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Implementing a training intervention to support caregivers after stroke: a process evaluation examining the initiation and embedding of programme change

Implementing a training intervention to support caregivers after stroke: a process evaluation examining the initiation and embedding of programme change
Implementing a training intervention to support caregivers after stroke: a process evaluation examining the initiation and embedding of programme change
Medical Research Council (MRC) guidance identifies implementation as a key element of the development and evaluation process for complex healthcare interventions. Implementation is itself a complex process involving the mobilization of human, material, and organizational resources to change practice within settings that have pre-existing structures, historical patterns of relationships, and routinized ways of working. Process evaluations enable researchers and clinicians to understand how implementation proceeds and what factors impact on intended program change. A qualitative process evaluation of the pragmatic cluster randomized controlled trial; Training Caregivers after Stroke was conducted to examine how professionals were engaged in the work of delivering training; how they reached and involved caregivers for whom the intervention was most appropriate; how did those on whom training was targeted experience and respond to it. Normalization Process Theory, which focuses attention on implementing and embedding program change, was used as a sensitizing framework to examine selected findings.
Acknowledges NIHR
1748-5908
1-15
Clarke, David James
374e3f7d-51e2-44eb-bb98-c1985667c332
Godfrey, Mary
31a3544a-2a1d-4f8f-a315-4643a09a0681
Hawkins, Rebecca
cbde71ae-cd25-4ad0-851e-557f85767d86
Sadler, Euan
e5891abe-c97b-4e74-b9b3-6d7c43435360
Harding, Geoffrey
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Forster, Anne
ae48d28a-ec54-4d7d-a7eb-39d614785257
McKevitt, Christopher
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Dickerson, Josie
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Farrin, Amanda
9e87b2c8-00bb-4f5f-ab96-862620877c5e
Clarke, David James
374e3f7d-51e2-44eb-bb98-c1985667c332
Godfrey, Mary
31a3544a-2a1d-4f8f-a315-4643a09a0681
Hawkins, Rebecca
cbde71ae-cd25-4ad0-851e-557f85767d86
Sadler, Euan
e5891abe-c97b-4e74-b9b3-6d7c43435360
Harding, Geoffrey
bef7d7a5-a101-4a78-aa3d-ed3b5f35a09e
Forster, Anne
ae48d28a-ec54-4d7d-a7eb-39d614785257
McKevitt, Christopher
4ff3bb8f-7931-4402-b68d-53aae1cd5570
Dickerson, Josie
90a9b492-e494-4b11-9418-610fc3fd754b
Farrin, Amanda
9e87b2c8-00bb-4f5f-ab96-862620877c5e

Clarke, David James, Godfrey, Mary, Hawkins, Rebecca, Sadler, Euan, Harding, Geoffrey, Forster, Anne, McKevitt, Christopher, Dickerson, Josie and Farrin, Amanda (2013) Implementing a training intervention to support caregivers after stroke: a process evaluation examining the initiation and embedding of programme change. Implementation Science, 8 (1), 1-15. (doi:10.1186/1748-5908-8-96).

Record type: Article

Abstract

Medical Research Council (MRC) guidance identifies implementation as a key element of the development and evaluation process for complex healthcare interventions. Implementation is itself a complex process involving the mobilization of human, material, and organizational resources to change practice within settings that have pre-existing structures, historical patterns of relationships, and routinized ways of working. Process evaluations enable researchers and clinicians to understand how implementation proceeds and what factors impact on intended program change. A qualitative process evaluation of the pragmatic cluster randomized controlled trial; Training Caregivers after Stroke was conducted to examine how professionals were engaged in the work of delivering training; how they reached and involved caregivers for whom the intervention was most appropriate; how did those on whom training was targeted experience and respond to it. Normalization Process Theory, which focuses attention on implementing and embedding program change, was used as a sensitizing framework to examine selected findings.

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Accepted/In Press date: 31 July 2013
Published date: 23 August 2013
Keywords: Acknowledges NIHR

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Local EPrints ID: 431724
URI: https://eprints.soton.ac.uk/id/eprint/431724
ISSN: 1748-5908
PURE UUID: ae17d2a9-5573-40e8-918a-cea069cd3799

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Date deposited: 14 Jun 2019 16:30
Last modified: 07 Oct 2019 16:32

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Contributors

Author: David James Clarke
Author: Mary Godfrey
Author: Rebecca Hawkins
Author: Euan Sadler
Author: Geoffrey Harding
Author: Anne Forster
Author: Christopher McKevitt
Author: Josie Dickerson
Author: Amanda Farrin

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