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Intervention Mapping: A Process for Developing Theory and Evidence-Based Health Education Programs
Abstract
The practice of health education involves three major program-planning activities: needs assessment, program development, and evaluation. Over the past 20 years, significant enhancements have been made to the conceptual base and practice of health education. Models that outline explicit procedures and detailed conceptualization of community assessment and evaluation have been developed. Other advancements include the application of theory to health education and promotion program development and implementation. However, there remains a need for more explicit specification of the processes by which one uses theory and empirical findings to develop interventions. This article presents the origins, purpose, and description of Intervention Mapping, a framework for health education intervention development. Intervention Mapping is composed of five steps: (1) creating a matrix of proximal program objectives, (2) selecting theory-based intervention methods and practical strategies, (3) designing and organizing a program, (4) specifying adoption and implementation plans, and (5) generating program evaluation plans.
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“Two studies adopted the intervention mapping framework [41] developed by Bartholomew and colleagues in 1998 [42, 43]”
From Optimisation of complex health interventions prior to a randomised controlled trial: a scoping review of strategies used (2016) · cites this paper as [41]
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“Figure 1 represents an overview of the Intervention Mapping steps [19].”
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“The COM-B model is often used alongside the Behavior Change Wheel intervention development framework [27], but using it alongside the more flexible intervention mapping process [25,26] was straightforward and did not create any difficulties.”
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“IM emphasizes the importance of a social ecological approach to behavioral change, and is useful for identifying individual and environmental determinants and selecting appropriate intervention methods and strategies to address the identified determinants [16,21].”
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“Behavior change intervention development frameworks, such as intervention mapping [36] and the BCT taxonomy developed by Abraham XSL • FO RenderX et al [37], contribute to translating theory into practice [34].”
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“We will apply appropriate multi-level theories to refine the intervention strategies and messages [35-37].”
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Schüz, B., & Hooper, M. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.027 · Cited by 5
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“Intervention development Intervention development adhered to the intervention mapping protocol (Bartholomew et al., 1998).”
MethodVenter, M., Theron, E., Williams, W., et al. (2021) · South African Medical Journal · doi:10.7196/samj.2021.v111i10.15736 · Cited by 5
“One of the first steps to develop training programmes is to understand the patient population that is intended to be served by the graduate.[10] There is a paucity of national literature describing the neonatal population who undergo CCT in dedicated services.”
BackgroundLatrille, C., Chapel, B., Héraud, N., Bughin, F., Hayot, M., & Boiché, J. (2023) · Digital Health · doi:10.1177/20552076221150744 · Cited by 6
Abdulai, M. A., Mevissen, F. E. F., Kramer, A., Boitelet, Z., Asante, K. P., Owusu‐Agyei, S., Ruiter, R. A. C., & Bos, A. E. R. (2023) · International Journal of Africa Nursing Sciences · doi:10.1016/j.ijans.2023.100532 · Cited by 5
Crook, R., Costas-Bradstreet, C., Spence, J. C., Tamminen, K. A., van Ingen, C., & Hopper, T. (2023) · Qualitative Research in Sport Exercise and Health · doi:10.1080/2159676x.2023.2175900 · Cited by 7
“We also introduced our use of PPM (Green and Kreuter 2005) and IM (Bartholomew, Parcel, and Kok 1998) as planning models in order to create coherent and logical programming.”
MethodRogers, C., Anderson, S. E., Dollahite, J., Hill, T. F., Holloman, C., Miller, C. K., Pratt, K. J., & Gunther, C. W. (2017) · BMC Public Health · doi:10.1186/s12889-016-3908-x · Cited by 5
“words and followed by a statement of what is expected to result from the intervention [16, 17].”
BackgroundMethodBalci, S., Spanhel, K., Sander, L., & Baumeister, H. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037698 · Cited by 5
Baumbach, L., Roos, E. M., Ankerst, D. P., et al. (2021) · Health Science Reports · doi:10.1002/hsr2.402 · Cited by 5
“Pulmonary diseases, n (%) 8 (15) 14 (26) 11 (24) 6 (13) .”
InfluentialSoto, F. G., Kane, W. M., Going, S. B., Ford, E. S., Marshall, J. R., Staten, L. K., & Smith, J. (2000) · Health Promotion Practice · doi:10.1177/152483990000100217 · Cited by 5
“Nevertheless, there is still a recognized need for bridging the gap between theory and practice (Bartholomew, Parcel, & Kok, 1998; Glanz, Lewis, & Rimer, 1997), and innovative models to facilitate the process of selecting and applying theories are being proposed (Bartholomew et al., 1998).”
Backgroundvan Empelen, P., Kok, G., Hoebe, C. J. P. A., et al. (2003) · Health Education · doi:10.1108/09654280310485564 · Cited by 5
“Bartholomew et al. (1998, 2001) discuss the need to identify actions that need to be performed as a means of reaching the desired behavioural goal.”
Self-citationNugroho, A., Coulter, R. W. S., Erasmus, V., Laksmono, P. A., Mihari, T. S., & Richardus, J. H. (2018) · Health Education Research · doi:10.1093/her/cyy046 · Cited by 5
Gabrys, L., Thiel, C., Saborowski, G., Vogt, L., & Banzer, W. E. (2012) · German Journal of Exercise and Sport Research · doi:10.1007/s12662-012-0271-7 · Cited by 5
National Standards for Diabetes Self-Management Education
Mensing, C. R., Boucher, J. L., Cypress, M., Weinger, K., Mulcahy, K., Barta, P., Hosey, O., Kopher, W., Lasichak, A., Lamb, B., et al. (2000) · The Science of Diabetes Self-Management and Care · doi:10.1177/014572170002600407 · Cited by 5
Rabbi, M., Philyaw-Kotov, M. L., Li, J., Li, K. T., Rothman, B., Giragosian, L., Reyes, M., Gadway, H., Cunningham, R. M., Bonar, E. E., et al. (2020) · arXiv (Cornell University) · doi:10.48550/arxiv.2003.13545 · Cited by 8
“Intervention development frameworks from behavioral science, such as the Behavior Change Wheel [82–84] and Intervention Mapping [9, 65], can be used to facilitate this step.”
BackgroundMethodMoore, G. F. (2010) · ORCA Online Research @Cardiff (Cardiff University) · Cited by 5
Dionne, M., Sauvageau, C., Étienne, D., Witteman, H. O., & Dubé, È. (2024) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2024.102931 · Cited by 4
Mbhenyane, X. G., Mziligazi, W., Zuma, M. K., et al. (2025) · South African Journal of Botany · doi:10.1016/j.sajb.2025.11.046 · Cited by 4
Ma, H., Cui, H., Yu, H., Pei, R., Li, S., Wang, A., Tang, X., Liu, G., & Piao, M. (2026) · Digital Health · doi:10.1177/20552076261421367 · Cited by 6
Zhang, X., Yang, D., Chen, S., Wang, L., Li, X., Wang, Z., Meng, M., Li, X., Jiang, H., Hao, Y., et al. (2026) · Journal of Medical Internet Research · doi:10.2196/80827 · Cited by 4
“…the gap between theoretical frameworks and practical telehealth delivery by addressing the following specific research questions: (1) How can a multicomponent telehealth intervention be systematically developed for older Chinese adults with T2DM using the IM [33,34,40] and BCW [41] frameworks?”
InfluentialSohail, M., Matthews, L. T., Williams, A., Kempf, M.-C., Phillips, D., Goymer, H., Johnson, B., Mugavero, M. J., & Elopre, L. E. (2025) · JMIR Research Protocols · doi:10.2196/58976 · Cited by 4
“To develop and refine a multicomponent implementation strategy (PrEP4Her) that aimed to integrate PrEP in gynecology clinics, an intervention mapping technique was used [38].”
The use of implementation mapping in healthcare settings: a scoping review
Warhurst, K., Tyack, Z. F., Beckmann, M. M., & Abell, B. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1603178 · Cited by 6
van Venrooij, I., Spijker, J., Westerhof, G. J., Leontjevas, R., & Gerritsen, D. L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16245163 · Cited by 4
“We chose intervention mapping (IM) [22,23] to systematically increase the applicability of PM.”
MethodChanging Behavior in the Digital Age
Kavanagh, D. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.029 · Cited by 4
Metadata
- Authors
- Bartholomew, L. K., Parcel, G. S., & Kok, G.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- Maastricht University (NL)
- Corresponding author
- Bartholomew, L. Kay
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 1998-10
- Volume
- 25
- Issue
- 5
- Pages
- 545-563
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- OpenAlex
- W1986321933
- Cited by
- 1,102
- References
- 59
- Citations by year
- 2026: 52 · 2025: 87 · 2024: 67 · 2023: 59 · 2022: 67 · 2021: 78 · 2020: 113 · 2019: 57 · 2018: 69 · 2017: 55 · 2016: 48 · 2015: 46 · 2014: 45 · 2013: 41 · 2012: 25
- FWCI
- 25.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- intervention mapping, health education program development, theory-based intervention design, program planning, needs assessment, program evaluation planning, health promotion
- MeSH terms
- Decision Support Techniques, Forecasting, Health Education, Health Plan Implementation, Health Planning Guidelines, Humans
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