{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:02:25Z","timestamp":1787702545705,"version":"build-2784847793"},"reference-count":68,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","award":["NIHR 202852"],"award-info":[{"award-number":["NIHR 202852"]}],"id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To showcase the planning and optimization processes involved in developing a digital behaviour change intervention through the example of a self\u2010management support tool for young people with acne (\u2018Acne Care Online\u2019).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Following Medical Research Council guidance, a theory, evidence, and person\u2010based approach was employed, drawing on existing evidence, stakeholder expertise, health psychology theory, and qualitative methods to underpin intervention content, structure and functionality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Systematic reviews of literature concerning acne help\u2010seeking and treatment adherence, theoretical understandings of health\u2010related behaviour, guidance from public contributors, and interviews with young people with acne (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924), their parents\/carers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) and healthcare professionals (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918), informed the intervention's guiding principles and logic model. Draft intervention content was then developed by a multidisciplinary study team including public contributors and health professionals, and optimized through 53 think\u2010aloud interviews with intended users.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The development process created Acne Care Online ready for trial evaluation. It also provided insights into self\u2010management challenges amongst this group \u2013 including their reluctance to consult, and misconceptions about treatments that hinder effective management (e.g., using products with no active ingredients, concerns about side effects, and unrealistic expectations). Acne Care Online appeared engaging, informative and relevant, with early feedback from health professionals suggesting it could be integrated into current healthcare practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides insights into theory and person\u2010informed development processes for behaviour change interventions. Here, the acceptability and perceived value of Acne Care Online was evidenced. The work also provides important insights for clinicians managing young people seeking support for acne.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.70033","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T09:27:25Z","timestamp":1762334845000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Planning and optimizing a digital self\u2010management support intervention: Acne Care Online"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2702-6951","authenticated-orcid":false,"given":"Rosie","family":"Essery","sequence":"first","affiliation":[{"name":"University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Steele","sequence":"additional","affiliation":[{"name":"University of Southampton  Southampton 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