Tailoring intervention procedures to routine primary health care practice; an ethnographic process evaluation
2007

Tailoring Health Interventions in Primary Care

publication Evidence: moderate

Author Information

Author(s): Yvonne Jansen, Antoinette Bont, Marleen Foets, Marc Bruijnzeels, Roland Bal

Primary Institution: Erasmus MC Rotterdam

Hypothesis

How did the health care professionals tailor the intervention in the participating health care centres?

Conclusion

Guidelines facilitated organisational change and enabled the transformation of existing interprofessional relations, making tailoring possible.

Supporting Evidence

  • Tailor-made approaches enable the uptake of interventions.
  • The Quattro project was a prevention programme for cardiovascular diseases in high-risk patients.
  • The lack of standard protocols hindered the implementation of the intervention.

Takeaway

This study looked at how health care workers adjusted a heart disease prevention program to fit their local practices, showing that having guidelines helped them work better together.

Methodology

An ethnographic design was used, involving observations and interviews with researchers and practice nurses, followed by thematic analysis of the data.

Potential Biases

Existing hierarchical professional relations complicated the implementation of the intervention.

Limitations

The lack of standard protocols hindered the implementation of the intervention.

Participant Demographics

Health care professionals in primary health care centres located in deprived neighbourhoods.

Digital Object Identifier (DOI)

10.1186/1472-6963-7-125

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