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; |
 |  |  | ▪ 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 | |||
 |  | ▪ Select important and changeable determinants | ▪ Input from experts in the field of patient handover (healthcare providers, and organizational, social and health scientists) |
 |  | ▪ 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 |
▪ Select evidence-based interventions and design of practical strategies | ▪ Input from experts (n = 220) | ||
 |  | ▪ Ensure that interventions and strategies address change objectives |  |
 |  |  | ▪ 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 |