DUGiDocsQualitative evaluation of a complex intervention to implement health promotion activities according to healthcare attendees and health professionals: EIRA study (phase II)
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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
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