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| Home > Articles > Published articles > Qualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals : |
(Universitat de Girona. Departament d'Infermeria) (Institut Universitari d'Investigació en Atenció Primària Jordi Gol) (Primary Care Research Unit of Mallorca. Balearic Health Services-IbSalut) (Primary Care Research Unit of Bizkaia. Basque Health Service-Osakidetza) (Instituto de Investigación Biomédica de Málaga) (Universitat de Girona. Departament d'Infermeria)| Date: | 2019 |
| Abstract: | 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. |
| Grants: | Ministerio de Economía y Competitividad ISCIII/PI12-01914 Ministerio de Economía y Competitividad ISCIII/PI12-001616 Ministerio de Economía y Competitividad ISCIII/PI12-02608 Ministerio de Economía y Competitividad ISCIII/PI12-02774 Ministerio de Economía y Competitividad ISCIII/PI12-02635 Ministerio de Economía y Competitividad ISCIII/PI12-01974 Ministerio de Economía y Competitividad ISCIII/P15-00114 |
| Note: | Altres ajuts: This project has been funded by the Carlos III Health Institute (Ministry of Economy and Competitiveness, Spain) through the Network for Prevention and Health Promotion in Primary Care (redIAPP, RD12/0005/0001; RD16/0007/0001) and by European Union European Regional Development Fund (ERDF) funds (European Regional Development Fund). |
| Rights: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.  |
| Language: | Anglès |
| Document: | Article ; recerca ; Versió publicada |
| Published in: | BMJ open, Vol. 9 Núm. 3 (january 2019) , p. e023872, ISSN 2044-6055 |
