A qualitative process evaluation using the behaviour change wheel approach: Did a whole genome sequence report form (SRF) used to reduce nosocomial SARS-CoV-2 within UK hospitals operate as anticipated?

Autor: Flowers P; School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK., Leiser R; School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.; Comprehensive Clinical Trials Unit, UCL, London, UK., Mapp F; Institute for Global Health, UCL, London, UK., McLeod J; School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.; Comprehensive Clinical Trials Unit, UCL, London, UK., Stirrup O; Institute for Global Health, UCL, London, UK., Illingworth CJR; MRC-University of Glasgow Centre for Virus Research, Glasgow, UK., Blackstone J; Comprehensive Clinical Trials Unit, UCL, London, UK., Breuer J; Department of Infection, Immunity and Inflammation, UCL Great Ormond Street Institute of Child Health, UCL, London, UK.
Jazyk: angličtina
Zdroj: British journal of health psychology [Br J Health Psychol] 2023 Nov; Vol. 28 (4), pp. 1011-1035. Date of Electronic Publication: 2023 May 01.
DOI: 10.1111/bjhp.12666
Abstrakt: Purpose: The aim of this study was to conduct a process evaluation of a whole-genome sequence report form (SRF) used to reduce nosocomial SARS-CoV-2 through changing infection prevention and control (IPC) behaviours within the COVID-19 pandemic.
Methods: We used a three-staged design. Firstly, we described and theorized the purported content of the SRF using the behaviour change wheel (BCW). Secondly, we used inductive thematic analysis of one-to-one interviews (n = 39) to explore contextual accounts of using the SRF. Thirdly, further deductive analysis gauged support for the intervention working as earlier anticipated.
Results: It was possible to theorize the SRF using the BCW approach and visualize it within a simple logic model. Inductive thematic analyses identified the SRF's acceptability, ease of use and perceived effectiveness. However, major challenges to embedding it in routine practice during the unfolding COVID-19 crisis were reported. Notwithstanding this insight, deductive analysis showed support for the putative intervention functions 'Education', 'Persuasion' and 'Enablement'; behaviour change techniques '1.2 Problem solving', '2.6 Biofeedback', '2.7 Feedback on outcomes of behaviour' and '7.1 Prompts and cues'; and theoretical domains framework domains 'Knowledge' and 'Behavioural regulation'.
Conclusions: Our process evaluation of the SRF, using the BCW approach to describe and theorize its content, provided granular support for the SRF working to change IPC behaviours as anticipated. However, our complementary inductive thematic analysis highlighted the importance of the local context in constraining its routine use. For SRFs to reach their full potential in reducing nosocomial infections, further implementation research is needed.
(© 2023 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.)
Databáze: MEDLINE
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