Towards a Behaviour Theory Informed and User-Centred Mobile App for Parents to Prevent Infant Falls (Preprint)

2021 ◽  
Author(s):  
Nipuna Cooray ◽  
Si Sun ◽  
Catherine Ho ◽  
Susan Adams ◽  
Lisa Keay ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Behaviour Change ◽  
Phase 1 ◽  
Mobile App ◽  
Successful Implementation ◽  
Think Aloud ◽  
Phase 2 ◽  
User Testing ◽  
Behaviour Change Wheel ◽  
Digital Intervention

BACKGROUND Falls account for ~50% of infant injury hospitalisations and caretaker behaviour is central to preventing infant falls. Behaviour theory informed interventions for injury prevention have been suggested, but to date few have been reported. The potential of using smartphones for injury prevention intervention delivery is also under exploited. OBJECTIVE This study aims to develop a behaviour theory, evidence and user centered digital intervention as a mobile app for parents to prevent infant falls following agile development practices. METHODS Infant falls while feeding was selected as the fall mechanism to demonstrate the approach being taken to develop this intervention. In Phase 1, the Behaviour Change Wheel was used as a theoretical framework supported by a literature review to define intervention components which were then implemented as a mobile application. In phase 2 following the person-based approach, user testing via think aloud interviews and comprehension assessments were used to refine content and implementation of the intervention. RESULTS Target behaviours identified in Phase 1 were adequate rest for the newborns mother and safe feeding practices defined as Prepare, Position and Place. From behavioural determinants and the Behaviour Change Wheel, behavior change functions selected to achieve these target behaviours were psychological capability, social opportunity and reflective motivation. Selected Behaviour Change Techniques aligned with these functions were providing information on health consequence, using a credible source, instruction on performing each behaviour and social support. The defined intervention was implemented in a draft Android application. In phase 2, four rounds of user testing were required to achieve the pre-defined target comprehension level. Results from think aloud interviews id were used to refine intervention content and application features. Overall, results from Phase 2 revealed users found the information provided helpful. Features such as self -racking and inclusion of social and environmental aspects of falls prevention were liked by the participants. Important feedback for successful implementation of the digital intervention was also obtained from the user -testing. CONCLUSIONS To our knowledge, this is the first study to apply the Behaviour Change Wheel to develop a digital intervention for child injury prevention. This work provides a detailed example of evidence-based development of a behaviour theory informed mobile intervention for injury prevention refined using the person-based approach.

Applying User-Centered Design to Develop an Audit and Feedback Intervention for the Home Care Sector

2017 ◽  
Vol 29 (3) ◽  
pp. 148-160 ◽  
Author(s):  
Heather L. Colquhoun ◽  
Deborah Sattler ◽  
Christine Chan ◽  
Taheera Walji ◽  
Rachel Palumbo ◽  
...  
Keyword(s):  
Home Care ◽  
Care Management ◽  
Phase 1 ◽  
Audit And Feedback ◽  
Phase 2 ◽  
User Centered Design ◽  
User Testing ◽  
Home And Community Care ◽  
Semistructured Interviews ◽  
User Centered

The objective of this study was to optimize a planned audit and feedback (A&F) intervention for home and community care through incorporating user-centered design principles. Phase 1 comprised the development of a paper prototype, followed by testing of the prototype using semistructured interviews and focus groups. Phase 2 involved the development of a revised and online prototype based on the results of Phase 1, followed by user testing. A total of 39 participants across Phase 1 ( n = 33) and Phase 2 ( n = 6) provided input into the design of the A&F intervention. Key changes included improving clarity of the variables, reducing cognitive load, and highlighting opportunities for action. Preliminary findings suggest potential usefulness in this approach to optimize home care management.

scholarly journals Fostering Change in Organizational Culture Using a Critical Ethnographic Approach

2015 ◽  
Author(s):  
Rosemary Brander ◽  
Margo Patterson ◽  
Yolande Chan
Keyword(s):  
Customer Service ◽  
Cultural Change ◽  
Phase 1 ◽  
Healthcare Providers ◽  
Direct Care ◽  
Successful Implementation ◽  
Phase 2 ◽  
Healthcare Organizations ◽  
Ethnographic Approach ◽  
Care Relationships

Healthcare organizations are striving to meet legislated and public expectations to include patients as equal partners in their care, and research is needed to guide successful implementation and outcomes. The current research examined the meaning of customer service as related to the culture of care relationships within a Canadian hospital in southeastern Ontario. The goals were to better understand these expectations, develop shared meanings and influence cultural change from the perspective of the organization’s employees about their interactions with patients, families and work colleagues, and to generate ideas and groundswell for change. An ethnographic approach within the critical research paradigm was used over the course of a three phase study, where direct care healthcare providers (Phase 1), mid-level leaders (Phase 2) and senior leaders (Phase 3) volunteered to explore their values, philosophies and suggestions for change in the organization’s care relationships. This paper describes Phase 2 of the overall research project. A mixed methodology was used where mid-level leaders were individually surveyed and then participated in a focus group and/or interview to discuss these concepts. Mid-level leaders indicated that providing excellent customer service was important in their own work with many customers including staff, patients and their families, students, volunteers and outside agencies. They believed that this in turn led to improved partnerships for care, health service transitions and linkages, customer satisfaction and health outcomes. The majority stated that the organization’s culture would support change related to customer service relationships and opportunities for this were explored.

scholarly journals A Mobile App Directory of Occupational Therapists Who Provide Home Modifications: Development and Preliminary Usability Evaluation

10.2196/14465 ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. e14465
Author(s):  
An Thi Nguyen ◽  
Emily Kling Somerville ◽  
Sandra Martina Espín-Tello ◽  
Marian Keglovits ◽  
Susan Lynn Stark
Keyword(s):  
Older Adults ◽  
Phase 1 ◽  
Occupational Therapists ◽  
The United States ◽  
Mobile App ◽  
Community Dwelling ◽  
Phase 2 ◽  
Home Modifications ◽  
The Mean ◽  
Community Dwelling Older Adults

Background Home modifications provided by occupational therapists (OTs) are effective in improving daily activity performance and reducing fall risk among community-dwelling older adults. However, the prevalence of home modification is low. One reason is the lack of a centralized database of OTs who provide home modifications. Objective This study aimed to develop and test the usability of a mobile app directory of OTs who provide home modifications in the United States. Methods In phase 1, a prototype was developed by identifying OTs who provide home modifications through keyword Web searches. Referral information was confirmed by phone or email. In phase 2, community-dwelling older adults aged older than 65 years and OTs currently working in the United States were purposefully recruited to participate in a single usability test of the mobile app, Home Modifications for Aging and Disability Directory of Referrals (Home Maddirs). Participants completed the System Usability Scale (SUS) and semistructured interview questions. Interview data were coded, and themes were derived using a grounded theory approach. Results In phase 1, referral information for 101 OTs across 49 states was confirmed. In phase 2, 6 OTs (mean clinical experience 4.3 years, SD 1.6 years) and 6 older adults (mean age 72.8 years, SD 5.0 years) participated. The mean SUS score for OTs was 91.7 (SD 8.0; out of 100), indicating good usability. The mean SUS score for older adults was 71.7 (SD 27.1), indicating considerable variability in usability. In addition, the SUS scores indicated that the app is acceptable to OTs and may be acceptable to some older adults. For OTs, self-reported barriers to acceptability and usability included the need for more information on the scope of referral services. For older adults, barriers included high cognitive load, lack of operational skills, and the need to accommodate sensory changes. For both groups, facilitators of acceptability and usability included perceived usefulness, social support, and multiple options to access information. Conclusions Home Maddirs demonstrates good preliminary acceptability and usability to OTs. Older adults’ perceptions regarding acceptability and usability varied considerably, partly based on prior experience using mobile apps. Results will be used to make improvements to this promising new tool for increasing older adults’ access to home modifications.

Fishbone Stimulation Enhances Tight Carbonate Productivity

2021 ◽  
Vol 73 (07) ◽  
pp. 58-59
Author(s):  
Chris Carpenter
Keyword(s):  
Phase 1 ◽  
Carbonate Reservoir ◽  
Growth Strategy ◽  
Abu Dhabi ◽  
Low Permeability ◽  
Successful Implementation ◽  
Well Testing ◽  
Phase 2 ◽  
Carbonate Formation ◽  
Tight Carbonate

This article, written by JPT Technology Editor Chris Carpenter, contains highlights of paper SPE 202636, “Fishbone Stimulation: A Game Changer for Tight Carbonate Productivity Enhancement—Case Study of First Successful Implementation at ADNOC Onshore Fields,” by R.V. Rachapudi, SPE, S.S. Al-Jaberi, SPE, and M. Al Hashemi, SPE, ADNOC, et al., prepared for the 2020 Abu Dhabi International Petroleum Exhibition and Conference, Abu Dhabi, held virtually 9–12 November. The paper has not been peer reviewed. The operator’s first successful installation of fishbone stimulation technology was aimed at establishing vertical communication between layers in a tight carbonate reservoir and maximizing the reservoir contact. Furthermore, the advanced stimulation technology connects natural fractures within the reservoir, bypasses near-wellbore damage, and allows the thin sublayers to produce. This technology requires running standard lower-completion tubing with fishbone subs preloaded with 40-ft needles and stimulation with the rig on site. Introduction The operator plans to develop tight carbonate reservoirs as part of its production growth strategy. Field Q is a 35×15-km field under development with a phased approach. Phase 1 was planned and production began in 2014. Phase 2 is being developed by drilling wells using the pad concept. Reservoir A, a tight carbonate formation with low permeability ranging from 1 to 3 md and porosity from 15 to 25%, is part of Phase 2 development. The aver-age thickness of Reservoir A is approximately 90 ft across the field, with seven sublayers. The major challenge of Reservoir A development is poor vertical communication and low permeability. Based on appraisal-well data, the average production rate per well is approximately 200 to 400 BOPD with a wellhead pressure of 200 psi. Therefore, appraisal-well testing confirmed the poor productivity of the wells. In addition, the wells are required to produce to the central facilities located in a Phase 1 area 18 km away from Phase 2. In summary, each Phase 2 well is required to be produced against a back-pressure of 500 to 600 psi. Fishbone Stimulation Technology Fishbone stimulation technology is an uncemented-liner rig-deployed completion stimulation system. The liner includes fishbone subs at fixed intervals, and each sub consists of four needles that will connect the sublayers by penetrating into the formation. The typical fishbone completion after installation and jetting the needles in formation is shown in Fig. 1.

scholarly journals A Mobile App Directory of Occupational Therapists Who Provide Home Modifications: Development and Preliminary Usability Evaluation (Preprint)

2019 ◽  
Author(s):  
An Thi Nguyen ◽  
Emily Kling Somerville ◽  
Sandra Martina Espín-Tello ◽  
Marian Keglovits ◽  
Susan Lynn Stark
Keyword(s):  
Older Adults ◽  
Phase 1 ◽  
Occupational Therapists ◽  
The United States ◽  
Mobile App ◽  
Community Dwelling ◽  
Phase 2 ◽  
Home Modifications ◽  
The Mean ◽  
Community Dwelling Older Adults

BACKGROUND Home modifications provided by occupational therapists (OTs) are effective in improving daily activity performance and reducing fall risk among community-dwelling older adults. However, the prevalence of home modification is low. One reason is the lack of a centralized database of OTs who provide home modifications. OBJECTIVE This study aimed to develop and test the usability of a mobile app directory of OTs who provide home modifications in the United States. METHODS In phase 1, a prototype was developed by identifying OTs who provide home modifications through keyword Web searches. Referral information was confirmed by phone or email. In phase 2, community-dwelling older adults aged older than 65 years and OTs currently working in the United States were purposefully recruited to participate in a single usability test of the mobile app, Home Modifications for Aging and Disability Directory of Referrals (Home Maddirs). Participants completed the System Usability Scale (SUS) and semistructured interview questions. Interview data were coded, and themes were derived using a grounded theory approach. RESULTS In phase 1, referral information for 101 OTs across 49 states was confirmed. In phase 2, 6 OTs (mean clinical experience 4.3 years, SD 1.6 years) and 6 older adults (mean age 72.8 years, SD 5.0 years) participated. The mean SUS score for OTs was 91.7 (SD 8.0; out of 100), indicating good usability. The mean SUS score for older adults was 71.7 (SD 27.1), indicating considerable variability in usability. In addition, the SUS scores indicated that the app is acceptable to OTs and may be acceptable to some older adults. For OTs, self-reported barriers to acceptability and usability included the need for more information on the scope of referral services. For older adults, barriers included high cognitive load, lack of operational skills, and the need to accommodate sensory changes. For both groups, facilitators of acceptability and usability included perceived usefulness, social support, and multiple options to access information. CONCLUSIONS Home Maddirs demonstrates good preliminary acceptability and usability to OTs. Older adults’ perceptions regarding acceptability and usability varied considerably, partly based on prior experience using mobile apps. Results will be used to make improvements to this promising new tool for increasing older adults’ access to home modifications.

scholarly journals Preventing pressure injury in nursing homes: developing a care bundle using the Behaviour Change Wheel

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026639 ◽  
Author(s):  
Jacqueline F Lavallée ◽  
Trish A Gray ◽  
Jo C Dumville ◽  
Nicky Cullum
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Injury Prevention ◽  
Behaviour Change ◽  
Nursing Home Care ◽  
Care Staff ◽  
Care Bundle ◽  
Behaviour Change Wheel ◽  
Pressure Injury ◽  
Pressure Injury Prevention

ObjectiveTo develop, with nurse specialists and nursing home care staff, a theory and evidence-informedpressure injury preventioncare bundle for use in nursing home settings.DesignThe development of a care bundle.MethodsWe undertook a detailed, multistaged and theoretically driven development process. First, we identified evidence-informed pressure injury prevention practices: these formed an initial set of possible target behaviours to be considered for inclusion in the bundle. During a 4-hour workshop and supplemental email consultation with a total of 13 healthcare workers, we agreed the key target behaviours for the care bundle. We explored with staff the barriers and facilitators to prevention activity and defined intervention functions and behaviour change practices using the Behaviour Change Wheel.SettingNorth West England.ResultsThe target behaviours consisted of three elements: support surfaces, skin inspection and repositioning. We identified capability, opportunity and reflective motivation as influencing the pressure injury prevention behaviours of nursing home care staff. The intervention functions (education, training, modelling) and behaviour change techniques (information about social and environmental consequences, information on health consequences, feedback on behaviour, feedback on the outcome of behaviour, prompts/cues, instruction on how to perform the behaviour, demonstration of behaviour) were incorporated into the care bundle.ConclusionThis is the first description of a pressure injury prevention care bundle for nursing homes developed using the Behaviour Change Wheel. Key stakeholders identified and prioritised the appropriate target behaviours to aid pressure injury prevention in a nursing home setting.

scholarly journals Enhancing the Behaviour Change Wheel with synthesis, stakeholder involvement and decision-making: a case example using the ‘Enhancing the Quality of Psychological Interventions Delivered by Telephone’ (EQUITy) research programme

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Cintia L. Faija ◽  
Judith Gellatly ◽  
Michael Barkham ◽  
Karina Lovell ◽  
Kelly Rushton ◽  
...  
Keyword(s):  
Decision Making ◽  
Los Angeles ◽  
Behaviour Change ◽  
Evidence Synthesis ◽  
Phase 1 ◽  
Stakeholder Involvement ◽  
Behaviour Change Intervention ◽  
Behaviour Change Wheel ◽  
Three Phase

Abstract Background Using frameworks such as the Behaviour Change Wheel to develop behaviour change interventions can be challenging because judgement is needed at various points in the process and it is not always clear how uncertainties can be resolved. We propose a transparent and systematic three-phase process to transition from a research evidence base to a behaviour change intervention. The three phases entail evidence synthesis, stakeholder involvement and decision-making. We present the systematic development of an intervention to enhance the quality of psychological treatment delivered by telephone, as a worked example of this process. Method In phase 1 (evidence synthesis), we propose that the capabilities (C), opportunities (O) and motivations (M) model of behaviour change (COM-B) can be used to support the synthesis of a varied corpus of empirical evidence and to identify domains to be included in a proposed behaviour change intervention. In phase 2 (stakeholder involvement), we propose that formal consensus procedures (e.g. the RAND Health/University of California-Los Angeles Appropriateness Methodology) can be used to facilitate discussions of proposed domains with stakeholder groups. In phase 3 (decision-making), we propose that behavioural scientists identify (with public/patient input) intervention functions and behaviour change techniques using the acceptability, practicability, effectiveness/cost-effectiveness, affordability, safety/side-effects and equity (APEASE) criteria. Results The COM-B model was a useful tool that allowed a multidisciplinary research team, many of whom had no prior knowledge of behavioural science, to synthesise effectively a varied corpus of evidence (phase 1: evidence synthesis). The RAND Health/University of California-Los Angeles Appropriateness Methodology provided a transparent means of involving stakeholders (patients, practitioners and key informants in the present example), a structured way in which they could identify which of 93 domains identified in phase 1 were essential for inclusion in the intervention (phase 2: stakeholder involvement). Phase 3 (decision-making) was able to draw on existing Behaviour Change Wheel resources to revisit phases 1 and 2 and facilitate agreement among behavioural scientists on the final intervention modules. Behaviour changes were required at service, practitioner, patient and community levels. Conclusion Frameworks offer a foundation for intervention development but require additional elucidation at each stage of the process. The decisions adopted in this study are designed to provide an example on how to resolve challenges while designing a behaviour change intervention. We propose a three-phase process, which represents a transparent and systematic framework for developing behaviour change interventions in any setting.

scholarly journals Orthodontic apps: an assessment of quality (using the Mobile App Rating Scale (MARS)) and behaviour change techniques (BCTs)

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
N. R. Siddiqui ◽  
S. J. Hodges ◽  
M. O. Sharif
Keyword(s):  
Behaviour Change ◽  
Rating Scale ◽  
Mobile App ◽  
Behaviour Change Techniques ◽  
List Type ◽  
Behaviour Change Wheel ◽  
Current Availability ◽  
The Uk ◽  
Google Play

Abstract Background Apps have been shown to be an effective tool in changing patients’ behaviours in orthodontics and can be used to improve their compliance with treatment. The Behaviour Change Techniques (BCTs) and quality (using MARS) within these apps have previously not been published. Objectives To evaluate the quality of these apps aiming to change behaviour. To assess BCTs used in patient focused orthodontic apps. Methods The UK Google Play and Apple App Stores were searched to identify all orthodontic apps and 305 apps were identified. All 305 apps were assessed for the presence of BCTs using an accepted taxonomy of BCTs (Behaviour Change Wheel (BCW)), widely utilised in healthcare. Of those containing BCTs, the quality was assessed using the Mobile App Rating Scale (MARS), a validated and multi-dimensional tool which rates apps according to 19 objective criteria. Data collection was carried out by two calibrated, independent assessors and repeated after 6 weeks for 25% of the apps by both assessors. Results BCTs were found in 31 apps, although only 18 of them were analysed for quality and 13 apps were excluded. Six different BCTs were identified: these were most commonly ‘prompts/cues’, and ‘information about health consequences’. All apps were shown to be of moderate quality (range 3.1–3.7/5). Inter-rater and intra-rater reliability for BCT and quality assessment were excellent. Conclusions The current availability of orthodontic apps of sufficient quality to recommend to patients is very limited. There is therefore a need for high-quality orthodontic apps with appropriate BCTs to be created, which may be utilised to improve patients’ compliance with treatment.

scholarly journals Strategies To Implement SARS-CoV-2 Point-of-Care Testing Into Primary Care Settings: A Qualitative Secondary Analysis Guided By The Behaviour Change Wheel

2021 ◽  
Author(s):  
Patrick Kierkegaard ◽  
Timothy Hicks ◽  
A. Joy Allen ◽  
Yaling Yang ◽  
Gail Hayward ◽  
...  
Keyword(s):  
Primary Care ◽  
Behaviour Change ◽  
Point Of Care ◽  
Implementation Strategies ◽  
Intervention Strategies ◽  
Routine Practice ◽  
Behaviour Change Techniques ◽  
Successful Implementation ◽  
Primary Care Settings ◽  
Behaviour Change Wheel

Abstract Background: There is little empirical evidence to inform implementation strategies for introducing SARS-CoV-2 point of care (POC) testing into primary care settings. The purpose of this study is to develop a theory-driven understanding of the behavioural determinants underpinning the implementation of SARS-CoV-2 POC testing in primary care. This will allow identification of potential intervention strategies that could encourage successful implementation of testing into routine practice and facilitate face-to-face consultations.Methods: We used a secondary qualitative analysis approach to re-analyse data from a qualitative study that involved interviewing 22 primary care physicians from 21 primary care practices across three regions in England. We followed the three-step method based on the Behaviour Change Wheel to identify barriers/enablers to the implementation of SARS-CoV-2 POC testing and identified behaviour change techniques to inform intervention strategies that targeted the barriers/enablers.Results: We identified 10 barriers and enablers to POC implementation under eight Theoretical Domains Framework (TDF): (1) knowledge; (2) behavioural regulation; (3) reinforcement; (4) skills; (5) environmental context and resources; (6) social influence; (7) professional role and identity; and (8) belief about consequences. Linkages with the Behaviour Change Techniques (BCT) taxonomy enabled the identification of intervention strategies to address the social and contextual factors influencing primary care physician’s willingness and capacity to adopt POC testing.Conclusions: A theory-informed approach identified barriers to the adoption of POC tests in primary care as well as guiding implementation strategies to address these challenges.

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