Cristin-resultat-ID: 1194322
Sist endret: 28. oktober 2016 16:36
NVI-rapporteringsår: 2014
Resultat
Vitenskapelig artikkel
2014

Identifying determinants of care for tailoring implementation in chronic diseases: An evaluation of different methods

Bidragsytere:
  • Jane Krause
  • Jan van Lieshout
  • Rien Klomp
  • Elke Huntink
  • Eivind Aakhus
  • Signe Agnes Flottorp
  • mfl.

Tidsskrift

Implementation Science
ISSN 1748-5908
e-ISSN 1748-5908
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2014
Publisert online: 2014
Volum: 9:102
Open Access

Importkilder

Scopus-ID: 2-s2.0-84908281047

Klassifisering

Vitenskapsdisipliner

Sykepleievitenskap

Beskrivelse Beskrivelse

Tittel

Identifying determinants of care for tailoring implementation in chronic diseases: An evaluation of different methods

Sammendrag

Background: The tailoring of implementation interventions includes the identification of the determinants of, or barriers to, healthcare practice. Different methods for identifying determinants have been used in implementation projects, but which methods are most appropriate to use is unknown. Methods: The study was undertaken in five European countries, recommendations for a different chronic condition being addressed in each country: Germany (polypharmacy in multimorbid patients); the Netherlands (cardiovascular risk management); Norway (depression in the elderly); Poland (chronic obstructive pulmonary disease—COPD); and the United Kingdom (UK) (obesity). Using samples of professionals and patients in each country, three methods were compared directly: brainstorming amongst health professionals, interviews of health professionals, and interviews of patients. The additional value of discussion structured through reference to a checklist of determinants in addition to brainstorming, and determinants identified by open questions in a questionnaire survey, were investigated separately. The questionnaire, which included closed questions derived from a checklist of determinants, was administered to samples of health professionals in each country. Determinants were classified according to whether it was likely that they would inform the design of an implementation intervention (defined as plausibly important determinants). Results: A total of 601 determinants judged to be plausibly important were identified. An additional 609 determinants were judged to be unlikely to inform an implementation intervention, and were classified as not plausibly important. Brainstorming identified 194 of the plausibly important determinants, health professional interviews 152, patient interviews 63, and open questions 48. Structured group discussion identified 144 plausibly important determinants in addition to those already identified by brainstorming. Conclusions: Systematic methods can lead to the identification of large numbers of determinants. Tailoring will usually include a process to decide, from all the determinants that are identified, those to be addressed by implementation interventions. There is no best buy of methods to identify determinants, and a combination should be used, depending on the topic and setting. Brainstorming is a simple, low cost method that could be relevant to many tailored implementation projects.

Bidragsytere

Jane Krause

  • Tilknyttet:
    Forfatter
    ved University of Leicester

Jan van Lieshout

  • Tilknyttet:
    Forfatter
    ved UMC St Radboud

Rien Klomp

  • Tilknyttet:
    Forfatter
    ved UMC St Radboud

Elke Huntink

  • Tilknyttet:
    Forfatter
    ved UMC St Radboud

Eivind Aakhus

  • Tilknyttet:
    Forfatter
    ved Div Psykisk helsevern ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Folkehelseinstituttet
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