Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS).

Hurley, Deirdre A.; Murphy, Laura Currie; Hayes, David; Hall, Amanda M.; Toomey, Elaine; McDonough, Suzanne M.; Lonsdale, Chris; Walsh, Nicola E.; Guerin, Suzanne; Matthews, James

doi:10.1186/s13012-016-0418-2

Cited by 110Musculoskeletal pain and rehabilitationHealth Policy Implementation ScienceBehavioral Health and Interventions

Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS).

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Hurley, Deirdre A., Murphy, Laura Currie, Hayes, David, Hall, Amanda M., Toomey, Elaine, McDonough, Suzanne M., Lonsdale, Chris, Walsh, Nicola E. +2 more·2015·Implementation Science

DOI 10.1186/s13012-016-0418-2PMC PMC4845501

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Abstract

BACKGROUND: The Medical Research Council framework provides a useful general approach to designing and evaluating complex interventions, but does not provide detailed guidance on how to do this and there is little evidence of how this framework is applied in practice. This study describes the use of intervention mapping (IM) in the design of a theory-driven, group-based complex intervention to support self-management (SM) of patients with osteoarthritis (OA) and chronic low back pain (CLBP) in Ireland's primary care health system. METHODS: The six steps of the IM protocol were systematically applied to develop the self-management of osteoarthritis and low back pain through activity and skills (SOLAS) intervention through adaptation of the Facilitating Activity and Self-management in Arthritis (FASA) intervention. A needs assessment including literature reviews, interviews with patients and physiotherapists and resource evaluation was completed to identify the programme goals, determinants of SM behaviour, consolidated definition of SM and required adaptations to FASA to meet health service and patient needs and the evidence. The resultant SOLAS intervention behavioural outcomes, performance and change objectives were specified and practical application methods selected, followed by organised programme, adoption, implementation and evaluation plans underpinned by behaviour change theory. RESULTS: The SOLAS intervention consists of six weekly sessions of 90-min education and exercise designed to increase participants' physical activity level and use of evidence-based SM strategies (i.e. pain self-management, pain coping, healthy eating for weight management and specific exercise) through targeting of individual determinants of SM behaviour (knowledge, skills, self-efficacy, fear, catastrophizing, motivation, behavioural regulation), delivered by a trained physiotherapist to groups of up to eight individuals using a needs supportive interpersonal style based on self-determination theory. Strategies to support SOLAS intervention adoption and implementation included a consensus building workshop with physiotherapy stakeholders, development of a physiotherapist training programme and a pilot trial with physiotherapist and patient feedback. CONCLUSIONS: The SOLAS intervention is currently being evaluated in a cluster randomised controlled feasibility trial. IM is a time-intensive collaborative process, but the range of methods and resultant high level of transparency is invaluable and allows replication by future complex intervention and trial developers.

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There are only a limited number of comparable academic articles using IM in clinical psychology, although IM use is prevalent in health and prevention research.
“Although the use and reporting of IM approaches is prevalent in health and prevention research (34–39), there are only a limited number of comparable academic articles published in the field of (clinical) psychology (40, 41).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [34]

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Authors: Hurley, D. A., Murphy, L. C., Hayes, D., Hall, A. M., Toomey, E., McDonough, S. M., Lonsdale, C., Walsh, N. E., Guerin, S., & Matthews, J.
Affiliations: University College Dublin (IE)
Trinity College Dublin (IE)
The George Institute for Global Health (GB)
University of Ulster (GB)
Australian Catholic University (AU)
University of the West of England (GB)
Corresponding author: Hurley, Deirdre A.
ORCID: Hurley, Deirdre A.
Hayes, David
Hall, Amanda M.
Toomey, Elaine
McDonough, Suzanne M.
Lonsdale, Chris
Walsh, Nicola E.
Matthews, James
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2015-12
Volume: 11
Issue: 1
Pages: 56-56
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/s13012-016-0418-2
PMC: PMC4845501
OpenAlex: W2342506855
Cited by: 110
References: 114
Citations by year: 2026: 2 · 2025: 12 · 2024: 17 · 2023: 6 · 2022: 9 · 2021: 19 · 2020: 26 · 2019: 4 · 2018: 7 · 2017: 7 · 2016: 1
FWCI: 0.63
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Implementation Science (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
University of Limerick Institutional Repository (University of Limerick) (acceptedVersion, other-oa)
UWE Research Repository (UWE Bristol) (submittedVersion, cc-by)
Ulster University Research Portal (Ulster University) (submittedVersion, other-oa)
Research Bank (Australian Catholic University) (submittedVersion)
Arrow@dit (Dublin Institute of Technology) (submittedVersion, cc-by-nc-sa)
Figshare (submittedVersion, cc-by-nc-sa)
Funders: Health Research Board (HRA_HSR/2012/24)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: intervention mapping, complex intervention design, self-management, osteoarthritis, chronic low back pain, group intervention, needs assessment, behaviour change theory, self-determination theory, intervention adaptation, primary care, physical activity, pain coping, weight management
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Chronic Disease, Female, Health Plan Implementation, Humans, Male, Middle Aged, Osteoarthritis, Self Care, Low Back Pain, Young Adult, Pain Management

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Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS).

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