Acceptability of, and barriers and facilitators to, a pilot physical health service for people who inject drugs: A qualitative study with service users and providers

The Voices of Stakeholders Involved in Precision Medicine: The Co-Design and Evaluation of Qualitative Indicators of Intervention Acceptability, Fidelity and Context in PRecISion Medicine for Children With Cancer in Australia

“…Our novel idea of amalgamating implementation outcomes of acceptability (Sekhon et al, 2017) and fidelity (Bellg et al, 2004; Borrelli et al, 2005; Rixon et al, 2016; Sekhon et al, 2017) alongside context (Damschroder et al, 2009) is a new way of qualitatively assessing implementation outcomes and context (Proctor et al, 2011). RHIP should now be added to the repertoire of readily measurable, qualitative indicators helping to mature implementation science frameworks (Damschroder et al, 2022; Nevedal et al, 2021) and enhance our ability to rapidly understand both implementation and trial outcomes (Anderson et al, 2021; Chambers et al, 2013; Curran, 2020; Palsola et al, 2020; Price et al, 2019; Proctor et al, 2011; Smith, Rapport, et al, 2020).…”

“…Identifying provider barriers around acceptability can help to optimise an intervention (Palsola et al, 2020). However, implementing new interventions that are acceptable to providers can be challenging (Anderson et al, 2021). According to Sekhon et al (2017), acceptability reflects the extent to which people delivering a healthcare intervention consider it appropriate, based on anticipated or experienced cognitive-affective responses to an intervention.…”

“…The Theoretical Framework of Acceptability developed by Sekhon et al (2017) defines acceptability according to seven constructs: (1) affective attitude (feelings about taking part in an intervention), (2) burden (effort required in an intervention), (3) perceived effectiveness (likelihood of an intervention achieving its purpose), (4) ethicality (fit with a value system), (5) intervention coherence (understanding the intervention and how it works), (6) opportunity costs (what must be given up to engage in the intervention) and ( 7) self-efficacy (confidence that the behaviours required to participate in the intervention can be performed). These seven constructs can be used to assess the factors influencing intervention acceptability from the healthcare professional's perspective and can be assessed from three temporal levels (prospectively, concurrently or retrospectively) (Anderson et al, 2021).…”