Developing a complex educational–behavioural intervention:the TREAT intervention for patients with atrial fibrillation

Clarkesmith, Danielle, Pattison, Helen M., Borg Xuereb, Christian and Lane, Deirdre A. (2016). Developing a complex educational–behavioural intervention:the TREAT intervention for patients with atrial fibrillation. Healthcare, 4 (1),

Abstract

This article describes the theoretical and pragmatic development of a patient-centred intervention for patients with atrial fibrillation (AF). Theoretical models (Common Sense Model, Necessity-Concerns Framework), clinical frameworks, and AF patient feedback contributed to the design of a one-off hour-long behaviour-change intervention package. Intervention materials consisted of a DVD, educational booklet, diary and worksheet, which were patient-centred and easy to administer. The intervention was evaluated within a randomised controlled trial. Several “active theoretical ingredients” were identified (for e.g., where patients believed their medication was less harmful they spent more time within the therapeutic range (TTR), with general harm scores predicting TTR at 6 months). Allowing for social comparison and adopting behaviour change techniques enabled accurate patient understanding of their condition and medication. The process of developing the intervention using theory-derived content and evaluation tools allowed a greater understanding of the mechanisms by which this intervention was successful. Alleviating concerns about treatment medication by educating patients can help to improve adherence. This process of intervention development could be adopted for a range of chronic illnesses and treatments. Critical elements should include the use of: (1) clinical guidelines; (2) appropriate theoretical models; (3) patient input; and (4) appropriate evaluation tools.

Publication DOI: https://doi.org/10.3390/healthcare4010010
Divisions: Life & Health Sciences > Psychology
Life & Health Sciences > Chronic and Communicable Conditions
Life & Health Sciences > Applied Health Research Group
Additional Information: © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/). Supplementary Figures S1–S4 are available online at http://www.mdpi.com/ 2227-9032/4/1/10/s1
Uncontrolled Keywords: common-sense model atrial fibrillation; ,intervention,necessity-concerns,anticoagulation
Full Text Link: http://www.mdpi ... 227-9032/4/1/10
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Published Date: 2016-01-14
Authors: Clarkesmith, Danielle
Pattison, Helen M. ( 0000-0002-9483-4342)
Borg Xuereb, Christian
Lane, Deirdre A.

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License: Creative Commons Attribution


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