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Towards implementing coordinated healthy lifestyle promotion in primary care: a mixed method study.

Thomas K, Bendtsen P, Krevers B - Int J Integr Care (2015)

Bottom Line: The General Theory of Implementation was used as a framework in the analysis to integrate the data sources.The study highlights the importance of identifying and engaging key stakeholders early in an implementation process.The findings showed how the development phase influenced the implementation and embedding processes, which add aspects to the General Theory of Implementation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

ABSTRACT

Background: Primary care is increasingly being encouraged to integrate healthy lifestyle promotion in routine care. However, implementation has been suboptimal. Coordinated care could facilitate lifestyle promotion practice but more empirical knowledge is needed about the implementation process of coordinated care initiatives. This study aimed to evaluate the implementation of a coordinated healthy lifestyle promotion initiative in a primary care setting.

Methods: A mixed method, convergent, parallel design was used. Three primary care centres took part in a two-year research project. Data collection methods included individual interviews, document data and questionnaires. The General Theory of Implementation was used as a framework in the analysis to integrate the data sources.

Results: Multi-disciplinary teams were implemented in the centres although the role of the teams as a resource for coordinated lifestyle promotion was not fully embedded at the centres. Embedding of the teams was challenged by differences among the staff, patients and team members on resources, commitment, social norms and roles.

Conclusions: The study highlights the importance of identifying and engaging key stakeholders early in an implementation process. The findings showed how the development phase influenced the implementation and embedding processes, which add aspects to the General Theory of Implementation.

No MeSH data available.


Activities carried out by the actors involved during the period under investigation.
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fg0001: Activities carried out by the actors involved during the period under investigation.

Mentions: A mixed method, convergent, parallel design was used to gain a comprehensive understanding of the implementation process and outcomes [29]. Three primary care centres took part in the two-year research project. Data collection involved individual interviews and document data on the implementation process and outcomes (retrospective) and two questionnaires investigating team performance and staff readiness to change (prospective). Figure 1 shows the implementation activities carried out by the County Council and primary care centres and the research activities carried out by the research group.


Towards implementing coordinated healthy lifestyle promotion in primary care: a mixed method study.

Thomas K, Bendtsen P, Krevers B - Int J Integr Care (2015)

Activities carried out by the actors involved during the period under investigation.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4548708&req=5

fg0001: Activities carried out by the actors involved during the period under investigation.
Mentions: A mixed method, convergent, parallel design was used to gain a comprehensive understanding of the implementation process and outcomes [29]. Three primary care centres took part in the two-year research project. Data collection involved individual interviews and document data on the implementation process and outcomes (retrospective) and two questionnaires investigating team performance and staff readiness to change (prospective). Figure 1 shows the implementation activities carried out by the County Council and primary care centres and the research activities carried out by the research group.

Bottom Line: The General Theory of Implementation was used as a framework in the analysis to integrate the data sources.The study highlights the importance of identifying and engaging key stakeholders early in an implementation process.The findings showed how the development phase influenced the implementation and embedding processes, which add aspects to the General Theory of Implementation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

ABSTRACT

Background: Primary care is increasingly being encouraged to integrate healthy lifestyle promotion in routine care. However, implementation has been suboptimal. Coordinated care could facilitate lifestyle promotion practice but more empirical knowledge is needed about the implementation process of coordinated care initiatives. This study aimed to evaluate the implementation of a coordinated healthy lifestyle promotion initiative in a primary care setting.

Methods: A mixed method, convergent, parallel design was used. Three primary care centres took part in a two-year research project. Data collection methods included individual interviews, document data and questionnaires. The General Theory of Implementation was used as a framework in the analysis to integrate the data sources.

Results: Multi-disciplinary teams were implemented in the centres although the role of the teams as a resource for coordinated lifestyle promotion was not fully embedded at the centres. Embedding of the teams was challenged by differences among the staff, patients and team members on resources, commitment, social norms and roles.

Conclusions: The study highlights the importance of identifying and engaging key stakeholders early in an implementation process. The findings showed how the development phase influenced the implementation and embedding processes, which add aspects to the General Theory of Implementation.

No MeSH data available.