Development and evaluation of complex interventions in health services research: case study of the Southampton heart integrated care project (SHIP)

Bradley, F. H.; Wiles, Rose; Kinmonth, Ann‐Louise; Mant, David; Gantley, Madeleine

doi:10.1136/bmj.318.7185.711

Cited by 168 publications

(164 citation statements)

References 14 publications

Supporting

Mentioning

159

Contrasting

Unclassified

Order By: Relevance

“…There are excellent examples and discussions published in the 1990s. 1,2 In the 2000s, the Medical Research Council (MRC) framework for the development and evaluation of complex interventions, although focusing on neither qualitative research nor trials, highlighted the utility of using a variety of methods at different phases of the evaluation process, including qualitative research. [3][4][5] The contribution of qualitative research to randomised controlled trials…”

Section: Develop a Learning Environment About This Issuementioning

confidence: 99%

Maximising the value of combining qualitative research and randomised controlled trials in health research: the QUAlitative Research in Trials (QUART) study – a mixed methods study

O’Cathain

Thomas

Drabble

et al. 2014

Health Technology Assessment

128

178

View full text Add to dashboard Cite

Section: Develop a Learning Environment About This Issuementioning

confidence: 99%

Maximising the value of combining qualitative research and randomised controlled trials in health research: the QUAlitative Research in Trials (QUART) study – a mixed methods study

O’Cathain

Thomas

Drabble

et al. 2014

Health Technology Assessment

128

178

View full text Add to dashboard Cite

“…In a complex intervention such as GP training, identifying potential barriers is an essential step in further development of communication interventions and implementing findings into clinical practice. [16][17][18][19] …”

Section: Introductionmentioning

confidence: 99%

What Do Patients Choose to Tell Their Doctors? Qualitative Analysis of Potential Barriers to Reattributing Medically Unexplained Symptoms

et al. 2008

View full text Add to dashboard Cite

BACKGROUND: Despite both parties often expressing dissatisfaction with consultations, patients with medically unexplained symptoms (MUS) prefer to consult their general practitioners (GPs) rather than any other health professional. Training GPs to explain how symptoms can relate to psychosocial problems (reattribution) improves the quality of doctor-patient communication, though not necessarily patient health. OBJECTIVE:To examine patient experiences of GPs' attempts to reattribute MUS in order to identify potential barriers to primary care management of MUS and improvement in outcome.DESIGN: Qualitative study. PARTICIPANTS:Patients consulting with MUS whose GPs had been trained in reattribution. A secondary sample of patients of control GPs was also interviewed to ascertain if barriers identified were specific to reattribution or common to consultations about MUS in general. APPROACH: Thematic analysis of in-depth interviews.RESULTS: Potential barriers include the complexity of patients' problems and patients' judgements about how to manage their presentation of this complexity. Many did not trust doctors with discussion of emotional aspects of their problems and chose not to present them. The same barriers were seen amongst patients whose GPs were not trained, suggesting the barriers are not particular to reattribution.CONCLUSIONS: Improving GP explanation of unexplained symptoms is insufficient to reduce patients' concerns. GPs need to (1) help patients to make sense of the complex nature of their presenting problems, (2) communicate that attention to psychosocial factors will not preclude vigilance to physical disease and (3) ensure a quality of doctor-patient relationship in which patients can perceive psychosocial enquiry as appropriate.

show abstract

“…To better interpret the study outcomes by documenting the intervention and examining stakeholders' perceptions and the contextual influences affecting the intervention (McGraw et al,1994;McKenzie et al,1997;Bradley et al,1999).…”

Section: Introductionmentioning

confidence: 99%

Implementation and evaluation of an HIV/STD intervention in Peru

Maiorana

Kegeles

Fernández

et al. 2007

Evaluation and Program Planning

View full text Add to dashboard Cite

This paper presents the lessons learned through a process evaluation (PE) after one year of implementation of a two-year community intervention in Lima, Peru. The intervention consisted of training and motivating community popular opinion leaders (CPOLs) for three marginal population segments to disseminate prevention messages among their peers. PE data included: observations, qualitative interviews with CPOLS, conversations and messages delivered by CPOLs, training facilitators' perceptions about implementation, and a survey of CPOLs. The PE helped to document and enhance the intervention. CPOLs were motivated to talk to their peers. CPOLs perceived that their participation had an effect on their own risk behaviors and saw their role as beneficial to their community. The PE was helpful in examining training delivery and the feasibility and acceptability of the intervention in order to assess the elements related to program success necessary to replicate the CPOL model.

show abstract

Development and evaluation of complex interventions in health services research: case study of the Southampton heart integrated care project (SHIP)

Cited by 168 publications

References 14 publications

Maximising the value of combining qualitative research and randomised controlled trials in health research: the QUAlitative Research in Trials (QUART) study – a mixed methods study

Maximising the value of combining qualitative research and randomised controlled trials in health research: the QUAlitative Research in Trials (QUART) study – a mixed methods study

What Do Patients Choose to Tell Their Doctors? Qualitative Analysis of Potential Barriers to Reattributing Medically Unexplained Symptoms

Implementation and evaluation of an HIV/STD intervention in Peru

Contact Info

Product

Resources

About