Table 1 Methods used to develop and implement ONNIa following the six steps of Intervention Mapping
Six steps of Intervention Mapping | Study objectives | Methods used during the development |
|---|---|---|
Step 1: Logic Model of the Problem | ||
Aim: to examine a specific health problem in the target population | To examine the behavioural and environmental determinants of undernourished patients planned for surgery seen at anaesthetic outpatients clinics | • Interviews with patients and nurses, observations of nutritional care, survey among patients (see Table 2) |
Step 2: Program Outcomes and Objectives – Logic Model of Change | ||
Aim: to develop matrices of change objectives | To define program outcomes, performance objectives, change objectives | • Panel discussion and definition session |
Step 3: Program Design | ||
Aim: to generate program ideas, including change methods and practical applications | To generate program idea’s with methods for change | • Theory of undernutrition and nutritional support • Theory of behaviour change • Implementation strategies (see Table 5) |
Step 4: Program Production | ||
Aim: to produce a programme that matches the previous steps | To produce a program for undernourished patients during outpatient preoperative evaluation at anaesthetic outpatient clinic | • Development of the ONNIa (see Table 6) • Development of a nursing nutritional training • Pre-test of the ONNIa and the training |
Step 5: Implementation Plan | ||
Aim: to develop an implementation plan to enable adoption, implementation, and maintenance | To develop an implementation plan of the ONNIa | • Identification of implementation barriers and process evaluation (see Table 7) • Literature on implementation strategies and evaluation of complex interventions |