Faculty of Health & Medicine, School of Health Sciences, University of Newcastle, Callaghan, NSW 2305, Australia.
Priority Research Centre for Stroke and Brain Injury, University of Newcastle, Callaghan, NSW 2305, Australia.
Nutrients. 2021 Mar 24;13(4):1058. doi: 10.3390/nu13041058.
Lifestyle interventions to reduce second stroke risk are complex. For effective translation into practice, interventions must be specific to end-user needs and described in detail for replication. This study used an Integrated Knowledge Translation (IKT) approach and the Template for Intervention Description and Replication (TIDieR) checklist to co-design and describe a telehealth-delivered diet program for stroke survivors. Stroke survivors and carers ( = 6), specialist dietitians ( = 6) and an IKT research team ( = 8) participated in a 4-phase co-design process. Phase 1: the IKT team developed the research questions, and identified essential program elements and workshop strategies for effective co-design. Phase 2: Participant co-design workshops used persona and journey mapping to create user profiles to identify barriers and essential program elements. Phase 3: The IKT team mapped Phase 2 data to the TIDieR checklist and developed the intervention prototype. Phase 4: Co-design workshops were conducted to refine the prototype for trial. Rigorous IKT co-design fundamentally influenced intervention development. Modifications to the protocol based on participant input included ensuring that all resources were accessible to people with aphasia, an additional support framework and resources specific to outcome of stroke. The feasibility and safety of this intervention is currently being pilot tested (randomised controlled trial; 2019/ETH11533, ACTRN12620000189921).
生活方式干预措施可降低二次中风风险，但这些干预措施较为复杂。为了将其有效转化应用于实践，干预措施必须针对最终用户的需求，并详细描述以便于复制。本研究采用综合知识转化（IKT）方法和干预措施描述与实施工具（TIDieR）清单，共同设计并描述了一种针对中风幸存者的远程医疗饮食计划。中风幸存者及其照顾者（=6）、专业营养师（=6）和 IKT 研究团队（=8）参与了一个 4 阶段的共同设计过程。第 1 阶段：IKT 团队提出了研究问题，并确定了必要的项目要素和研讨会策略，以有效进行共同设计。第 2 阶段：参与者共同设计研讨会使用角色和旅程图创建用户档案，以确定障碍和必要的项目要素。第 3 阶段：IKT 团队将第 2 阶段的数据映射到 TIDieR 清单，并开发了干预原型。第 4 阶段：进行共同设计研讨会，以改进用于试验的原型。严格的 IKT 共同设计从根本上影响了干预措施的发展。根据参与者的意见对方案进行了修改，包括确保所有资源都能为失语症患者所用、增加额外的支持框架和针对中风结果的特定资源。该干预措施的可行性和安全性目前正在进行试点测试（随机对照试验；2019/ETH11533，ACTRN12620000189921）。
