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Supporting General Practitioners and people with hypertension to maximise medication use to control blood pressure: the contribution of Collective Intelligence to the development of the ‘Maximising Adherence, Minimising Inertia’ (MIAMI) intervention
Date
2024
Abstract
Background: Hypertension remains one of the most important modifiable risk factors for stroke and heart disease. Anti-hypertensive medications are effective, but are often not used to maximum benefit. Sub-optimal dosing by prescribers and challenges with medication-taking for patients remain barriers to effective blood pressure control.Objectives: We aimed to systematically develop a theory-based complex intervention to support General Practitioners (GPs) and people with hypertension to maximise medication use to control blood pressure.Methods: We used the three-phase Behaviour Change Wheel (BCW) as the overarching intervention development framework. Collective Intelligence methodology was used to operationalise the stakeholder input to Phases 2 and 3 of the BCW. This took the form of a Collective Intelligence workshop with 19 stakeholders from diverse backgrounds including lived experience, general practice, nursing, pharmacy and health psychology. Techniques such as barrier identification, idea-writing and scenario-based design were used to generate possible intervention options. Intervention options were then selected and refined using the Acceptability, Practicability, Effectiveness, Affordability, Side-effects and Equity (APEASE) criteria and guidance from the MIAMI Public and Patient Involvement Panel.Results: The finalised MIAMI intervention consists of both GP and patient supports. GP supports include a 30-minute online training,
Supervisor
Description
Publisher
Taylor and Francis
Citation
Health Psychology and Behavioral Medicine,2024, 12 (1)
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Files
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Casey_2024_Supporting.pdf
Adobe PDF, 1.39 MB
Funding code
Funding Information
This work was supported by the Health Research Board [HRB-DIFA-2020-012]