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BMC Medical Research Methodology
Published in: BMC Medical Research Methodology 1/2020

Open Access 01-12-2020 | Bronchial Asthma | Research article

A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

Authors: Monica Lakhanpaul, Lorraine Culley, Noelle Robertson, Emma C. Alexander, Deborah Bird, Nicky Hudson, Narynder Johal, Melanie McFeeters, Charlotte Hamlyn-Williams, Logan Manikam, Yebeen Ysabelle Boo, Maya Lakhanpaul, Mark R. D. Johnson

Published in: BMC Medical Research Methodology | Issue 1/2020

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Abstract

Background

To describe how using a combined approach of community-based participatory research and intervention mapping principles could inform the development of a tailored complex intervention to improve management of asthma for South Asian (SA) children; Management and Interventions for Asthma (MIA) study.

Methods

A qualitative study using interviews, focus groups, workshops, and modified intervention mapping procedures to develop an intervention planning framework in an urban community setting in Leicester, UK. The modified form of intervention mapping (IM) included: systematic evidence synthesis; community study; families and healthcare professionals study; and development of potential collaborative intervention strategies. Participants in the community study were 63 SA community members and 12 key informants; in-depth semi-structured interviews involved 30 SA families, 14 White British (WB) families and 37 Healthcare Professionals (HCPs) treating SA children living with asthma; prioritisation workshops involved 145 SA, 6 WB and 37 HCP participants; 30 participants in finalisation workshops.

Results

Two key principles were utilised throughout the development of the intervention; community-based participatory research (CBPR) principles and intervention mapping (IM) procedures. The CBPR approach allowed close engagement with stakeholders and generated valuable knowledge to inform intervention development. It accounted for diverse perceptions and experiences with regard to asthma and recognised the priorities of patients and their families/caregivers for service improvement. The ‘ACT on Asthma’ programme was devised, comprising four arms of an intervention strategy: education and training, clinical support, advice centre and raising awareness, to be co-ordinated by a central team.

Conclusions

The modified IM principles utilised in this study were systematic and informed by theory. The combined IM and participatory approach could be considered when tailoring interventions for other clinical problems within diverse communities. The IM approach to intervention development was however resource intensive. Working in meaningful collaboration with minority communities requires specific resources and a culturally competent methodology.
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Metadata
Title
A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children
Authors
Monica Lakhanpaul
Lorraine Culley
Noelle Robertson
Emma C. Alexander
Deborah Bird
Nicky Hudson
Narynder Johal
Melanie McFeeters
Charlotte Hamlyn-Williams
Logan Manikam
Yebeen Ysabelle Boo
Maya Lakhanpaul
Mark R. D. Johnson
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Medical Research Methodology / Issue 1/2020
Electronic ISSN: 1471-2288
DOI
https://doi.org/10.1186/s12874-020-01148-y

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