used to inform subsequent workshops, to inform both the activities of the next workshop and ongoing intervention development.
FINDINGS RESULTS
Co-production workshop participants (
CONCLUSIONS CONCLUSIONS
To our knowledge, this is the first study that has combined the use of co-production and the BCW to develop an intervention for use in stroke care. In-depth reporting of how a co-production approach was combined with the BCW framework, including the design of bespoke materials for workshop activities, should prove useful to other researchers and practitioners involved in intervention development in stroke.

Identifiants

pubmed: 32821421
doi: 10.1186/s40814-020-00667-1
pii: 667
pmc: PMC7429798
doi:

Types de publication

Journal Article

Langues

eng

Pagination

115

Subventions

Organisme : Department of Health
ID : RP-PG-0615-20019
Pays : United Kingdom

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsThe authors report no competing interests.

Références

Disabil Rehabil. 2014;36(9):716-26
pubmed: 23883420
BMJ Open. 2019 Jul 26;9(7):e029723
pubmed: 31350253
Int J Nurs Stud. 2017 Mar;68:83-94
pubmed: 28095347
Int J Behav Nutr Phys Act. 2017 Jun 10;14(1):75
pubmed: 28599680
Ann Intern Med. 2015 Jan 20;162(2):123-32
pubmed: 25599350
Pilot Feasibility Stud. 2019 Mar 12;5:41
pubmed: 30923626
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Implement Sci. 2015 Mar 12;10:34
pubmed: 25885251
J Frailty Sarcopenia Falls. 2018 Mar 01;3(1):26-31
pubmed: 32300691
BMC Public Health. 2019 Aug 13;19(1):1099
pubmed: 31409324
Phys Ther. 2016 Feb;96(2):193-201
pubmed: 26112254
Implement Sci. 2012 Apr 24;7:37
pubmed: 22530986
Implement Sci. 2016 Feb 20;11:20
pubmed: 26897169
Implement Sci. 2016 Oct 10;11(1):134
pubmed: 27724957
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
J Multidiscip Healthc. 2015 Sep 22;8:433-42
pubmed: 26445548
Public Health. 2016 Apr;133:45-56
pubmed: 26822162
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
Int J Stroke. 2019 Jan;14(1):9-11
pubmed: 29972335
BMC Public Health. 2020 Jun 19;20(1):967
pubmed: 32560713
BMC Public Health. 2018 Mar 6;18(1):319
pubmed: 29510715
BMJ Open. 2017 Jul 11;7(7):e014650
pubmed: 28701409
Int J Stroke. 2017 Jul;12(5):472-479
pubmed: 28697706

Auteurs

Jennifer Hall (J)

Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leeds, Bradford, BD9 6RJ UK.
Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ UK.

Sarah Morton (S)

Centre for Clinical Brain Sciences, University of Edinburgh, EH16 4A, Edinburgh, UK.

Jessica Hall (J)

Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leeds, Bradford, BD9 6RJ UK.
Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ UK.

David J Clarke (DJ)

Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leeds, Bradford, BD9 6RJ UK.

Claire F Fitzsimons (CF)

Physical Activity for Health Research Centre, St Leonards Land, Holyrood Road, Edinburgh, EH8 8AQ UK.

Coralie English (C)

School of Health Sciences and Priority Research Centre for Stroke and Brain Injury, University of Newcastle, Newcastle, Australia.

Anne Forster (A)

Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leeds, Bradford, BD9 6RJ UK.

Gillian E Mead (GE)

Centre for Clinical Brain Sciences, University of Edinburgh, EH16 4A, Edinburgh, UK.

Rebecca Lawton (R)

School of Psychology, University of Leeds, Leeds, LS2 9JT UK.

Classifications MeSH