Complex multidisciplinary intervention to improve Initial Medication Adherence to cardiovascular disease and diabetes treatments in primary care (the IMA-cRCT study) : mixed-methods process evaluation protocol
Corral-Partearroyo, Carmen (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)
Sánchez-Viñas, Alba (Universitat de Barcelona)
Gil-Girbau, Montserrat (Institut de Recerca Sant Joan de Déu)
Peñarrubia-María, Maria Teresa (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Aznar-Lou, Ignacio (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Gallardo-González, Carmen (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Olmos-Palenzuela, María del Carmen (Institut Català de la Salut)
Rubio-Valera, Maria (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)

Fecha:	2022
Resumen:	Medication non-initiation, or primary non-adherence, is a persistent public health problem that increases the risk of adverse clinical outcomes. The initial medication adherence (IMA) intervention is a complex multidisciplinary intervention to improve adherence to cardiovascular and diabetes treatments in primary care by empowering the patient and promoting informed prescriptions based on shared decision-making. This paper presents the development and implementation strategy of the IMA intervention and the process evaluation protocol embedded in a cluster randomised controlled trial (the IMA-cRCT) to understand and interpret the outcomes of the trial and comprehend the extent of implementation and fidelity, the active mechanisms of the IMA intervention and in what context the intervention is implemented and works. We present the protocol for a mixed-methods process evaluation including quantitative and qualitative methods to measure implementation and fidelity and to explore the active mechanisms and the interactions between the intervention, participants and its context. The process evaluation will be conducted in primary care centres and community pharmacies from the IMA-cRCT, and participants include healthcare professionals (general practitioners, nurses and community pharmacists) as well as patients. Quantitative data collection methods include data extraction from the intervention operative records, patient clinical records and participant feedback questionnaires, whereas qualitative data collection involves semistructured interviews, focus groups and field diaries. Quantitative and qualitative data will be analysed separately and triangulated to produce deeper insights and robust results. Ethical approval has been obtained from the Research Ethics Comittee (CEIm) at IDIAP Jordi Gol (codeCEIm 21/051 P). Findings will be disseminated through publications and conferences, as well as presentations to healthcare professionals and stakeholders from healthcare organisations. .
Ayudas:	Ministerio de Economía y Competitividad CB16/02/00322 European Commission. Horizon 2020 948973
Derechos:	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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Primary care ; Protocols & guidelines ; Public health ; Statistics & research methods
Publicado en:	BMJ open, Vol. 12 (october 2022) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2022-067468
PMID: 36316078

11 p, 1.2 MB

El registro aparece en las colecciones:
Artículos > Artículos de investigación
Artículos > Artículos publicados