Intervention planning and modification of the BUMP intervention: A digital intervention for the early detection of raised blood pressure in pregnancy

Band, R; Hinton, L; Tucker, KL; Chappell, LC; Crawford, C; Franssen, M; Greenfield, S; Hodgkinson, J; McCourt, C; McManus, RJ; Sandall, J; Santos, MD; Velardo, C; Yardley, L

Intervention planning and modification of the BUMP intervention: A digital intervention for the early detection of raised blood pressure in pregnancy

Band, R Hinton, L

Tucker, KL Chappell, LC Crawford, C Franssen, M Greenfield, S Hodgkinson, J McCourt, C McManus, RJ Sandall, J

Santos, MD Velardo, C Yardley, L

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Publication Type:: Journal Article
Citation:: Pilot and Feasibility Studies, 2019, 5 (1)
Issue Date:: 2019-12-20

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Field	Value	Language
dc.contributor.author	Band, R	en_US
dc.contributor.author	Hinton, L https://orcid.org/0000-0002-6082-3151	en_US
dc.contributor.author	Tucker, KL	en_US
dc.contributor.author	Chappell, LC	en_US
dc.contributor.author	Crawford, C	en_US
dc.contributor.author	Franssen, M	en_US
dc.contributor.author	Greenfield, S	en_US
dc.contributor.author	Hodgkinson, J	en_US
dc.contributor.author	McCourt, C	en_US
dc.contributor.author	McManus, RJ	en_US
dc.contributor.author	Sandall, J https://orcid.org/0000-0003-2000-743X	en_US
dc.contributor.author	Santos, MD	en_US
dc.contributor.author	Velardo, C	en_US
dc.contributor.author	Yardley, L	en_US
dc.date.available	2019-11-28	en_US
dc.date.issued	2019-12-20	en_US
dc.identifier.citation	Pilot and Feasibility Studies, 2019, 5 (1)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/138192
dc.description.abstract	© 2019 The Author(s). Background: Hypertensive disorders in pregnancy, particularly pre-eclampsia, pose a substantial health risk for both maternal and foetal outcomes. The BUMP (Blood Pressure Self-Monitoring in Pregnancy) interventions are being tested in a trial. They aim to facilitate the early detection of raised blood pressure through self-monitoring. This article outlines how the self-monitoring interventions in the BUMP trial were developed and modified using the person-based approach to promote engagement and adherence. Methods: Key behavioural challenges associated with blood pressure self-monitoring in pregnancy were identified through synthesising qualitative pilot data and existing evidence, which informed guiding principles for the development process. Social cognitive theory was identified as an appropriate theoretical framework. A testable logic model was developed to illustrate the hypothesised processes of change associated with the intervention. Iterative qualitative feedback from women and staff informed modifications to the participant materials. Results: The evidence synthesis suggested women face challenges integrating self-monitoring into their lives and that adherence is challenging at certain time points in pregnancy (for example, starting maternity leave). Intervention modification included strategies to address adherence but also focussed on modifying outcome expectancies, by providing messages explaining pre-eclampsia and outlining the potential benefits of self-monitoring. Conclusions: With an in-depth understanding of the target population, several methods and approaches to plan and develop interventions specifically relevant to pregnant women were successfully integrated, to address barriers to behaviour change while ensuring they are easy to engage with, persuasive and acceptable.	en_US
dc.relation.ispartof	Pilot and Feasibility Studies	en_US
dc.relation.isbasedon	10.1186/s40814-019-0537-z	en_US
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Intervention planning and modification of the BUMP intervention: A digital intervention for the early detection of raised blood pressure in pregnancy	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	5	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
utslib.copyright.status	open_access	*
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	5	en_US

Abstract:

© 2019 The Author(s). Background: Hypertensive disorders in pregnancy, particularly pre-eclampsia, pose a substantial health risk for both maternal and foetal outcomes. The BUMP (Blood Pressure Self-Monitoring in Pregnancy) interventions are being tested in a trial. They aim to facilitate the early detection of raised blood pressure through self-monitoring. This article outlines how the self-monitoring interventions in the BUMP trial were developed and modified using the person-based approach to promote engagement and adherence. Methods: Key behavioural challenges associated with blood pressure self-monitoring in pregnancy were identified through synthesising qualitative pilot data and existing evidence, which informed guiding principles for the development process. Social cognitive theory was identified as an appropriate theoretical framework. A testable logic model was developed to illustrate the hypothesised processes of change associated with the intervention. Iterative qualitative feedback from women and staff informed modifications to the participant materials. Results: The evidence synthesis suggested women face challenges integrating self-monitoring into their lives and that adherence is challenging at certain time points in pregnancy (for example, starting maternity leave). Intervention modification included strategies to address adherence but also focussed on modifying outcome expectancies, by providing messages explaining pre-eclampsia and outlining the potential benefits of self-monitoring. Conclusions: With an in-depth understanding of the target population, several methods and approaches to plan and develop interventions specifically relevant to pregnant women were successfully integrated, to address barriers to behaviour change while ensuring they are easy to engage with, persuasive and acceptable.

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http://hdl.handle.net/10453/138192