Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach

Katherine Bradbury; Mary Steele; Teresa  Corbett; Adam William Alfred Geraghty; Adele Krusche; Elena Heber; Steph Easton; Tara  Cheetham-Blake; Joanna Slodkowska-Barabasz; Andre Müller; Kirsten Smith; Laura Joanne Wilde; Liz Payne; Karmpaul Singh; Roger Bacon; Tamsin Burford; Kevin Summers; Lesley Turner; Alison Richardson; Eila Watson; Claire Foster; Paul Little; Lucy Yardley

doi:10.1038/s41746-019-0163-4

Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach

Katherine Bradbury, Mary Steele, Teresa Corbett, Adam William Alfred Geraghty, Adele Krusche, Elena Heber, Steph Easton, Tara Cheetham-Blake, Joanna Slodkowska-Barabasz , Andre Müller, Kirsten Smith, Laura Joanne Wilde, Liz Payne, Karmpaul Singh, Roger Bacon, Tamsin Burford, Kevin Summers, Lesley Turner, Alison Richardson, Eila Watson Claire Foster, Paul Little, Lucy Yardley

Research output: Contribution to journal › Article › peer-review

28 Citations (Scopus)

85 Downloads (Pure)

Abstract

This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review that identified cancer survivors’ needs, including barriers and facilitators to intervention success. Review evidence (N = 49 papers) informed the intervention’s Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N = 96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N = 31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions.

Original language	English
Article number	85
Number of pages	13
Journal	npj Digital Medicine
Volume	2
DOIs	https://doi.org/10.1038/s41746-019-0163-4
Publication status	Published - 2 Sept 2019

Bibliographical note

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

Keywords

Human behaviour
Quality of life

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1038/s41746-019-0163-4Licence: CC BY

PublishedFinal published version, 1.47 MBLicence: CC BY

Cite this

Bradbury, K., Steele, M., Corbett, T., Geraghty, A. W. A., Krusche, A., Heber, E., Easton, S., Cheetham-Blake, T., Slodkowska-Barabasz , J., Müller, A., Smith, K., Wilde, L. J., Payne, L., Singh, K., Bacon, R., Burford, T., Summers, K., Turner, L., Richardson, A., ... Yardley, L. (2019). Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach. npj Digital Medicine, 2, Article 85. https://doi.org/10.1038/s41746-019-0163-4

Bradbury, K, Steele, M, Corbett, T, Geraghty, AWA, Krusche, A, Heber, E, Easton, S, Cheetham-Blake, T, Slodkowska-Barabasz , J, Müller, A, Smith, K, Wilde, LJ, Payne, L, Singh, K, Bacon, R, Burford, T, Summers, K, Turner, L, Richardson, A, Watson , E, Foster, C, Little, P & Yardley, L 2019, 'Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach', npj Digital Medicine, vol. 2, 85. https://doi.org/10.1038/s41746-019-0163-4

@article{0b7828e6c4ae4d158c9c864892a661e6,

title = "Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach",

abstract = "This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review that identified cancer survivors{\textquoteright} needs, including barriers and facilitators to intervention success. Review evidence (N = 49 papers) informed the intervention{\textquoteright}s Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N = 96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N = 31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions.",

keywords = "Human behaviour, Quality of life",

author = "Katherine Bradbury and Mary Steele and Teresa Corbett and Geraghty, {Adam William Alfred} and Adele Krusche and Elena Heber and Steph Easton and Tara Cheetham-Blake and Joanna Slodkowska-Barabasz and Andre M{\"u}ller and Kirsten Smith and Wilde, {Laura Joanne} and Liz Payne and Karmpaul Singh and Roger Bacon and Tamsin Burford and Kevin Summers and Lesley Turner and Alison Richardson and Eila Watson and Claire Foster and Paul Little and Lucy Yardley",

note = "Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article{\textquoteright}s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article{\textquoteright}s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.",

year = "2019",

month = sep,

day = "2",

doi = "10.1038/s41746-019-0163-4",

language = "English",

volume = "2",

journal = "npj Digital Medicine",

issn = "2398-6352",

publisher = "Nature Publishing Group",

}

TY - JOUR

T1 - Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach

AU - Bradbury, Katherine

AU - Steele, Mary

AU - Corbett, Teresa

AU - Geraghty, Adam William Alfred

AU - Krusche, Adele

AU - Heber, Elena

AU - Easton, Steph

AU - Cheetham-Blake, Tara

AU - Slodkowska-Barabasz , Joanna

AU - Müller, Andre

AU - Smith, Kirsten

AU - Wilde, Laura Joanne

AU - Payne, Liz

AU - Singh, Karmpaul

AU - Bacon, Roger

AU - Burford, Tamsin

AU - Summers, Kevin

AU - Turner, Lesley

AU - Richardson, Alison

AU - Watson , Eila

AU - Foster, Claire

AU - Little, Paul

AU - Yardley, Lucy

N1 - Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

PY - 2019/9/2

Y1 - 2019/9/2

N2 - This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review that identified cancer survivors’ needs, including barriers and facilitators to intervention success. Review evidence (N = 49 papers) informed the intervention’s Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N = 96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N = 31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions.

AB - This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review that identified cancer survivors’ needs, including barriers and facilitators to intervention success. Review evidence (N = 49 papers) informed the intervention’s Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N = 96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N = 31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions.

KW - Human behaviour

KW - Quality of life

U2 - 10.1038/s41746-019-0163-4

DO - 10.1038/s41746-019-0163-4

M3 - Article

SN - 2398-6352

VL - 2

JO - npj Digital Medicine

JF - npj Digital Medicine

M1 - 85

ER -

Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Fingerprint

Cite this