• Elise van Belle, Zwakhalen Sandra M G SMG http://orcid.org/0000-0002-7561-5259 Research School CAPHRI, Department of Health Services Research, Maastricht University, M, Josien Caris, Ann Van Hecke, Getty Huisman-de Waal, and Maud Heinen.
• Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
• J Clin Nurs. 2018 Feb 1; 27 (3-4): 621-630.

Aims And ObjectivesTo describe the tailoring of the Tell-us Card intervention for enhanced patient participation to the Dutch hospital setting using Intervention Mapping as a systematic approach.BackgroundEven though patient participation is essential in any patient-to-nurse encounter, care plans often fail to take patients' preferences into account. The Tell-us Card intervention seems promising, but needs to be tailored and tested before implementation in a different setting or on large scale.DesignDescription of the Intervention Mapping framework to systematically tailor the Tell-us Card intervention to the Dutch hospital setting.MethodsIntervention Mapping consists of: (i) identification of the problem through needs assessment and determination of fit, based on patients and nurses interviews and focus group interviews; (ii) developing a logic model of change and matrices, based on literature and interviews; (iii) selection of theory-based methods and practical applications; (iv) producing programme components and piloting; (v) planning for adoption, implementation and sustainability; and (vi) preparing for programme evaluation.ResultsKnowledge, attitude, outcome expectations, self-efficacy and skills were identified as the main determinants influencing the use of the Tell-us Card. Linking identified determinants and performance objectives with behaviour change techniques from the literature resulted in a well-defined and tailored intervention and evaluation plan.ConclusionsThe Tell-us Card intervention was adapted to fit the Dutch hospital setting and prepared for evaluation. The Medical Research Council framework was followed, and the Intervention Mapping approach was used to prepare a pilot study to confirm feasibility and relevant outcomes.Relevance To Clinical PracticeThis article shows how Intervention Mapping is applied within the Medical Research Council framework to adapt the Tell-us Card intervention, which could serve as a guide for the tailoring of similar interventions.© 2017 John Wiley & Sons Ltd.

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