Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy

Research output: Contribution to journalArticle

Standard

Intervention planning and modification of the BUMP intervention : a digital intervention for the early detection of raised blood pressure in pregnancy. / Band, Rebecca; Hinton, Lisa ; Tucker, Katherine L.; Chappell, Lucy C; Crawford, Carole ; Franssen, Marloes; Greenfield, Sheila; Hodgkinson, James; McCourt, Christine; McManus, Richard J; Sandall, Jane; Dala Santos , Mauro ; Velardo , Carmelo ; Yardley, Lucy.

In: Pilot and Feasibility Studies, Vol. 5, 153, 20.12.2019, p. 1-12.

Research output: Contribution to journalArticle

Harvard

Band, R, Hinton, L, Tucker, KL, Chappell, LC, Crawford, C, Franssen, M, Greenfield, S, Hodgkinson, J, McCourt, C, McManus, RJ, Sandall, J, Dala Santos , M, Velardo , C & Yardley, L 2019, 'Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy', Pilot and Feasibility Studies, vol. 5, 153, pp. 1-12. https://doi.org/10.1186/s40814-019-0537-z

APA

Band, R., Hinton, L., Tucker, K. L., Chappell, L. C., Crawford, C., Franssen, M., Greenfield, S., Hodgkinson, J., McCourt, C., McManus, R. J., Sandall, J., Dala Santos , M., Velardo , C., & Yardley, L. (2019). Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy. Pilot and Feasibility Studies, 5, 1-12. [153]. https://doi.org/10.1186/s40814-019-0537-z

Vancouver

Author

Band, Rebecca ; Hinton, Lisa ; Tucker, Katherine L. ; Chappell, Lucy C ; Crawford, Carole ; Franssen, Marloes ; Greenfield, Sheila ; Hodgkinson, James ; McCourt, Christine ; McManus, Richard J ; Sandall, Jane ; Dala Santos , Mauro ; Velardo , Carmelo ; Yardley, Lucy. / Intervention planning and modification of the BUMP intervention : a digital intervention for the early detection of raised blood pressure in pregnancy. In: Pilot and Feasibility Studies. 2019 ; Vol. 5. pp. 1-12.

Bibtex

@article{453d37948a82447b97196be0bbf1e4ce,
title = "Intervention planning and modification of the BUMP intervention: a digital intervention for the early detection of raised blood pressure in pregnancy",
abstract = "Background: Hypertensive disorders in pregnancy, particularly pre-eclampsia, pose a substantial health risk for both maternal and fetal outcomes. The BUMP (Blood Pressure Self-Monitoring in Pregnancy) interventions are being tested in a trial. They aim to facilitate the early detection of raised blood pressure through self-monitoring. This article outlines how the self-monitoring interventions in the BUMP trial were developed and modified using the person-based approach to promote engagement and adherence.Methods: Key behavioural challenges associated with blood pressure self-monitoring in pregnancy were identified through synthesising qualitative pilot data and existing evidence, which informed guiding principles for the development process. Social Cognitive Theory was identified as an appropriate theoretical framework. A testable logic model was developed to illustrate the hypothesized processes of change associated with the intervention. Iterative qualitative feedback from women and staff informed modifications to the participant materials.Results: The evidence synthesis suggested women face challenges integrating self-monitoring into their lives, and that adherence is challenging at certain time points in pregnancy (for example, starting maternity leave). Intervention modification included strategies to address adherence, but also focussed on modifying outcome expectancies, by providing messages explaining pre-eclampsia and outlining the potential benefits of self-monitoring.Conclusions: With an in-depth understanding of the target population, several methods and approaches to plan and develop interventions specifically relevant to pregnant women were successfully integrated, to address barriers to behaviour change while ensuring they are easy to engage with, persuasive and acceptable.",
keywords = "hypertension, pregnancy, pre-eclampsia, digital intervention, intervention planning, person-based approach",
author = "Rebecca Band and Lisa Hinton and Tucker, {Katherine L.} and Chappell, {Lucy C} and Carole Crawford and Marloes Franssen and Sheila Greenfield and James Hodgkinson and Christine McCourt and McManus, {Richard J} and Jane Sandall and {Dala Santos}, Mauro and Carmelo Velardo and Lucy Yardley",
year = "2019",
month = dec
day = "20",
doi = "10.1186/s40814-019-0537-z",
language = "English",
volume = "5",
pages = "1--12",
journal = "Pilot and Feasibility Studies",
issn = "2055-5784",
publisher = "Springer Verlag",

}

RIS

TY - JOUR

T1 - Intervention planning and modification of the BUMP intervention

T2 - a digital intervention for the early detection of raised blood pressure in pregnancy

AU - Band, Rebecca

AU - Hinton, Lisa

AU - Tucker, Katherine L.

AU - Chappell, Lucy C

AU - Crawford, Carole

AU - Franssen, Marloes

AU - Greenfield, Sheila

AU - Hodgkinson, James

AU - McCourt, Christine

AU - McManus, Richard J

AU - Sandall, Jane

AU - Dala Santos , Mauro

AU - Velardo , Carmelo

AU - Yardley, Lucy

PY - 2019/12/20

Y1 - 2019/12/20

N2 - Background: Hypertensive disorders in pregnancy, particularly pre-eclampsia, pose a substantial health risk for both maternal and fetal outcomes. The BUMP (Blood Pressure Self-Monitoring in Pregnancy) interventions are being tested in a trial. They aim to facilitate the early detection of raised blood pressure through self-monitoring. This article outlines how the self-monitoring interventions in the BUMP trial were developed and modified using the person-based approach to promote engagement and adherence.Methods: Key behavioural challenges associated with blood pressure self-monitoring in pregnancy were identified through synthesising qualitative pilot data and existing evidence, which informed guiding principles for the development process. Social Cognitive Theory was identified as an appropriate theoretical framework. A testable logic model was developed to illustrate the hypothesized processes of change associated with the intervention. Iterative qualitative feedback from women and staff informed modifications to the participant materials.Results: The evidence synthesis suggested women face challenges integrating self-monitoring into their lives, and that adherence is challenging at certain time points in pregnancy (for example, starting maternity leave). Intervention modification included strategies to address adherence, but also focussed on modifying outcome expectancies, by providing messages explaining pre-eclampsia and outlining the potential benefits of self-monitoring.Conclusions: With an in-depth understanding of the target population, several methods and approaches to plan and develop interventions specifically relevant to pregnant women were successfully integrated, to address barriers to behaviour change while ensuring they are easy to engage with, persuasive and acceptable.

AB - Background: Hypertensive disorders in pregnancy, particularly pre-eclampsia, pose a substantial health risk for both maternal and fetal outcomes. The BUMP (Blood Pressure Self-Monitoring in Pregnancy) interventions are being tested in a trial. They aim to facilitate the early detection of raised blood pressure through self-monitoring. This article outlines how the self-monitoring interventions in the BUMP trial were developed and modified using the person-based approach to promote engagement and adherence.Methods: Key behavioural challenges associated with blood pressure self-monitoring in pregnancy were identified through synthesising qualitative pilot data and existing evidence, which informed guiding principles for the development process. Social Cognitive Theory was identified as an appropriate theoretical framework. A testable logic model was developed to illustrate the hypothesized processes of change associated with the intervention. Iterative qualitative feedback from women and staff informed modifications to the participant materials.Results: The evidence synthesis suggested women face challenges integrating self-monitoring into their lives, and that adherence is challenging at certain time points in pregnancy (for example, starting maternity leave). Intervention modification included strategies to address adherence, but also focussed on modifying outcome expectancies, by providing messages explaining pre-eclampsia and outlining the potential benefits of self-monitoring.Conclusions: With an in-depth understanding of the target population, several methods and approaches to plan and develop interventions specifically relevant to pregnant women were successfully integrated, to address barriers to behaviour change while ensuring they are easy to engage with, persuasive and acceptable.

KW - hypertension

KW - pregnancy

KW - pre-eclampsia

KW - digital intervention

KW - intervention planning

KW - person-based approach

U2 - 10.1186/s40814-019-0537-z

DO - 10.1186/s40814-019-0537-z

M3 - Article

VL - 5

SP - 1

EP - 12

JO - Pilot and Feasibility Studies

JF - Pilot and Feasibility Studies

SN - 2055-5784

M1 - 153

ER -