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Developing a carer-led intervention for people with disabilities using HAPA

Inès Phlypo (UGent) , Barbara Janssens (UGent) , Ellen Palmers (UGent) , Dominique Declerck and Louise Poppe (UGent)
Author
Organization
Abstract
Objectives: To describe the development of an oral health intervention using the Health Action Process Approach (HAPA) to improve oral health care by care staff members (CSM) for people with intellectual disabilities living in residential facilities in Flanders. Methods: A multidisciplinary planning group, experienced in health promotion, developed the programme to improve the following behaviors of CSM: (1)supporting and carrying out daily oral health care in clients when needed and in a correct way; (2)supporting clients to visit professional oral health care at least once a year. The HAPA was selected as behavioral change framework because (1)it considers the intention-behavior gap by focusing on motivational (leading to intention) as well as volitional (leading to actual health behavior) processes; (2)the impact of the personal determinants outlined by the HAPA on oral health related behavior has already been shown; (3)the HAPA already provided useful guidance for the development of behavioral interventions delivered by caregivers. The programme was designed by developing actions, based on theoretical methods, to strengthen the personal determinants of CSM. Next, actions were restructured into a seven-stage implementation guide, based on the Plan-Do-Study-Act cycle, hosted on a website. Feedback rounds were organized and the planning group checked if the programme provided answers to a previously conducted needs analysis. Results: The process resulted in The Oral Health Care Path Plus (TOHCPP), an implementation guide leading to an oral health policy in residential facilities. Important actions were: an oral health care team as driving force, goal-setting and an action plan, a training programme, and oral health care plans for clients. Conclusions The HAPA seems to be a promising approach for intervention development in care settings for people with intellectual disabilities and was used for the development of TOHCPP. Currently the programme is pilot-tested to collect information about the feasibility of the implementation.

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Citation

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MLA
Phlypo, Inès, et al. “Developing a Carer-Led Intervention for People with Disabilities Using HAPA.” 2024 IADR/AADOCR/CADR General Session & Exhibition, Abstracts, 2024.
APA
Phlypo, I., Janssens, B., Palmers, E., Declerck, D., & Poppe, L. (2024). Developing a carer-led intervention for people with disabilities using HAPA. 2024 IADR/AADOCR/CADR General Session & Exhibition, Abstracts. Presented at the 2024 IADR/AADOCR/CADR General Session & Exhibition, New Orleans, LA, USA.
Chicago author-date
Phlypo, Inès, Barbara Janssens, Ellen Palmers, Dominique Declerck, and Louise Poppe. 2024. “Developing a Carer-Led Intervention for People with Disabilities Using HAPA.” In 2024 IADR/AADOCR/CADR General Session & Exhibition, Abstracts.
Chicago author-date (all authors)
Phlypo, Inès, Barbara Janssens, Ellen Palmers, Dominique Declerck, and Louise Poppe. 2024. “Developing a Carer-Led Intervention for People with Disabilities Using HAPA.” In 2024 IADR/AADOCR/CADR General Session & Exhibition, Abstracts.
Vancouver
1.
Phlypo I, Janssens B, Palmers E, Declerck D, Poppe L. Developing a carer-led intervention for people with disabilities using HAPA. In: 2024 IADR/AADOCR/CADR General Session & Exhibition, Abstracts. 2024.
IEEE
[1]
I. Phlypo, B. Janssens, E. Palmers, D. Declerck, and L. Poppe, “Developing a carer-led intervention for people with disabilities using HAPA,” in 2024 IADR/AADOCR/CADR General Session & Exhibition, Abstracts, New Orleans, LA, USA, 2024.
@inproceedings{01HT23QDM58KE68Q79EE2Z7VWM,
  abstract     = {{Objectives: 
To describe the development of an oral health intervention using the Health Action Process Approach (HAPA) to improve oral health care by care staff members (CSM) for people with intellectual disabilities living in residential facilities in Flanders.   
Methods:
A multidisciplinary planning group, experienced in health promotion, developed the programme to improve the following behaviors of CSM: (1)supporting and carrying out daily oral health care in clients when needed and in a correct way; (2)supporting clients to visit professional oral health care at least once a year. 
The HAPA was selected as behavioral change framework because (1)it considers the intention-behavior gap by focusing on motivational (leading to intention) as well as volitional (leading to actual health behavior) processes; (2)the impact of the personal determinants outlined by the HAPA on oral health related behavior has already been shown; (3)the HAPA already provided useful guidance for the development of behavioral interventions delivered by caregivers. 
The programme was designed by developing actions, based on theoretical methods, to strengthen the personal determinants of CSM. Next, actions were restructured into a seven-stage implementation guide, based on the Plan-Do-Study-Act cycle, hosted on a website. Feedback rounds were organized and the planning group checked if the programme provided answers to a previously conducted needs analysis.  
Results:
The process resulted in The Oral Health Care Path Plus (TOHCPP), an implementation guide leading to an oral health policy in residential facilities. Important actions were: an oral health care team as driving force, goal-setting and an action plan, a training programme, and oral health care plans for clients. 
Conclusions
The HAPA seems to be a promising approach for intervention development in care settings for people with intellectual disabilities and was used for the development of TOHCPP. Currently the programme is pilot-tested to collect information about the feasibility of the implementation.}},
  author       = {{Phlypo, Inès and Janssens, Barbara and Palmers, Ellen and Declerck, Dominique and Poppe, Louise}},
  booktitle    = {{2024 IADR/AADOCR/CADR General Session & Exhibition, Abstracts}},
  language     = {{eng}},
  location     = {{New Orleans, LA, USA}},
  pages        = {{1}},
  title        = {{Developing a carer-led intervention for people with disabilities using HAPA}},
  url          = {{https://www.iadr.org/2024iags}},
  year         = {{2024}},
}