The University of Southampton
University of Southampton Institutional Repository

Developing a digital intervention for cancer survivors: An evidence, theory and person-based approach

Developing a digital intervention for cancer survivors: An evidence, theory and person-based approach
Developing a digital intervention for cancer survivors: An evidence, theory and person-based approach
This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review which identified cancer survivors’ needs, including barriers and facilitators to intervention success. Review evidence (N=49 papers) informed the intervention’s Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N=96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N=31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions.
Cancer, Cancer Survivors, Digital Intervention, Intervention development, Person-Based Approach, Qualitative methods, Quality of Life, Oncology
2398-6352
1-13
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Steele, Mary
dd7833c4-c04c-495c-aa9a-b23e01a89762
Corbett, Teresa
bce81837-17ae-46c3-a6b1-43a7e1f07f9c
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Krusche, Adele
336ef9cd-ec58-4826-8eaa-9c9f6edbb0ee
Heber, Elena D.
fc1e8b94-40d5-44bc-ad3a-e045c4764dfd
Easton, Stephanie
eb409080-f54f-46c4-a90d-4573d31b14ab
Cheetham-Blake, Tara
99ea7608-7d19-4e78-bd98-5ca3ca1c46f1
Slodkowska-Barabasz, Joanna
18182048-55ee-474c-9790-1f5b81fa585c
Muller, Andre Matthias
9efb5bef-f78e-4a96-8525-c8b614863e34
Wilde, Laura J.
9c0d03ba-8751-493e-94ef-d2e446d6d202
Smith, Kirsten
9da65772-0efa-4267-87ff-563f9757b34e
Payne, Liz
862f8fcf-711d-4146-a723-a9109339c70a
Singh, Karmpaul
f6479a07-65cc-40ec-934d-7c6f5e4ed9b8
Bacon, Roger
690ac754-376e-4148-b05b-1c97ff278a52
Burford, Tamsin
9897182c-bbe1-4523-8318-296d65e6e313
Summers, Kevin
0593138c-e8de-42d1-9cc1-f3d310fed0af
Turner, Lesley
9ce55e58-e149-4768-8618-388c3c9b7dae
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Steele, Mary
dd7833c4-c04c-495c-aa9a-b23e01a89762
Corbett, Teresa
bce81837-17ae-46c3-a6b1-43a7e1f07f9c
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Krusche, Adele
336ef9cd-ec58-4826-8eaa-9c9f6edbb0ee
Heber, Elena D.
fc1e8b94-40d5-44bc-ad3a-e045c4764dfd
Easton, Stephanie
eb409080-f54f-46c4-a90d-4573d31b14ab
Cheetham-Blake, Tara
99ea7608-7d19-4e78-bd98-5ca3ca1c46f1
Slodkowska-Barabasz, Joanna
18182048-55ee-474c-9790-1f5b81fa585c
Muller, Andre Matthias
9efb5bef-f78e-4a96-8525-c8b614863e34
Wilde, Laura J.
9c0d03ba-8751-493e-94ef-d2e446d6d202
Smith, Kirsten
9da65772-0efa-4267-87ff-563f9757b34e
Payne, Liz
862f8fcf-711d-4146-a723-a9109339c70a
Singh, Karmpaul
f6479a07-65cc-40ec-934d-7c6f5e4ed9b8
Bacon, Roger
690ac754-376e-4148-b05b-1c97ff278a52
Burford, Tamsin
9897182c-bbe1-4523-8318-296d65e6e313
Summers, Kevin
0593138c-e8de-42d1-9cc1-f3d310fed0af
Turner, Lesley
9ce55e58-e149-4768-8618-388c3c9b7dae
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e

Bradbury, Katherine, Steele, Mary, Corbett, Teresa, Geraghty, Adam, Krusche, Adele, Heber, Elena D., Easton, Stephanie, Cheetham-Blake, Tara, Slodkowska-Barabasz, Joanna, Muller, Andre Matthias, Wilde, Laura J., Smith, Kirsten, Payne, Liz, Singh, Karmpaul, Bacon, Roger, Burford, Tamsin, Summers, Kevin, Turner, Lesley, Richardson, Alison, Watson, Eila, Foster, Claire, Little, Paul and Yardley, Lucy (2019) Developing a digital intervention for cancer survivors: An evidence, theory and person-based approach. npj Digital Medicine, 1-13. (doi:10.1038/s41746-019-0163-4).

Record type: Article

Abstract

This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review which identified cancer survivors’ needs, including barriers and facilitators to intervention success. Review evidence (N=49 papers) informed the intervention’s Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N=96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N=31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions.

Text
Developing a digital intervention for cancer survivors - Accepted Manuscript
Available under License Other.
Download (55kB)

More information

Accepted/In Press date: 9 August 2019
e-pub ahead of print date: 2 September 2019
Keywords: Cancer, Cancer Survivors, Digital Intervention, Intervention development, Person-Based Approach, Qualitative methods, Quality of Life, Oncology

Identifiers

Local EPrints ID: 433500
URI: http://eprints.soton.ac.uk/id/eprint/433500
ISSN: 2398-6352
PURE UUID: 93736ffb-084b-45bb-8596-3c9b6dbd3221
ORCID for Katherine Bradbury: ORCID iD orcid.org/0000-0001-5513-7571
ORCID for Teresa Corbett: ORCID iD orcid.org/0000-0002-5620-5377
ORCID for Adam Geraghty: ORCID iD orcid.org/0000-0001-7984-8351
ORCID for Liz Payne: ORCID iD orcid.org/0000-0002-6594-5668
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755
ORCID for Claire Foster: ORCID iD orcid.org/0000-0002-4703-8378
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 23 Aug 2019 16:30
Last modified: 18 Feb 2021 17:26

Export record

Altmetrics

Contributors

Author: Mary Steele
Author: Teresa Corbett ORCID iD
Author: Adam Geraghty ORCID iD
Author: Adele Krusche
Author: Elena D. Heber
Author: Stephanie Easton
Author: Tara Cheetham-Blake
Author: Andre Matthias Muller
Author: Laura J. Wilde
Author: Kirsten Smith
Author: Liz Payne ORCID iD
Author: Karmpaul Singh
Author: Roger Bacon
Author: Tamsin Burford
Author: Kevin Summers
Author: Lesley Turner
Author: Eila Watson
Author: Claire Foster ORCID iD
Author: Paul Little
Author: Lucy Yardley ORCID iD

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×