Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping
Objective: To systematically re-develop a blended-care intervention addressing weight recurrence after metabolic bariatric surgery (MBS). Weight recurrence poses a significant longterm challenge for around 20–30 % of MBS patients. The intervention aims to improve weight outcomes and enhance patient...
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Elsevier
2025-06-01
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| Series: | PEC Innovation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628225000330 |
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| author | Vera Voorwinde Ingrid H.M. Steenhuis Ignace M.C. Janssen Valerie M. Monpellier Maartje M. van Stralen |
| author_facet | Vera Voorwinde Ingrid H.M. Steenhuis Ignace M.C. Janssen Valerie M. Monpellier Maartje M. van Stralen |
| author_sort | Vera Voorwinde |
| collection | DOAJ |
| description | Objective: To systematically re-develop a blended-care intervention addressing weight recurrence after metabolic bariatric surgery (MBS). Weight recurrence poses a significant longterm challenge for around 20–30 % of MBS patients. The intervention aims to improve weight outcomes and enhance patient well-being. This study describes the novel application of the Intervention Mapping (IM) protocol, integrating scientific evidence and stakeholder input. Methods: The six-step IM protocol guided the development process, ensuring the active involvement of patients and healthcare professionals. A comprehensive needs assessment using quantitative, qualitative, and literature-based approaches informed the creation of a logic model of the problem (Step 1) and a logic model of change (Step 2). Program outcomes and objectives were formulated through collaborative brainstorming and design-thinking sessions, leading to intervention design (Step 3). The intervention was co-produced with patients, implementers, and an app developer (Step 4). Detailed implementation (Step 5) and evaluation (Step 6) plans were subsequently developed. Results: The IM process yielded a blended-care intervention grounded in theoretical frameworks and evidence-based methods. The intervention actively involved the target population and implementers, addressing key determinants of weight recurrence. Conclusion: The IM protocol demonstrated utility in designing a tailored, theory-based intervention post-MBS. The process emphasized the value of integrating stakeholder perspectives and highlighted the feasibility of co-creating an evidence-informed intervention. Innovation: This intervention incorporates newly developed elements in a novel blended-care structure. Future evaluation is necessary to determine its effectiveness in achieving the desired outcomes. |
| format | Article |
| id | doaj-art-a5e1a518dffc4a1c947a48e17485bfc8 |
| institution | DOAJ |
| issn | 2772-6282 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj-art-a5e1a518dffc4a1c947a48e17485bfc82025-08-20T03:13:30ZengElsevierPEC Innovation2772-62822025-06-01610040410.1016/j.pecinn.2025.100404Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mappingVera Voorwinde0Ingrid H.M. Steenhuis1Ignace M.C. Janssen2Valerie M. Monpellier3Maartje M. van Stralen4Dutch Obesity Clinic, Huis ter Heide, the Netherlands; VU University, Faculty of Science, Department of Health Sciences and Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Corresponding author at: Nederlandse Obesitas Kliniek, Amersfoortseweg 43, 3712 BA Huis Ter Heide, the Netherlands.VU University, Faculty of Science, Department of Health Sciences and Amsterdam Public Health Research Institute, Amsterdam, the NetherlandsDutch Obesity Clinic, Huis ter Heide, the NetherlandsDutch Obesity Clinic, Huis ter Heide, the NetherlandsVU University, Faculty of Science, Department of Health Sciences and Amsterdam Public Health Research Institute, Amsterdam, the NetherlandsObjective: To systematically re-develop a blended-care intervention addressing weight recurrence after metabolic bariatric surgery (MBS). Weight recurrence poses a significant longterm challenge for around 20–30 % of MBS patients. The intervention aims to improve weight outcomes and enhance patient well-being. This study describes the novel application of the Intervention Mapping (IM) protocol, integrating scientific evidence and stakeholder input. Methods: The six-step IM protocol guided the development process, ensuring the active involvement of patients and healthcare professionals. A comprehensive needs assessment using quantitative, qualitative, and literature-based approaches informed the creation of a logic model of the problem (Step 1) and a logic model of change (Step 2). Program outcomes and objectives were formulated through collaborative brainstorming and design-thinking sessions, leading to intervention design (Step 3). The intervention was co-produced with patients, implementers, and an app developer (Step 4). Detailed implementation (Step 5) and evaluation (Step 6) plans were subsequently developed. Results: The IM process yielded a blended-care intervention grounded in theoretical frameworks and evidence-based methods. The intervention actively involved the target population and implementers, addressing key determinants of weight recurrence. Conclusion: The IM protocol demonstrated utility in designing a tailored, theory-based intervention post-MBS. The process emphasized the value of integrating stakeholder perspectives and highlighted the feasibility of co-creating an evidence-informed intervention. Innovation: This intervention incorporates newly developed elements in a novel blended-care structure. Future evaluation is necessary to determine its effectiveness in achieving the desired outcomes.http://www.sciencedirect.com/science/article/pii/S2772628225000330Metabolic bariatric surgeryLifestyle interventionIntervention mappingWeight recurrenceeHealthPatient participation |
| spellingShingle | Vera Voorwinde Ingrid H.M. Steenhuis Ignace M.C. Janssen Valerie M. Monpellier Maartje M. van Stralen Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping PEC Innovation Metabolic bariatric surgery Lifestyle intervention Intervention mapping Weight recurrence eHealth Patient participation |
| title | Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping |
| title_full | Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping |
| title_fullStr | Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping |
| title_full_unstemmed | Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping |
| title_short | Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping |
| title_sort | getting back on track development of a blended care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping |
| topic | Metabolic bariatric surgery Lifestyle intervention Intervention mapping Weight recurrence eHealth Patient participation |
| url | http://www.sciencedirect.com/science/article/pii/S2772628225000330 |
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