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Table 1 Intervention mapping steps, objectives and methods*

From: Improving patient discharge and reducing hospital readmissions by using Intervention Mapping

Steps

Objectives

Methods

1.

Problem analysis

â–ª Gain insight into health problem, quality of care, underlying causes and target population

â–ª Problem analysis using PRECEDE-PROCEED model;

   

â–ª Analysis based on:

   

- Literature research

   

- Individual interviews (n = 321)

   

- Focus group interviews (n = 26)

   

- Process maps (n = 5)

   

- Artifact analyses (n = 5)

   

- Ishikawa (fishbone) diagrams (n = 5)

2.

Identify intervention outcomes, performance objectives and change objectives

â–ª State intervention outcomes

â–ª Use evidence from literature and empirical data from problem analysis (step 1)

â–ª Specify performance objectives

  

â–ª Select important and changeable determinants

â–ª Input from experts in the field of patient handover (healthcare providers, and organizational, social and health scientists)

  

â–ª Develop matrices with change objectives based on performance objectives and determinants of suboptimal hospital discharge

 

3.

Select theory-based methods and strategies

â–ª Identify and select theoretical methods

â–ª Literature search on theory-based methods

â–ª Select evidence-based interventions and design of practical strategies

▪ Input from experts (n = 220)

  

â–ª Ensure that interventions and strategies address change objectives

 
   

â–ª Systematic literature review on evidence based discharge interventions

â–ª Additional search for experience based practical strategies

â–ª Matching methods and practical strategies with determinants and performance objectives (step 1 and 2)

4.

Develop an intervention

â–ª Provide suggestions for developing an intervention

â–ª Input from literature search and experts

5.

Implementation

â–ª Provide suggestions for writing an implementation plan

â–ª Literature search of implementation strategies and tools

6.

Evaluation

â–ª Provide suggestions for writing an evaluation plan

â–ª Literature search on methods for effect and process evaluation on complex interventions

  1. *Adapted from Bartholomew et al. [18].