Faculty of Medicine, School of Rehabilitation, Université de Montréal, Montréal, QC H3C 3J7, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, QC H3S 1M9, Canada.
Int J Environ Res Public Health. 2022 Oct 15;19(20):13303. doi: 10.3390/ijerph192013303.
Training and follow-up for older adults who received new assistive technology can improve device use adoption and function, but there is a lack of systematic and coordinated services. To address this gap, the Internet-based MOvIT+™ was designed to provide remote monitoring and support for assistive technology users and their caregivers. This paper presents the intervention mapping approach that was used. In step 1, we established a project governance structure and a logic model emerged from interviews with stakeholders and a systematic review of literature. In step 2, a modified TRIAGE consensus process led to the prioritization of thirty-six intervention components. In step 3, we created use cases for all intervention end users. In step 4, the intervention interface was created through iterative lab testing, and we gathered training resources. In step 5, a two-stage implementation plan was devised with the recruited rehabilitation sites. In step 6, we proposed an evaluation protocol. This detailed account of the development of MOvIT+™ demonstrates how the combined use of an intervention mapping approach and participatory processes with end users can help linking evidence-based, user-centered, and pragmatic reasoning. It makes visible the complexities behind the development of Internet-based interventions, while guiding future program developers.
为新获得辅助技术的老年人提供培训和后续服务可以提高设备的使用和功能，但缺乏系统和协调的服务。为了解决这一差距，设计了基于互联网的 MOvIT+™，为辅助技术用户及其护理人员提供远程监测和支持。本文介绍了所使用的干预映射方法。在步骤 1 中，我们建立了项目治理结构，并且从利益相关者的访谈和系统文献综述中得出了逻辑模型。在步骤 2 中，经过修改的 TRIAGE 共识过程导致对三十六个干预组件进行了优先级排序。在步骤 3 中，我们为所有干预最终用户创建了用例。在步骤 4 中，通过迭代实验室测试创建了干预接口，并收集了培训资源。在步骤 5 中，与招募的康复地点一起制定了两阶段实施计划。在步骤 6 中，我们提出了评估方案。MOvIT+™ 的详细开发过程表明，如何结合使用干预映射方法和最终用户的参与性过程，有助于将基于证据、以用户为中心和务实推理联系起来。它揭示了基于互联网的干预措施开发背后的复杂性，同时为未来的项目开发者提供了指导。
