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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