Aims.Return to work(RTW)after breast cancer is a complex process that questions the individual trajectories of patients and stakeholders.Program planning in this context requires relying on appropriate methods like In...Aims.Return to work(RTW)after breast cancer is a complex process that questions the individual trajectories of patients and stakeholders.Program planning in this context requires relying on appropriate methods like Intervention Mapping(IM)which encompasses such complexity.The aim of the methodological study is to describe an application of IM for both the design and production of a patient guide supporting RTW after breast cancer.Procedure.According to IM,the guide was co-constructed with a Community Advisory Board(CAB)of stakeholders(patients/associations,health professionals,companies,institutions)after considering other options(interactive website,mobile application).The design was done with empirical and theoretical anchoring,guided here by an Ecosystem Process of Change model.A communication agency was chosen to produce the document.Pre-tests were conducted with a representative panel of the target audience to assess the different prototypes elaborated,using questionnaires and a focus group.Results.The final structure of the guide is presented with comments in order to concretely illustrate the management of IM steps 3 and 4.The final structure of the guide is presented,along with a description of its components that target women(according to Prochaska et Di Clemente’s stages of change)and their environment(by use of levers they may activate).The results of the pre-test led to the simplification of the guide and its structure.Conclusion.IM allows a rich integration of experiential knowledge in the planning of complex health and public health programs.The development of the guide has attempted to integrate its aspects,in particular to promote both its implementation and its effects.Reflections are brought about the realistic evaluation of such complex interventions.展开更多
文摘Aims.Return to work(RTW)after breast cancer is a complex process that questions the individual trajectories of patients and stakeholders.Program planning in this context requires relying on appropriate methods like Intervention Mapping(IM)which encompasses such complexity.The aim of the methodological study is to describe an application of IM for both the design and production of a patient guide supporting RTW after breast cancer.Procedure.According to IM,the guide was co-constructed with a Community Advisory Board(CAB)of stakeholders(patients/associations,health professionals,companies,institutions)after considering other options(interactive website,mobile application).The design was done with empirical and theoretical anchoring,guided here by an Ecosystem Process of Change model.A communication agency was chosen to produce the document.Pre-tests were conducted with a representative panel of the target audience to assess the different prototypes elaborated,using questionnaires and a focus group.Results.The final structure of the guide is presented with comments in order to concretely illustrate the management of IM steps 3 and 4.The final structure of the guide is presented,along with a description of its components that target women(according to Prochaska et Di Clemente’s stages of change)and their environment(by use of levers they may activate).The results of the pre-test led to the simplification of the guide and its structure.Conclusion.IM allows a rich integration of experiential knowledge in the planning of complex health and public health programs.The development of the guide has attempted to integrate its aspects,in particular to promote both its implementation and its effects.Reflections are brought about the realistic evaluation of such complex interventions.
