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Implementation Science
Published in: Implementation Science 1/2014

Open Access 01-12-2014 | Research

Stakeholders’ contributions to tailored implementation programs: an observational study of group interview methods

Authors: Elke Huntink, Jan van Lieshout, Eivind Aakhus, Richard Baker, Signe Flottorp, Maciek Godycki-Cwirko, Cornelia Jäger, Anna Kowalczyk, Joachim Szecsenyi, Michel Wensing

Published in: Implementation Science | Issue 1/2014

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Abstract

Background

Tailored strategies to implement evidence-based practice can be generated in several ways. In this study, we explored the usefulness of group interviews for generating these strategies, focused on improving healthcare for patients with chronic diseases.

Methods

Participants included at least four categories of stakeholders (researchers, quality officers, health professionals, and external stakeholders) in five countries. Interviews comprised brainstorming followed by a structured interview and focused on different chronic conditions in each country. We compared the numbers and types of strategies between stakeholder categories and between interview phases. We also determined which strategies were actually used in tailored intervention programs.

Results

In total, 127 individuals participated in 25 group interviews across five countries. Brainstorming generated 8 to 120 strategies per group; structured interviews added 0 to 55 strategies. Healthcare professionals and researchers provided the largest numbers of strategies. The type of strategies for improving healthcare practice did not differ systematically between stakeholder groups in four of the five countries. In three out of five countries, all components of the chosen intervention programs were mentioned by the group of researchers.

Conclusions

Group interviews with different stakeholder categories produced many strategies for tailored implementation of evidence-based practice, of which the content was largely similar across stakeholder categories.
Appendix
Available only for authorised users
Literature
1.
Wensing M, Bosch M, Grol R: Developing and selecting interventions for translating knowledge into action. CMAJ. 2010, 182: 85-88. 10.1503/cmaj.081233.CrossRef
2.
Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, Robertson N: Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2010, 3:
3.
Bosch M, van der Weijden T, Wensing M, Grol R: Tailoring quality improvement interventions to identified barriers: a multiple case analysis. J Eval Clin Pract. 2007, 13: 161-168. 10.1111/j.1365-2753.2006.00660.x.CrossRefPubMed
4.
Paulus PB, Brown VR: Enhancing Ideational Creativity in Groups: Lessons from Research on Brainstorming. 2003, Oxford University Press, TexasCrossRef
5.
Litchfield RC: Brainstorming rules as assigned goals: does brainstorming really improve idea quantity?. Motiv Emot. 2009, 33: 25-31. 10.1007/s11031-008-9109-x.CrossRef
6.
Wensing M, Huntink E, van Lieshout J, Godycki-Cwirko M, Kowalczyk A, Jäger C, Steinhäuser J, Aakhus E, Flottorp S, Eccles M, Baker R: Tailored implementation of evidence-based practice for patients with chronic diseases. Plos One. 2014, 9: 7-10.1371/journal.pone.0101981.CrossRef
7.
Flottorp SA, Oxman AD, Krause J, Musila NR, Wensing M, Godycki-Cwirko M, Baker R, Eccles MP: A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci. 2013, 8: 35-10.1186/1748-5908-8-35.CrossRefPubMedPubMedCentral
8.
Wensing M, Oxman A, Baker R, Godycki-Cwirko M, Flottorp S, Szecsenyi J, Grimshaw J, Eccles M: Tailored implementation for chronic diseases (TICD): a project protocol. Implement Sci. 2011, 6: 103-10.1186/1748-5908-6-103.CrossRefPubMedPubMedCentral
9.
Jäger C, Freund T, Steinhäuser J, Joos S, Wensing M, Szecsenyi J: A tailored implementation intervention to implement recommendations addressing polypharmacy in multimorbid patients: study protocol of a cluster randomized controlled trial. Trials. 2013, 14: 420-10.1186/1745-6215-14-420.CrossRefPubMedPubMedCentral
10.
Huntink E, Heijmans N, Wensing M, Van Lieshout J: Effectiveness of a tailored intervention to improve cardiovascular risk management in primary care: study protocol for a randomised controlled trial. Trials. 2013, 14: 433-10.1186/1745-6215-14-433.CrossRefPubMedPubMedCentral
11.
Aakhus E, Granlund I, Odgaard-Jensen J, Wensing M, Oxman AD, Flottorp SA: Tailored interventions to implement recommendations for elderly patients with depression in primary care: a study protocol for a pragmatic cluster randomised controlled trial. Trials. 2014, 15: 16-10.1186/1745-6215-15-16.CrossRefPubMedPubMedCentral
12.
Godycki- Cwirko M, Zakowska I, Kosiek K, Wensing M, Krawczyk J, Kowalczyk A: Evaluation of an tailored implementation strategy to improve the management of patients with chronic obstructive pulmonary disease in primary care: a study protocol of a cluster randomized trial. Trials. 2014, 15: 109-10.1186/1745-6215-15-109.CrossRefPubMedPubMedCentral
13.
Krause J, Agarwal S, Bodicoat DH, Ring A, Shepherd D, Rogers S, Wensing M, Baker R: Evaluation of a tailored intervention to improve management of overweight and obesity in primary care: study protocol of a cluster randomized controlled trial. Trials. 2014, 15: 82-10.1186/1745-6215-15-82.CrossRefPubMedPubMedCentral
14.
Krause J, van Lieshout J, Klomp R, Huntink E, Aakhuis E, Flotorp S, Jäger C, Steinhäuser J, Godycki-Cwirko M, Kowalczyk A, Agarwal S, Baker R: Identifying determinants of care for tailoring implementation in chronic diseases: a comparison of different methods. Implement Sci. 2014, 9: 102-10.1186/s13012-014-0102-3.CrossRefPubMedPubMedCentral
15.
Osborn AF: Applied Imagination. 1957, Scribner's, Oxford
16.
Nagelkerk J, Reick K, Meengs L: Perceived barriers and effective strategies to diabetes self-management. J Advan Nurs. 2006, 54: 151-158. 10.1111/j.1365-2648.2006.03799.x.CrossRef
17.
Kaasalainen S, Williams J, Hadjistavropoulos T, Thorpe L, Whiting S, Neville S, Tremeer J: Creating bridges between researchers and long- term care homes to promote quality of life for residents. Qual Health Res. 2010, 20: 1689-1709. 10.1177/1049732310377456.CrossRefPubMed
18.
Helm S: One reputation or many?: Comparing stakeholders’ perceptions of corporate reputation. Corp Commun: Intern J. 2007, 12: 238-254. 10.1108/13563280710776842.CrossRef
19.
Merrilees B, Miller D, Herington C: Multiple stakeholders and multiple city brand meanings. Eur J Marketing. 2012, 46: 1032-1047. 10.1108/03090561211230188.CrossRef
20.
Lliffe S, De Lepeleire J, Hout H, Kenny G, Lewis A, Vernooij-Dassen M, The Diadem Group: Understanding obstacles to the recognition of and response to dementia in different European countries: a modified focus group approach using multinational, multi-disciplinary expert groups. Aging Mental Health. 2010, 9: 1-6.
21.
Twohig PL, Putnam W: Group interviews in primary care research: advancing the state of the art or ritualized research. Fam Pract. 2002, 19: 278-284. 10.1093/fampra/19.3.278.CrossRefPubMed
22.
Fern A: The use of focus groups for idea generation: the effects of group size, acquaintanceship, and moderator on response quantity and quality. J Market Res. 1982, 19: 1-13. 10.2307/3151525.CrossRef
23.
Nijstad B, Stroebe W, Lodewijkx H: Persistance of brainstorming groups: how do people know when to stop?. J Experim Social Psych. 1999, 35: 165-185. 10.1006/jesp.1998.1374.CrossRef
24.
Lucero A, Keränen J, Korhonen H: Collaborative use of mobile phones for brainstorming. Mobile HCI. 2010, 10: 7-10.
25.
Carlsen B, Glenton C: What about N? A methodological study of sample-size reporting in focus group studies. BMC Res Method. 2011, 11: 26-10.1186/1471-2288-11-26.CrossRef
Metadata
Title
Stakeholders’ contributions to tailored implementation programs: an observational study of group interview methods
Authors
Elke Huntink
Jan van Lieshout
Eivind Aakhus
Richard Baker
Signe Flottorp
Maciek Godycki-Cwirko
Cornelia Jäger
Anna Kowalczyk
Joachim Szecsenyi
Michel Wensing
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2014
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/s13012-014-0185-x

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