Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production: the Face-it study

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Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production : the Face-it study. / Maindal, Helle Terkildsen; Timm, Anne; Dahl-Petersen, Inger Katrine; Davidsen, Emma; Hillersdal, Line; Jensen, Nanna Husted; Thøgersen, Maja; Jensen, Dorte Møller; Ovesen, Per; Damm, Peter; Kampmann, Ulla; Vinter, Christina Anne; Mathiesen, Elisabeth Reinhardt; Nielsen, Karoline Kragelund.

I: BMC Public Health, Bind 21, 1616, 2021.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Maindal, HT, Timm, A, Dahl-Petersen, IK, Davidsen, E, Hillersdal, L, Jensen, NH, Thøgersen, M, Jensen, DM, Ovesen, P, Damm, P, Kampmann, U, Vinter, CA, Mathiesen, ER & Nielsen, KK 2021, 'Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production: the Face-it study', BMC Public Health, bind 21, 1616. https://doi.org/10.1186/s12889-021-11655-2

APA

Maindal, H. T., Timm, A., Dahl-Petersen, I. K., Davidsen, E., Hillersdal, L., Jensen, N. H., Thøgersen, M., Jensen, D. M., Ovesen, P., Damm, P., Kampmann, U., Vinter, C. A., Mathiesen, E. R., & Nielsen, K. K. (2021). Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production: the Face-it study. BMC Public Health, 21, [1616]. https://doi.org/10.1186/s12889-021-11655-2

Vancouver

Maindal HT, Timm A, Dahl-Petersen IK, Davidsen E, Hillersdal L, Jensen NH o.a. Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production: the Face-it study. BMC Public Health. 2021;21. 1616. https://doi.org/10.1186/s12889-021-11655-2

Author

Maindal, Helle Terkildsen ; Timm, Anne ; Dahl-Petersen, Inger Katrine ; Davidsen, Emma ; Hillersdal, Line ; Jensen, Nanna Husted ; Thøgersen, Maja ; Jensen, Dorte Møller ; Ovesen, Per ; Damm, Peter ; Kampmann, Ulla ; Vinter, Christina Anne ; Mathiesen, Elisabeth Reinhardt ; Nielsen, Karoline Kragelund. / Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production : the Face-it study. I: BMC Public Health. 2021 ; Bind 21.

Bibtex

@article{3918cde5f4734aeeb23e9761cb81607c,
title = "Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production: the Face-it study",
abstract = "Background: Women with prior gestational diabetes mellitus (GDM) are at high risk of developing type 2 diabetes; however, this risk can be reduced by engaging in positive health behaviours e.g. healthy diet and regular physical activity. As such behaviours are difficult to obtain and maintain there is a need to develop sustainable behavioural interventions following GDM. We aimed to report the process of systematically developing a health promotion intervention to increase quality of life and reduce diabetes risk among women with prior GDM and their families. We distil general lessons about developing complex interventions through co-production and discuss our extensions to intervention development frameworks. Methods: The development process draws on the Medical Research Council UK Development of complex interventions in primary care framework and an adaptation of a three-stage framework proposed by Hawkins et al. From May 2017 to May 2019, we iteratively developed the Face-it intervention in four stages: 1) Evidence review, qualitative research and stakeholder consultations; 2) Co-production of the intervention content; 3) Prototyping, feasibility- and pilot-testing and 4) Core outcome development. In all stages, we involved stakeholders from three study sites. Results: During stage 1, we identified the target areas for health promotion in families where the mother had prior GDM, including applying a broad understanding of health and a multilevel and multi-determinant approach. We pinpointed municipal health visitors as deliverers and the potential of using digital technology. In stage 2, we tested intervention content and delivery methods. A health pedagogic dialogue tool and a digital health app were co-adapted as the main intervention components. In stage 3, the intervention content and delivery were further adapted in the local context of the three study sites. Suggestions for intervention manuals were refined to optimise flexibility, delivery, sequencing of activities and from this, specific training manuals were developed. Finally, at stage 4, all stakeholders were involved in developing realistic and relevant evaluation outcomes. Conclusions: This comprehensive description of the development of the Face-it intervention provides an example of how to co-produce and prototype a complex intervention balancing evidence and local conditions. The thorough, four-stage development is expected to create ownership and feasibility among intervention participants, deliverers and local stakeholders. Trial registration: ClinicalTrials.gov NCT03997773, registered retrospectively on 25 June 2019.",
keywords = "Co-production, Complex intervention, Family intervention, Gestational diabetes mellitus, Health promotion, Intervention development, Postpartum period, Type 2 diabetes prevention",
author = "Maindal, {Helle Terkildsen} and Anne Timm and Dahl-Petersen, {Inger Katrine} and Emma Davidsen and Line Hillersdal and Jensen, {Nanna Husted} and Maja Th{\o}gersen and Jensen, {Dorte M{\o}ller} and Per Ovesen and Peter Damm and Ulla Kampmann and Vinter, {Christina Anne} and Mathiesen, {Elisabeth Reinhardt} and Nielsen, {Karoline Kragelund}",
note = "Publisher Copyright: {\textcopyright} 2021, The Author(s).",
year = "2021",
doi = "10.1186/s12889-021-11655-2",
language = "English",
volume = "21",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Systematically developing a family-based health promotion intervention for women with prior gestational diabetes based on evidence, theory and co-production

T2 - the Face-it study

AU - Maindal, Helle Terkildsen

AU - Timm, Anne

AU - Dahl-Petersen, Inger Katrine

AU - Davidsen, Emma

AU - Hillersdal, Line

AU - Jensen, Nanna Husted

AU - Thøgersen, Maja

AU - Jensen, Dorte Møller

AU - Ovesen, Per

AU - Damm, Peter

AU - Kampmann, Ulla

AU - Vinter, Christina Anne

AU - Mathiesen, Elisabeth Reinhardt

AU - Nielsen, Karoline Kragelund

N1 - Publisher Copyright: © 2021, The Author(s).

PY - 2021

Y1 - 2021

N2 - Background: Women with prior gestational diabetes mellitus (GDM) are at high risk of developing type 2 diabetes; however, this risk can be reduced by engaging in positive health behaviours e.g. healthy diet and regular physical activity. As such behaviours are difficult to obtain and maintain there is a need to develop sustainable behavioural interventions following GDM. We aimed to report the process of systematically developing a health promotion intervention to increase quality of life and reduce diabetes risk among women with prior GDM and their families. We distil general lessons about developing complex interventions through co-production and discuss our extensions to intervention development frameworks. Methods: The development process draws on the Medical Research Council UK Development of complex interventions in primary care framework and an adaptation of a three-stage framework proposed by Hawkins et al. From May 2017 to May 2019, we iteratively developed the Face-it intervention in four stages: 1) Evidence review, qualitative research and stakeholder consultations; 2) Co-production of the intervention content; 3) Prototyping, feasibility- and pilot-testing and 4) Core outcome development. In all stages, we involved stakeholders from three study sites. Results: During stage 1, we identified the target areas for health promotion in families where the mother had prior GDM, including applying a broad understanding of health and a multilevel and multi-determinant approach. We pinpointed municipal health visitors as deliverers and the potential of using digital technology. In stage 2, we tested intervention content and delivery methods. A health pedagogic dialogue tool and a digital health app were co-adapted as the main intervention components. In stage 3, the intervention content and delivery were further adapted in the local context of the three study sites. Suggestions for intervention manuals were refined to optimise flexibility, delivery, sequencing of activities and from this, specific training manuals were developed. Finally, at stage 4, all stakeholders were involved in developing realistic and relevant evaluation outcomes. Conclusions: This comprehensive description of the development of the Face-it intervention provides an example of how to co-produce and prototype a complex intervention balancing evidence and local conditions. The thorough, four-stage development is expected to create ownership and feasibility among intervention participants, deliverers and local stakeholders. Trial registration: ClinicalTrials.gov NCT03997773, registered retrospectively on 25 June 2019.

AB - Background: Women with prior gestational diabetes mellitus (GDM) are at high risk of developing type 2 diabetes; however, this risk can be reduced by engaging in positive health behaviours e.g. healthy diet and regular physical activity. As such behaviours are difficult to obtain and maintain there is a need to develop sustainable behavioural interventions following GDM. We aimed to report the process of systematically developing a health promotion intervention to increase quality of life and reduce diabetes risk among women with prior GDM and their families. We distil general lessons about developing complex interventions through co-production and discuss our extensions to intervention development frameworks. Methods: The development process draws on the Medical Research Council UK Development of complex interventions in primary care framework and an adaptation of a three-stage framework proposed by Hawkins et al. From May 2017 to May 2019, we iteratively developed the Face-it intervention in four stages: 1) Evidence review, qualitative research and stakeholder consultations; 2) Co-production of the intervention content; 3) Prototyping, feasibility- and pilot-testing and 4) Core outcome development. In all stages, we involved stakeholders from three study sites. Results: During stage 1, we identified the target areas for health promotion in families where the mother had prior GDM, including applying a broad understanding of health and a multilevel and multi-determinant approach. We pinpointed municipal health visitors as deliverers and the potential of using digital technology. In stage 2, we tested intervention content and delivery methods. A health pedagogic dialogue tool and a digital health app were co-adapted as the main intervention components. In stage 3, the intervention content and delivery were further adapted in the local context of the three study sites. Suggestions for intervention manuals were refined to optimise flexibility, delivery, sequencing of activities and from this, specific training manuals were developed. Finally, at stage 4, all stakeholders were involved in developing realistic and relevant evaluation outcomes. Conclusions: This comprehensive description of the development of the Face-it intervention provides an example of how to co-produce and prototype a complex intervention balancing evidence and local conditions. The thorough, four-stage development is expected to create ownership and feasibility among intervention participants, deliverers and local stakeholders. Trial registration: ClinicalTrials.gov NCT03997773, registered retrospectively on 25 June 2019.

KW - Co-production

KW - Complex intervention

KW - Family intervention

KW - Gestational diabetes mellitus

KW - Health promotion

KW - Intervention development

KW - Postpartum period

KW - Type 2 diabetes prevention

U2 - 10.1186/s12889-021-11655-2

DO - 10.1186/s12889-021-11655-2

M3 - Journal article

C2 - 34479526

AN - SCOPUS:85114340866

VL - 21

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

M1 - 1616

ER -

ID: 279819479