Abstract
Purpose:
The UK undertakes approximately 2.4 million major surgical procedures annually. Improving the physical and psychological resilience of patients before surgery (prehabilitation) can reduce perioperative risk and hospital length of stay. Digitally delivered solutions supporting preoperative multiple health behaviour change are increasingly utilised, yet frequently lack a rigorous, systematic development and co-design process, preventing maximal patient uptake and impact. We are developing an evidence and theory-informed multibehavioural digital prehabilitation intervention (iPREPWELL) using the behaviour change wheel.
Methods:
20 perioperative healthcare professionals (HCPs), and 22 patients awaiting major surgery in 6 specialties were purposively sampled from two hospital sites. Participants completed a COM-B self-evaluation questionnaire followed by a semi-structured interview. Data will be analysed using the Theoretical Domains Framework (TDF). Identified domains will allow selection of appropriate behaviour change techniques (BCTs) for inclusion in the intervention.
Outcomes or impact:
Preliminary findings highlight the need for HCP ‘promoter’, ‘supporter’ and ‘facilitator’ roles to facilitate intervention delivery. Overall findings will inform content, form and mode of delivery of specific intervention components targeting each health behaviour.
All participants are recruited (N=42). The majority of interviews are completed (n=34). Data are being independently coded and thematically analysed by two researchers using the TDF.
Discussion:
Our developmental process will result in a multibehavioural prehabilitation intervention ‘iPREPWELL’, providing a scalable solution supporting patients preparing for major surgery. The systematic development process facilitates replicability and provides a robust theory-driven evaluation framework that will be applied during a planned feasibility study.
The UK undertakes approximately 2.4 million major surgical procedures annually. Improving the physical and psychological resilience of patients before surgery (prehabilitation) can reduce perioperative risk and hospital length of stay. Digitally delivered solutions supporting preoperative multiple health behaviour change are increasingly utilised, yet frequently lack a rigorous, systematic development and co-design process, preventing maximal patient uptake and impact. We are developing an evidence and theory-informed multibehavioural digital prehabilitation intervention (iPREPWELL) using the behaviour change wheel.
Methods:
20 perioperative healthcare professionals (HCPs), and 22 patients awaiting major surgery in 6 specialties were purposively sampled from two hospital sites. Participants completed a COM-B self-evaluation questionnaire followed by a semi-structured interview. Data will be analysed using the Theoretical Domains Framework (TDF). Identified domains will allow selection of appropriate behaviour change techniques (BCTs) for inclusion in the intervention.
Outcomes or impact:
Preliminary findings highlight the need for HCP ‘promoter’, ‘supporter’ and ‘facilitator’ roles to facilitate intervention delivery. Overall findings will inform content, form and mode of delivery of specific intervention components targeting each health behaviour.
All participants are recruited (N=42). The majority of interviews are completed (n=34). Data are being independently coded and thematically analysed by two researchers using the TDF.
Discussion:
Our developmental process will result in a multibehavioural prehabilitation intervention ‘iPREPWELL’, providing a scalable solution supporting patients preparing for major surgery. The systematic development process facilitates replicability and provides a robust theory-driven evaluation framework that will be applied during a planned feasibility study.
| Original language | English |
|---|---|
| Publication status | Published - 28 Jun 2022 |
| Event | British Psychological Society Division of Health Psychology Annual Conference 2022: Promoting health and well-being - Bristol Marriott, Bristol, United Kingdom Duration: 28 Jun 2022 → 28 Jun 2022 |
Conference
| Conference | British Psychological Society Division of Health Psychology Annual Conference 2022 |
|---|---|
| Country/Territory | United Kingdom |
| City | Bristol |
| Period | 28/06/22 → 28/06/22 |