Co-designing an evidence-based intervention to support parent delivered physiotherapy to children after traumatic brain injury

Young, David K. (2026) Co-designing an evidence-based intervention to support parent delivered physiotherapy to children after traumatic brain injury. Doctoral thesis, University of East Anglia.

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Abstract

The Capability, Opportunity, Motivation-Behaviour (COM-B) model was used to identify influences on behaviour with the intervention designed according to Behaviour Change Wheel guidance. To inform intervention design, a systematic review and three integrated research studies were conducted. Firstly, a systematic review sought to identify and analyse the active ingredients - behaviour change techniques - of interventions supporting parents to deliver physiotherapy. In total, 24 different behaviour change techniques were identified with an average of 11.67 per intervention. All interventions included elements of goal setting and action planning, plus instruction, demonstration and practice. Secondly, one-to-one semi-structured interviews with parents were conducted with automatic motivation, reflective motivation and psychological capability identified as key influences on adherence. Thirdly, paediatric physiotherapists participated in focus groups which identified that physiotherapists particularly influence parental adherence through automatic motivation, reflective motivation and psychological capability, with social opportunity being another key influence. Finally, a co-design study was conducted which sought to develop a detailed understanding of user requirements for the intervention using a generative co-design framework.

This thesis utilised the Behaviour Change Wheel together with the Medical Research Council’s guidance for developing complex interventions to co-design a prototype digital intervention. Future research will involve rounds of early user-testing and refinement of the intervention before undertaking a feasibility study

Item Type:	Thesis (Doctoral)
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User:	Chris White
Date Deposited:	09 Apr 2026 12:52
Last Modified:	09 Apr 2026 12:52
URI:	https://ueaeprints.uea.ac.uk/id/eprint/102730
DOI:

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