Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study

Duncan, Edward; O’Cathain, Alicia; Rousseau, Nikki; Croot, Liz; Sworn, Katie; Turner, Katrina; Yardley, Lucy; Hoddinott, Pat

doi:10.1136/bmjopen-2019-033516

Cited by 214 publications

(210 citation statements)

References 39 publications

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“…Despite these interventions leading to positive changes in help-seeking, theoretical frameworks leading to their development had not been outlined. This presents difficulties for replication, as well as challenges in identifying what techniques have been key to positive changes [25,33].…”

Section: Mrc Development: Identifying the Evidence Basementioning

confidence: 99%

“…Here, the use of the COM-B model of behaviour change, BCW, BCTTv1 and APEASE criteria has been discussed when designing gender-sensitive interventions for male students with the ultimate goal to enhance their effectiveness and replicability once published [ 35 , 100 , 103 ]. Similarly, the use of the GUIDED checklist is provided to further enhance the description of this framework and allow readers to understand key aspects when developing mental health interventions for male students [ 25 ].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Improving Mental Health Help-Seeking Behaviours for Male Students: A Framework for Developing a Complex Intervention

Sagar-Ouriaghli

Godfrey

Graham

et al. 2020

IJERPH

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Men are less likely to seek help for mental health difficulties and this process is often used to help explain the disproportionally higher suicide rates compared to women. Furthermore, university students are often regarded as a vulnerable population group with a lower propensity to seek help. Thus, male students are a very high-risk group that is even more reluctant to seek help for mental health difficulties, placing them at high risk of suicide. Often, student mental health problems are highlighted in the media, but very few evidence-based solutions specifically designed for male students exist. The current paper seeks to provide a comprehensive framework about how to better design mental health interventions that seek to improve male students’ willingness to access psychological support. The Medical Research Council’s (MRC’s) framework for developing a complex intervention was used to develop an intervention relevant to male students. In this paper, previous help-seeking interventions and their evaluation methods are first described, secondly, a theoretical framework outlining the important factors male students face when accessing support, and thirdly, how these factors can be mapped onto a model of behaviour change to inform the development of an evidence-based intervention are discussed. Finally, an example intervention with specific functions and behaviour change techniques is provided to demonstrate how this framework can be implemented and evaluated. It is hoped that this framework can be used to help reduce the disparity between male and female students seeking mental health support.

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Section: Mrc Development: Identifying the Evidence Basementioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Improving Mental Health Help-Seeking Behaviours for Male Students: A Framework for Developing a Complex Intervention

Sagar-Ouriaghli

Godfrey

Graham

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Best practice guidelines suggest intervention development should be based on behaviour change theory, existing evidence, and pre-trial qualitative work with the target group [18]. Following our review of existing school-based strategies [19] and novel analyses of existing data [20], we identified limitations of previous adolescent physical activity promotion strategies including a lack of whole-population approaches, limited adolescent involvement in intervention development, poor participant engagement, and lack of consideration of potential negative impacts [13].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and cost-effectiveness of the GoActive intervention to increase physical activity among UK adolescents: A cluster randomised controlled trial

et al. 2020

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Background Less than 20% of adolescents globally meet recommended levels of physical activity, and not meeting these recommended levels is associated with social disadvantage and rising disease risk. The determinants of physical activity in adolescents are multilevel and poorly understood, but the school's social environment likely plays an important role. We conducted a cluster randomised controlled trial to assess the effectiveness of a school-based programme (GoActive) to increase moderate-to-vigorous physical activity (MVPA) among adolescents. Methods and findings Non-fee-paying, coeducational schools including Year 9 students in the UK counties of Cambridgeshire and Essex were eligible for inclusion. Within participating schools (n = 16), all Year 9 students were eligible and invited to participate. Participants were 2,862 13-to 14year-olds (84% of eligible students). After baseline assessment, schools were computerrandomised, stratified by school-level pupil premium funding (below/above county-specific median) and county (control: 8 schools, 1,319 participants, mean [SD] participants per school n = 165 [62]; intervention: 8 schools, 1,543 participants, n = 193 [43]). Measurement staff were blinded to allocation. The iteratively developed, feasibility-tested 12-week intervention, aligned with self-determination theory, trained older adolescent mentors and inclass peer-leaders to encourage classes to conduct 2 new weekly activities. Students and classes gained points and rewards for engaging in any activity in or out of school. The

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“…At the end of the intervention development stage, a description of the intervention was completed following the Templete for intervention description and replication (TIDieR) 29 guidance (online supplemental materials S4) together with a description of the intervention components for clinicians and patients (table 2). We have followed the Guidance for reporting intervention development studies in health research (GUIDED) 30 checklist (online supplemental materials S5), when reporting intervention development in this paper.…”

Section: Intervention Componentsmentioning

confidence: 99%

Developing a behavioural intervention package to identify and amend incorrect penicillin allergy records in UK general practice and subsequently change antibiotic use

et al. 2020

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ObjectivesTo develop a behavioural intervention package to support clinicians and patients to amend incorrect penicillin allergy records in general practice. The intervention aimed to: (1) support clinicians to refer patients for penicillin allergy testing (PAT), (2) support patients to attend for PAT and (3) support clinicians and patients to prescribe or consume penicillin, when indicated, following a negative PAT result.MethodsTheory-based, evidence-based and person-based approaches were used in the intervention development. We used evidence from a rapid review, two qualitative studies, and expert consultations with the clinical research team to identify the intervention ‘guiding principles’ and develop an intervention plan. Barriers and facilitators to the target behaviours were mapped to behaviour change theory in order to describe the proposed mechanisms of change. In the final stage, think-aloud interviews were conducted to optimise intervention materials.ResultsThe collated evidence showed that the key barriers to referral of patients by clinicians were limited experience of referral and limited knowledge of referral criteria and PAT. Barriers for patients attending PAT were lack of knowledge of the benefits of testing and lack of motivation to get tested. The key barriers to the prescription and consumption of first-line penicillin following a negative test result were patient and clinician beliefs about the accuracy of PAT and whether taking penicillin was safe. Intervention materials were designed and developed to address these barriers.ConclusionsWe present a novel behavioural intervention package designed to address the multiple barriers to uptake of PAT in general practice by clinicians and patients. The intervention development details how behaviour change techniques have been incorporated to hypothesise how the intervention is likely to work to help amend incorrect penicillin allergy records. The intervention will go on to be tested in a feasibility trial and randomised controlled trial in England.

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Guidance for reporting intervention development studies in health research (GUIDED): an evidence-based consensus study

Cited by 214 publications

References 39 publications

Improving Mental Health Help-Seeking Behaviours for Male Students: A Framework for Developing a Complex Intervention

Improving Mental Health Help-Seeking Behaviours for Male Students: A Framework for Developing a Complex Intervention

Effectiveness and cost-effectiveness of the GoActive intervention to increase physical activity among UK adolescents: A cluster randomised controlled trial

Developing a behavioural intervention package to identify and amend incorrect penicillin allergy records in UK general practice and subsequently change antibiotic use

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