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Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)

OBJECTIVE: To evaluate the implementation and development of a complex intervention on health promotion and changes in health-promoting behaviours in primary healthcare according to healthcare attendees and health professionals. DESIGN: Descriptive qualitative evaluation research conducted with 94 i...

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Autores principales: Pons-Vigués, Mariona, Berenguera, Anna, Coma-Auli, Núria, March, Sebastià, Pombo, Haizea, Masluk, Barbara, Pulido-Fuentes, Montserrat, Rodriguez, Carmela, Bellón, Juan A, Pujol-Ribera, Enriqueta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475230/
https://www.ncbi.nlm.nih.gov/pubmed/30904842
http://dx.doi.org/10.1136/bmjopen-2018-023872
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author Pons-Vigués, Mariona
Berenguera, Anna
Coma-Auli, Núria
March, Sebastià
Pombo, Haizea
Masluk, Barbara
Pulido-Fuentes, Montserrat
Rodriguez, Carmela
Bellón, Juan A
Pujol-Ribera, Enriqueta
author_facet Pons-Vigués, Mariona
Berenguera, Anna
Coma-Auli, Núria
March, Sebastià
Pombo, Haizea
Masluk, Barbara
Pulido-Fuentes, Montserrat
Rodriguez, Carmela
Bellón, Juan A
Pujol-Ribera, Enriqueta
author_sort Pons-Vigués, Mariona
collection PubMed
description OBJECTIVE: To evaluate the implementation and development of a complex intervention on health promotion and changes in health-promoting behaviours in primary healthcare according to healthcare attendees and health professionals. DESIGN: Descriptive qualitative evaluation research conducted with 94 informants. Data collection techniques consisted of 14 semistructured individual interviews, 9 discussion groups, 1 triangular group and 6 documents. Three analysts carried out a thematic content analysis with the support of Atlas.ti software. This evaluation was modelled on Proctor and colleagues’ concept of outcomes for implementation research. SETTING: 7 primary care centres from seven Spanish regions: Andalusia, Aragon, Balearic Islands, Basque Country, Castilla-La Mancha, Castilla-Leon and Catalonia. PARTICIPANTS: The study population were healthcare attendees (theoretical sampling) and health professionals (opportunistic sampling) who had participated in the exploratory trial of the EIRA intervention (2015). RESULTS: Healthcare attendees and professionals had a positive perception of the study. Healthcare attendees even reported that they would recommend participation to family and friends. Health professionals became aware of the significance of the motivational interview, especially for health promotion, and emphasised social prescribing of physical activity. They also put forward recommendations to improve recruitment, screening and retention of participants. Healthcare attendees modified behaviours and health professionals modified working practices. To achieve sustainability, health professionals believe that it is crucial to adapt agendas and involve all the staff. CONCLUSIONS: The discourses of all stakeholders on the intervention must be taken into consideration for the successful, setting-specific implementation of adequate, acceptable, equitable and sustainable strategies aimed at health promotion and well-being.
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spelling pubmed-64752302019-05-07 Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II) Pons-Vigués, Mariona Berenguera, Anna Coma-Auli, Núria March, Sebastià Pombo, Haizea Masluk, Barbara Pulido-Fuentes, Montserrat Rodriguez, Carmela Bellón, Juan A Pujol-Ribera, Enriqueta BMJ Open General practice / Family practice OBJECTIVE: To evaluate the implementation and development of a complex intervention on health promotion and changes in health-promoting behaviours in primary healthcare according to healthcare attendees and health professionals. DESIGN: Descriptive qualitative evaluation research conducted with 94 informants. Data collection techniques consisted of 14 semistructured individual interviews, 9 discussion groups, 1 triangular group and 6 documents. Three analysts carried out a thematic content analysis with the support of Atlas.ti software. This evaluation was modelled on Proctor and colleagues’ concept of outcomes for implementation research. SETTING: 7 primary care centres from seven Spanish regions: Andalusia, Aragon, Balearic Islands, Basque Country, Castilla-La Mancha, Castilla-Leon and Catalonia. PARTICIPANTS: The study population were healthcare attendees (theoretical sampling) and health professionals (opportunistic sampling) who had participated in the exploratory trial of the EIRA intervention (2015). RESULTS: Healthcare attendees and professionals had a positive perception of the study. Healthcare attendees even reported that they would recommend participation to family and friends. Health professionals became aware of the significance of the motivational interview, especially for health promotion, and emphasised social prescribing of physical activity. They also put forward recommendations to improve recruitment, screening and retention of participants. Healthcare attendees modified behaviours and health professionals modified working practices. To achieve sustainability, health professionals believe that it is crucial to adapt agendas and involve all the staff. CONCLUSIONS: The discourses of all stakeholders on the intervention must be taken into consideration for the successful, setting-specific implementation of adequate, acceptable, equitable and sustainable strategies aimed at health promotion and well-being. BMJ Publishing Group 2019-03-23 /pmc/articles/PMC6475230/ /pubmed/30904842 http://dx.doi.org/10.1136/bmjopen-2018-023872 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle General practice / Family practice
Pons-Vigués, Mariona
Berenguera, Anna
Coma-Auli, Núria
March, Sebastià
Pombo, Haizea
Masluk, Barbara
Pulido-Fuentes, Montserrat
Rodriguez, Carmela
Bellón, Juan A
Pujol-Ribera, Enriqueta
Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)
title Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)
title_full Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)
title_fullStr Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)
title_full_unstemmed Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)
title_short Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)
title_sort qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: eira study (phase ii)
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475230/
https://www.ncbi.nlm.nih.gov/pubmed/30904842
http://dx.doi.org/10.1136/bmjopen-2018-023872
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