ImpulsePal: The systematic development of a smartphone app to manage food temptations using intervention mapping.

Autor: van Beurden SB; College of Medicine of Health, University of Exeter, Exeter, UK., Greaves CJ; School of Sport, Exercise and Rehabilitation, University of Birmingham, Birmingham, UK., Abraham C; School of Psychology, University of Melbourne, Melbourne, AUS., Lawrence NS; School of Psychology, University of Exeter, Exeter, UK., Smith JR; College of Medicine of Health, University of Exeter, Exeter, UK.
Jazyk: angličtina
Zdroj: Digital health [Digit Health] 2021 Nov 25; Vol. 7, pp. 20552076211057667. Date of Electronic Publication: 2021 Nov 25 (Print Publication: 2021).
DOI: 10.1177/20552076211057667
Abstrakt: Background: Impulsive processes driving eating behaviour can often undermine peoples' attempts to change their behaviour, lose weight and maintain weight loss.
Aim: To develop an impulse management intervention to support weight loss in adults.
Methods: Intervention Mapping (IM) was used to systematically develop the "ImpulsePal" intervention. The development involved: (1) a needs assessment including a qualitative study, Patient and Public advisory group and expert group consultations, and a systematic review of impulse management techniques; (2) specification of performance objectives, determinants, and change objectives; (3) selection of intervention strategies (mapping of change techniques to the determinants of change); (4) creation of programme materials; (5) specification of adoption and implementation plans; (6) devising an evaluation plan.
Results: Application of the IM Protocol resulted in a smartphone app that could support reductions in unhealthy (energy dense) food consumption, overeating, and alcoholic and sugary drink consumption. ImpulsePal includes inhibition training, mindfulness techniques, implementation intentions (if-then planning), visuospatial loading, use of physical activity for craving management, and context-specific reminders. An "Emergency Button" was also included to provide access to in-the-moment support when temptation is strong.
Conclusions: ImpulsePal is a novel, theory- and evidence-informed, person-centred app that aims to support impulse management for healthier eating. Intervention Mapping facilitated the incorporation of app components that are practical operationalisations of change techniques targeting our specific change objectives and their associated theoretical determinants. Using IM enabled transparency and provided a clear framework for evaluation, and enhances replicability and the potential of the intervention to accomplish the desired outcome of facilitating weight loss through dietary change.
Competing Interests: Declaration of conflicting interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2021.)
Databáze: MEDLINE