Evidence map›Paper›PMID 38894945›Full record

ArticleDigital health

Making it transparent: A worked example of articulating programme theory for a digital health application using Intervention Mapping.

Tamika A Marcos, Rik Crutzen, Veronika Leitner, Jan D Smeddinck, Eva-Maria Strumegger, Daniela Wurhofer, Stefan T Kulnik

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tamika A MarcosDepartment of Work and Social Psychology, Maastricht University, Maastricht, The Netherlands.
Rik CrutzenLudwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
Veronika LeitnerLudwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
Jan D SmeddinckLudwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
Eva-Maria StrumeggerLudwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
Daniela WurhoferLudwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.
Stefan T KulnikLudwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria.ORCID https://orcid.org/0000-0001-5419-6713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Digital health interventions for behaviour change are usually complex interventions, and intervention developers should 'articulate programme theory', that is, they should offer detailed descriptions of individual intervention components and their proposed mechanisms of action. However, such detailed descriptions often remain lacking. The objective of this work was to provide a conceptual case study with an applied example of 'articulating programme theory' for a newly developed digital health intervention. Methods: Intervention Mapping methodology was applied to arrive at a detailed description of programme theory for a newly developed digital health intervention that aims to support cardiac rehabilitation patients in establishing heart-healthy physical activity habits. Based on a Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation (PRECEDE) logic model of the problem, a logic model of change was developed. The proposed mechanisms of action were visualised in an acyclic behaviour change diagram. Results: Programme theory for this digital health intervention includes 4 sub-behaviours of the main target behaviour (i.e. habitual heart-healthy physical activity), 8 personal determinants and 12 change objectives (i.e. changes needed at the determinant level to achieve the sub-behaviours). These are linked to 12 distinct features of the digital health intervention and 12 underlying behaviour change methods. Conclusions: This case study offers a worked example of articulating programme theory for a digital health intervention using Intervention Mapping. Intervention developers and researchers may draw on this example to replicate the method, or to reflect on most suitable approaches for their own behaviour change interventions.

Indexed as

Behavior and behavior mechanismsCardiac rehabilitationCardiovascular diseasesDigital healthHealth promotionPublic healthSecondary preventionTelemedicine

Identifiers

PMID38894945
PMCPMC11185015

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.