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. 2024 Nov 7;14(11):e083495.
doi: 10.1136/bmjopen-2023-083495.

Theoretically informed codesign of a tailored intervention to support pressure ulcer prevention behaviours by older people living in their own homes in the UK and their lay carers: an intervention codesign study (C-PrUP)

Marjolein Woodhouse  1 , Fiona Cowdell  2 , Jennifer Roddis  3 , Anne Devrell  4 , Karen Oakley  5 , Judith Dyson  6
Affiliations

Theoretically informed codesign of a tailored intervention to support pressure ulcer prevention behaviours by older people living in their own homes in the UK and their lay carers: an intervention codesign study (C-PrUP)

Marjolein Woodhouse et al. BMJ Open. .

Abstract

Objective: To codesign a theoretically underpinned, healthcare practitioner-mediated, tailored intervention to support housebound older patients and their lay carers to adopt pressure ulcer prevention behaviours.

Design: Theoretical domains framework informed codesign.

Setting: One geographical area in the UK, spanning several community National Health Service Trusts.

Participants: Community-dwelling older patients at risk of pressure ulcer development and their lay carers (n=4) and health practitioners (n=6) providing related care.

Results: Codesigners addressed five identified barriers to pressure ulcer prevention, knowledge and beliefs about consequences, social or professional role and influence, motivation and priorities, emotion and environment. Prioritised intervention components were (1) making every contact count, all health and social care workers to be conversant with basic prevention behaviours and to support and reiterate these at every visit (9.1/10), (2) signposting of existing support groups and sitting services (8.4/10), (3) accessible, timely, trustable and relatable written information including the role of patients, carers and staff in prevention and links to other resources (7.7/10) and (4) supporting close family involvement in some of the practical elements of care (5.6/10).

Conclusions: Our study sought to codesign a practitioner-mediated, tailored intervention to support housebound older patients and their lay carers to adopt pressure ulcer prevention behaviours. The process of barrier identification and selection of behaviour change techniques for intervention components was theoretically informed. However, further development will be needed to refine the prototype intervention to take into account the complexity of multiple health needs and priorities of patients. The principles of this study are likely to be transferable to similar national and international contexts.

Keywords: Nursing Care; Patient Participation; Patient-Centered Care; Primary Health Care; QUALITATIVE RESEARCH; Self-Management.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1. Example poster for discussion. BCTs, behaviour change techniques.
See this image and copyright information in PMC

References

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