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Table 2 Intervention mapping step 2, change objectives logic model

From: Development and preliminary evaluation of a rehabilitation consult for survivors of head and neck cancer: an intervention mapping protocol

Change objective

Determinants

Performance objectives

Behavioural outcomes

Body functions and structure

Function, participation and health

Resources will be available (rehab needs assessment and criteria, online resource compendium, goal setting process) Survivor’s will be confident in goal-setting and action plan development

Sufficient cognitive and communication skills

The rehab professional will assess HNC survivors for rehab needs

Of those survivors who participate in the RC, those with rehab concerns will set rehab goals and action plans.

Cognition, self-efficacy

Improved engagement

Individual impairment

Level of anxiety/depression/motivation

Rehab professional will use criteria to determine those with rehab needs (triage?) Survivor will set goals and action plans, facilitated by rehab professional

Baseline level of self-efficacy

Follow-up process will be in place

Disease site and progression

Survivors will follow through with the action plan. If there is an issue, the survivor will develop a new action. The rehabilitation professional will follow up to discuss the state of implementa-tion of the action plan, and will guide the survivor to the next steps as necessary. Subsequent follow-ups will be scheduled as necessary.

Those with rehab concerns will follow through on action plan and modify it when necessary (with support).

Cognition, self-efficacy, and reduction of targeted functional issues (depends on the individual)

Improved engagement, function, participation, and quality of life

Age

Comorbidities

Cognitive skills

Communication skills