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Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders
BACKGROUND: Guidance and frameworks exist to assist those developing health interventions but may offer limited discussion of ‘design’, the part of development concerned with generating ideas for and making decisions about an intervention’s content, format and delivery. The aim of this paper is to d...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6793869/ https://www.ncbi.nlm.nih.gov/pubmed/31613913 http://dx.doi.org/10.1371/journal.pone.0223615 |
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author | Rousseau, Nikki Turner, Katrina M. Duncan, Edward O’Cathain, Alicia Croot, Liz Yardley, Lucy Hoddinott, Pat |
author_facet | Rousseau, Nikki Turner, Katrina M. Duncan, Edward O’Cathain, Alicia Croot, Liz Yardley, Lucy Hoddinott, Pat |
author_sort | Rousseau, Nikki |
collection | PubMed |
description | BACKGROUND: Guidance and frameworks exist to assist those developing health interventions but may offer limited discussion of ‘design’, the part of development concerned with generating ideas for and making decisions about an intervention’s content, format and delivery. The aim of this paper is to describe and understand the views and experiences of developers and associated stakeholders in relation to how design occurs in health intervention development. METHODS: Semi-structured interviews were conducted with 21 people who had developed complex interventions to improve health and/or who were relevant stakeholders (e.g. funders and publishers of intervention development work), regarding their views, experiences and approaches to intervention design. Sampling was purposive in terms of maximising diversity. A thematic inductive analysis was conducted. RESULTS: Approaches to design varied substantially between intervention developers. This contrasted with consistency in other activities undertaken during development, such as literature review. Design also posed more challenges than other parts of development. We identified six ‘modes’ of design: informed; negotiated; structured; delegated; ‘my baby’; and creative partnership. In understanding the differences between these different modes, and the challenges posed by intervention design, we identified three key themes: enabling creativity during the design process; working with different types of knowledge; and ‘stabilising’ (developing clear shared understandings of) the intervention development to enable design. CONCLUSIONS: Design has received less attention than other activities undertaken when developing interventions to improve health. Developers take a variety of approaches to design and often find it challenging. Guidance for intervention development in health has tended to see design as proceeding in a predictable and controlled manner from acquired knowledge. Our study suggests that design rarely reflects this rational ideal. Future guidance on intervention development in healthcare should support developers to work effectively with different types of knowledge, to help design progress more smoothly and to maximise creativity. |
format | Online Article Text |
id | pubmed-6793869 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-67938692019-10-25 Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders Rousseau, Nikki Turner, Katrina M. Duncan, Edward O’Cathain, Alicia Croot, Liz Yardley, Lucy Hoddinott, Pat PLoS One Research Article BACKGROUND: Guidance and frameworks exist to assist those developing health interventions but may offer limited discussion of ‘design’, the part of development concerned with generating ideas for and making decisions about an intervention’s content, format and delivery. The aim of this paper is to describe and understand the views and experiences of developers and associated stakeholders in relation to how design occurs in health intervention development. METHODS: Semi-structured interviews were conducted with 21 people who had developed complex interventions to improve health and/or who were relevant stakeholders (e.g. funders and publishers of intervention development work), regarding their views, experiences and approaches to intervention design. Sampling was purposive in terms of maximising diversity. A thematic inductive analysis was conducted. RESULTS: Approaches to design varied substantially between intervention developers. This contrasted with consistency in other activities undertaken during development, such as literature review. Design also posed more challenges than other parts of development. We identified six ‘modes’ of design: informed; negotiated; structured; delegated; ‘my baby’; and creative partnership. In understanding the differences between these different modes, and the challenges posed by intervention design, we identified three key themes: enabling creativity during the design process; working with different types of knowledge; and ‘stabilising’ (developing clear shared understandings of) the intervention development to enable design. CONCLUSIONS: Design has received less attention than other activities undertaken when developing interventions to improve health. Developers take a variety of approaches to design and often find it challenging. Guidance for intervention development in health has tended to see design as proceeding in a predictable and controlled manner from acquired knowledge. Our study suggests that design rarely reflects this rational ideal. Future guidance on intervention development in healthcare should support developers to work effectively with different types of knowledge, to help design progress more smoothly and to maximise creativity. Public Library of Science 2019-10-15 /pmc/articles/PMC6793869/ /pubmed/31613913 http://dx.doi.org/10.1371/journal.pone.0223615 Text en © 2019 Rousseau et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Rousseau, Nikki Turner, Katrina M. Duncan, Edward O’Cathain, Alicia Croot, Liz Yardley, Lucy Hoddinott, Pat Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders |
title | Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders |
title_full | Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders |
title_fullStr | Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders |
title_full_unstemmed | Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders |
title_short | Attending to design when developing complex health interventions: A qualitative interview study with intervention developers and associated stakeholders |
title_sort | attending to design when developing complex health interventions: a qualitative interview study with intervention developers and associated stakeholders |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6793869/ https://www.ncbi.nlm.nih.gov/pubmed/31613913 http://dx.doi.org/10.1371/journal.pone.0223615 |
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