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dc.contributor.authorSMITH, SUSAN
dc.date.accessioned2008-07-26T19:07:44Z
dc.date.available2008-07-26
dc.date.issued2006
dc.date.submitted2006en
dc.identifier.citationCorrigan M, Cupples ME, Smith SM, Byrne M, Leathem CS, Clerkin P, Murphy AW, The contribution of qualitative research in designing a complex intervention for secondary prevention of coronary heart disease in two different healthcare systems, BMC Health Services Research, 6, 2006, p90en
dc.identifier.otherYen
dc.identifier.otherY
dc.identifier.other43784
dc.identifier.urihttp://hdl.handle.net/2262/19460
dc.descriptionPUBLISHEDen
dc.description.abstractBackground Developing complex interventions for testing in randomised controlled trials is of increasing importance in healthcare planning. There is a need for careful design of interventions for secondary prevention of coronary heart disease (CHD). It has been suggested that integrating qualitative research in the development of a complex intervention may contribute to optimising its design but there is limited evidence of this in practice. This study aims to examine the contribution of qualitative research in developing a complex intervention to improve the provision and uptake of secondary prevention of CHD within primary care in two different healthcare systems. Methods In four general practices, one rural and one urban, in Northern Ireland and the Republic of Ireland, patients with CHD were purposively selected. Four focus groups with patients (N = 23) and four with staff (N = 29) informed the development of the intervention by exploring how it could be tailored and integrated with current secondary prevention activities for CHD in the two healthcare settings. Following an exploratory trial the acceptability and feasibility of the intervention were discussed in four focus groups (17 patients) and 10 interviews (staff). The data were analysed using thematic analysis. Results Integrating qualitative research into the development of the intervention provided depth of information about the varying impact, between the two healthcare systems, of different funding and administrative arrangements, on their provision of secondary prevention and identified similar barriers of time constraints, training needs and poor patient motivation. The findings also highlighted the importance to patients of stress management, the need for which had been underestimated by the researchers. The qualitative evaluation provided depth of detail not found in evaluation questionnaires. It highlighted how the intervention needed to be more practical by minimising administration, integrating role plays into behaviour change training, providing more practical information about stress management and removing self-monitoring of lifestyle change. Conclusion Qualitative research is integral to developing the design detail of a complex intervention and tailoring its components to address individuals' needs in different healthcare systems. The findings highlight how qualitative research may be a valuable component of the preparation for complex interventions and their evaluation.en
dc.format.extent290461 bytes
dc.format.extent90en
dc.format.mimetypeapplication/pdf
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.ispartofseriesBMC Health Services Researchen
dc.relation.ispartofseries6, 2006en
dc.rightsYen
dc.subjectRandomised controlled trialsen
dc.subjectCoronary heart diseaseen
dc.subjectComplex interventionsen
dc.titleThe contribution of qualitative research in designing a complex intervention for secondary prevention of coronary heart disease in two different healthcare systemsen
dc.typeJournal Articleen
dc.contributor.sponsorHealth Research Board
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/susmith
dc.identifier.rssinternalid43784
dc.identifier.rssurihttp://www.biomedcentral.com/content/pdf/1472-6963-6-90.pdf


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