title: Application of Intervention Mapping to the Development of a Complex Physical Therapist Intervention.
abstract: BACKGROUND
  Physical therapist interventions, such as those designed to change physical activity behavior, are often complex and multifaceted. In order to facilitate rigorous evaluation and implementation of these complex interventions into clinical practice, the development process must be comprehensive, systematic, and transparent, with a sound theoretical basis. Intervention Mapping is designed to guide an iterative and problem-focused approach to the development of complex interventions.
  
  
  OBJECTIVE
  The purpose of this case report is to demonstrate the application of an Intervention Mapping approach to the development of a complex physical therapist intervention, a remote self-management program aimed at increasing physical activity after acquired brain injury.
  
  
  METHODS
  Intervention Mapping consists of 6 steps to guide the development of complex interventions: (1) needs assessment; (2) identification of outcomes, performance objectives, and change objectives; (3) selection of theory-based intervention methods and practical applications; (4) organization of methods and applications into an intervention program; (5) creation of an implementation plan; and (6) generation of an evaluation plan. The rationale and detailed description of this process are presented using an example of the development of a novel and complex physical therapist intervention, myMoves-a program designed to help individuals with an acquired brain injury to change their physical activity behavior.
  
  
  CONCLUSIONS
  The Intervention Mapping framework may be useful in the development of complex physical therapist interventions, ensuring the development is comprehensive, systematic, and thorough, with a sound theoretical basis. This process facilitates translation into clinical practice and allows for greater confidence and transparency when the program efficacy is investigated.
authors.affiliation: T.M. Jones, PhD, Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, Ground Floor, 75 Talavera Rd, Sydney, New South Wales 2109, Australia, and Centre for Physical Health, Macquarie University. taryn.jones@mq.edu.au.
authors.forename: Taryn M
authors.initials: TM
authors.lastname: Jones
authors.affiliation: B.F. Dear, PhD, eCentreClinic, Department of Psychology, Macquarie University, and Centre for Physical Health, Macquarie University.
authors.forename: Blake F
authors.initials: BF
authors.lastname: Dear
authors.affiliation: J.M. Hush, PhD, Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, and Centre for Physical Health, Macquarie University.
authors.forename: Julia M
authors.initials: JM
authors.lastname: Hush
authors.affiliation: N. Titov, PhD, eCentreClinic, Department of Psychology, Macquarie University, and Centre for Physical Health, Macquarie University.
authors.forename: Nickolai
authors.initials: N
authors.lastname: Titov
authors.affiliation: C.M. Dean, PhD, Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, and Centre for Physical Health, Macquarie University.
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Dean
mesh_terms: D001930:Brain Injuries / Q000150:complications; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D020380:Needs Assessment; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation; D011582:Psychological Theory; D012107:Research Design; D012648:Self Care