HOPE Approach

HOPE Springs Eternal

The HOPE Programme provides a supportive, friendly group setting which gives participants the knowledge, skills and confidence to cope with many of  the frustrations and fears that living with and being affected by a physical and mental health condition can bring. HOPE is underpinned by positive psychology theory and research. Positive psychology is concerned with the full range of human functioning and has the dual aims of alleviating psychological distress and promoting positive well-being.

Co creation of the HOPE Programme involved using robust, systematic intervention development processes called the    “Antecedent Target Measure” (ATM) approach and “Intervention Mapping”, shown in Figure 1 below. This combined approach has the advantage of resulting in the mapping of intervention components and measures for success, based on both primary data from stakeholders (e.g., clinicians, employers, patients, carers, employees) and a supporting evidence base from existing research literature to develop the content of each programme. The entire process is guided by stakeholders’ perceptions of need and priorities, ensuring that perceptions of clients a are prioritized. The resulting intervention has a clear logic underlying the inclusion of every component, rendering areas for refinements to the intervention during the development cycle easy to locate, as each component has a clear and specific purpose.

Figure 1 Intervention Development Process for HOPE Programme

Intervention Development


What’s in a HOPE course?

HOPE courses are interactive, group-based, and online self-management support courses, which run for 6 weeks. We have also developed 4 hour self-management workshops.  HOPE courses can be co delivered by trained health professionals and peer facilitators.

There are a set of core evidence based activities which are in all of the HOPE courses which include key behavior change techniques such as goal setting and cognitive behavioural therapy and positive psychological techniques such as scheduling pleasant activities.  All of these activities have an evidence base in their own right. When combined in a HOPE Programme  they form a very effective intervention.  

The HOPE core activities  (shown below) are supplemented with the condition specific content and activities identified  during the co creation process.  Having a set of core activities and content means that we can quickly develop a self-management course for people living with and affected by any condition.      

HOPE core activities

  • Mindfulness and relaxation
  • Stress management
  • Fatigue management
  • Identifying personal strengths
  • Gratitude diaries
  • Scheduling pleasant activities
  • Healthy lifestyles
  • Communication
  • Prioritising important things in life
  • Reviewing successes

The HOPE Programme  also taps into Five Ways to Wellbeing, which are a set of evidence-based actions which promote people’s wellbeing. 




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