Using multiple approaches to develop a physician-pharmacist collaborative care intervention to facilitate appropriate prescribing for older adults with multimorbidity.
• Illustrates how implementation science informs intervention development. • Provides a case study on integrating different intervention development approaches. • Demonstrates the use of published guidance for developing interventions. • Offers lessons and insights on developing a healthcare interve...
| Publicado en: | Archives of Gerontology & Geriatrics Vol. 115 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173232980&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173232980 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01674943 3HX jtl: Archives of Gerontology & Geriatrics issn: 01674943 maglogo: N pubinfo: dt: Dec2023 vid: 115 pid: 1004 pub: Elsevier B.V. artinfo: ui: 173232980 173232980 173232980 10.1016/j.archger.2023.105110 173232980 ppct: 1 formats: tig: atl: Using multiple approaches to develop a physician-pharmacist collaborative care intervention to facilitate appropriate prescribing for older adults with multimorbidity. aug: au: Teng, Poh Hoon June Lun, Penny Tang, Jia Ying Tan, Keng Teng Ang, Wendy Ding, Yew Yoong affil: Geriatric Education & Research Institute, Singapore sug: subj: Physicians Pharmacists Collaboration Health Care Delivery Methods Prescriptions, Drug In Old Age Comorbidity Geriatrics Outpatient Service Program Development Human Implementation Science Conceptual Framework Communication Documentation Quality Improvement Male Female Aged Aged: 65+ years Male Female ab: • Illustrates how implementation science informs intervention development. • Provides a case study on integrating different intervention development approaches. • Demonstrates the use of published guidance for developing interventions. • Offers lessons and insights on developing a healthcare intervention with stakeholders. This article discusses the development process of an intervention to facilitate appropriate prescribing for older adults with multimorbidity at geriatric medicine outpatient clinics. Both effectiveness and implementability were key aims, which were achieved by a systematic combination of different approaches guided by published guidance. Various frameworks and tools were used to guide the intervention development. They include The Medical Research Council Framework for complex health interventions as the overarching framework, supplemented by the Framework of Actions for Intervention Development and a taxonomy of intervention development approaches. A combination of theory and evidence-based-, implementation-based and partnership approaches were used to develop the intervention. The Behaviour Change Wheel and Theoretical Domains Framework were used for intervention design. Three scoping reviews and two modified Delphi studies were conducted to build an evidence base on prescribing-related barriers and existing interventions. The findings were synthesised, assessed for implementability, and culminated in a co-creation exercise with physicians and pharmacists. The final intervention aims to facilitate collaboration between physicians and pharmacists and to improve communication and documentation of prescribing decisions. Multiple approaches may be required when developing interventions that are effective and implementable. The study team's experiences in using published guidance, integrating different approaches, and co-creating the intervention with healthcare professionals provide a useful case study with lessons and insights for developers of complex interventions. Furthermore, systematic reporting of such research-based efforts would contribute to advancement of intervention development in healthcare and reducing research waste. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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