QUALITATIVE RESEARCH AND THE DESIGN OF HEALTH INTERVENTIONS
##plugins.themes.bootstrap3.article.main##
Abstract
The design of health interventions is complex, to ensure that it is based on the most recent evidence, and simultaneously responds to the needs of the person, their expectations and preferences, allowing centering and integrating care in the individual. Goals To debate the contribution of qualitative research in the design of health interventions. Methods This article aims to answer the question: ‘What are the contributions of qualitative research to the design of health interventions? From the literature review, the authors reflect on the importance of qualitative studies to allow the integration of people's needs, experiences and difficulties in areas as complex as self-care, behavioral change or adherence to the therapeutic regime. Results Qualitative research is a contribution to the design of health interventions, supporting not only their development but also their evaluation and implementation, by understanding issues related to knowledge transfer, theorizing mechanisms of action and understanding how the context influences and acceptability of interventions. This statement is a challenge for the use of methods to understand aspects related to people's decision-making (who receives and who implements the intervention), the context, modes of implementation and mechanisms of the intervention and other elements of the interventions that are not so observable and readily measurable, influence health care-sensitive outcomes. The person-centered care approach implies that methods used in the design of interventions are person-centered through qualitative research. Conclusions. Qualitative research plays a key role in understanding the expectations, experiences and behaviors of people targeted by interventions, thus contributing to evidence-based practice.
Downloads
##plugins.themes.bootstrap3.article.details##
How to Cite

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
openAccess
openAccess
Apóstolo, J. (2017). Síntese da evidência no contexto da translação da ciência. Coimbra, Portugal: Escola Superior de Enfermagem de Coimbra (ESEnfC).
Barnett, M.L., Dopp, A.R., Klein, C., Ettner, S.L., Powel, B.J., & Saldana, L. (2020). Collaborating with health economists to advance implementation science: a qualitative study. Implementation Science Communications, 1, 82. https://doi.org/10.1186/s43058-020-00074-w
Bonell, C., Fletcher, A., Morton, M., Lorenc, T., & Moore, L. (2012). Realist randomised controlled trials: a new approach to evaluating complex public health interventions. Social Science & Medicine, 75,2299-306. https://doi.org/10.1016/j.socscimed.2012.08.032
Canadian Institutes of Health Research. (2014). More about knowledge translation at CIHR: knowledge translation definition [Internet]. Available from: http://www.cihr-irsc.gc.ca/e/39033.html
Campbell, N. C., Murray, E., Darbyshire, J., Emery, J., Farmer, A., Griffiths, F., Guthrie, B., Lester, H., Wilson, P., & Kinmonth, A. L. (2007). Designing and evaluating complex interventions to improve health care. BMJ (Clinical research ed.), 334(7591), 455–459. https://doi.org/10.1136/bmj.39108.379965.BE
Campbell, M., Fitzpatrick, R., Haines, A., Kinmonth, A. L., Sandercock, P., Spiegelhalter, D., & Tyrer, P. (2000). Framework for design and evaluation of complex interventions to improve health. BMJ (Clinical research ed.), 321(7262), 694–696. https://doi.org/10.1136/bmj.321.7262.694
Craig, P., Ruggiero, E.D., Frohlich, K.L., et al. on behalf of the Canadian Institutes of Health Research (CIHR)–National Institute for Health Research (NIHR) Context Guidance Authors Group (listed alphabetically) (2018). Taking account of context in population health intervention research: guidance for producers, users and funders of research. Canada: NIHR Journals Library. Available from: https://www.ncbi.nlm.nih.gov/books/NBK498645/doi: 10.3310/CIHR-NIHR-01
Conn, V. S., Rantz, M. J., Wipke-Tevis, D. D., & Maas, M. L. (2001). Designing effective nursing interventions. Research in nursing & health, 24(5), 433–442. https://doi.org/10.1002/nur.1043
Dalkin, S., Lhussier, M., Williams, L., et al. (2018). Exploring the use of Soft Systems Methodology with realist approaches: A novel way to map programme complexity and develop and refine programme theory. Evaluation, 24, 84-97. https://doi.org/10.1177/1356389017749036
Deaton, A., & Cartwright, N. (2018). Understanding and misunderstanding randomized controlled trials. Social Science & Medicine, 210, 2-21. https://doi.org/10.1016/j.socscimed.2017.12.005
French, C., Pinnock, H., Forbes, G., Skene, I., & Taylor, S. J. C. (2020). Process evaluation within pragmatic randomised controlled trials: what is it, why is it done, and can we find it?-a systematic review. Trials, 21(1), 916. https://doi.org/10.1186/s13063-020-04762-9
Funnell SC, & Rogers PJ. (2011). Purposeful program theory: effective use of theories of change and logic models. 1st ed. Jossey-Bass.
Garba, R. M., & Gadanya, M. A. (2017). The role of intervention mapping in designing disease prevention interventions: A systematic review of the literature. PloS one, 12(3), e0174438. https://doi.org/10.1371/journal.pone.0174438
Greenhalgh, T., & Papoutsi, C. (2018). Studying complexity in health services research: desperately seeking an overdue paradigm shift. BMC Medicine, 16, 95. https://doi.org/10.1186/s12916-018-1089-4
Jesson, R., & McNaughton, S. (2020). 4 Design-Based Research as Intervention Methodology. In Relationality and Learning in Oceania. Leiden, The Netherlands: Brill. https://doi.org/10.1163/9789004425316_004
Kessler, R., & Glasgow, R. E. (2011). A proposal to speed translation of healthcare research into practice: dramatic change is needed. American journal of preventive medicine, 40(6), 637–644. https://doi.org/10.1016/j.amepre.2011.02.023
Lamort-Bouché, M., Sarnin, P., Kok, G., Rouat, S., Péron, J., Letrilliart, L., & Fassier, J. B. (2018). Interventions developed with the Intervention Mapping protocol in the field of cancer: A systematic review. Psycho-oncology, 27(4), 1138–1149. https://doi.org/10.1002/pon.4611
Lawless, A., Baum, F., Delany-Crowe, T., MacDougall, C., Williams, C., McDermott, D., & van Eyk, H. (2018). Developing a Framework for a Program Theory-Based Approach to Evaluating Policy Processes and Outcomes: Health in All Policies in South Australia. International Journal of Health Policy and Management, 7(6), 510-521. doi: 10.15171/ijhpm.2017.121
Mann, C., Shaw, A. R. G., Guthrie, B., Wye, L., Man, M. S., Chaplin, K., & Salisbury, C. (2019). Can implementation failure or intervention failure explain the result of the 3D multimorbidity trial in general practice: mixed-methods process evaluation. BMJ open, 9(11), e031438. https://doi.org/10.1136/bmjopen-2019-031438
Medical Research Council. (2020). A framework for development and evaluation of RCTs for complex interventions to improve health. MRC.
Moore, G.F., Audrey, S., Barker, M., et al. (2015). Process evaluation of complex interventions: Medical Research Council guidance. BMJ;350:h1258.
Moore G, Campbell M, Copeland L, et al. (2021). Adapting interventions to new contexts-the ADAPT guidance. BMJ;374:n1679.
Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., Moore, L., O'Cathain, A., Tinati, T., Wight, D., & Baird, J. (2015). Process evaluation of complex interventions: Medical Research Council guidance. BMJ (Clinical research ed.), 350, h1258. https://doi.org/10.1136/bmj.h1258
Muller, I., Santer, M., Morrison, L., Morton, K., Roberts, A., Rice, C., Williams, M., & Yardley, L. (2019). Combining qualitative research with PPI: reflections on using the person-based approach for developing behavioural interventions. Research involvement and engagement, 5, 34. https://doi.org/10.1186/s40900-019-0169-8
O'Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., Turner, K. M., Yardley, L., & Hoddinott, P. (2019). Guidance on how to develop complex interventions to improve health and healthcare. BMJ open, 9(8), e029954. https://doi.org/10.1136/bmjopen-2019-029954
Ogilvie, D., Adams, J., Bauman, A., Gregg, E. W., Panter, J., Siegel, K. R., Wareham, N. J., & White, M. (2020). Using natural experimental studies to guide public health action: turning the evidence-based medicine paradigm on its head. Journal of epidemiology and community health, 74(2), 203–208. https://doi.org/10.1136/jech-2019-213085
Pfadenhauer, L. M., Gerhardus, A., Mozygemba, K., Lysdahl, K. B., Booth, A., Hofmann, B., Wahlster, P., Polus, S., Burns, J., Brereton, L., & Rehfuess, E. (2017). Making sense of complexity in context and implementation: the Context and Implementation of Complex Interventions (CICI) framework. Implementation science : IS, 12(1), 21. https://doi.org/10.1186/s13012-017-0552-5
Raine, R., Fitzpatrick, R., & de Pury, J. (2016). Challenges, solutions and future directions in evaluative research. Journal of health services research & policy, 21(4), 215–216. https://doi.org/10.1177/1355819616664495
Renjith, V., Yesodharan, R., Noronha, J. A., Ladd, E., & George, A. (2021). Qualitative Methods in Health Care Research. International journal of preventive medicine, 12, 20. https://doi.org/10.4103/ijpvm.IJPVM_321_19
Rutter, H., Savona, N., Glonti, K., Bibby, J., Cummins, S., Finegood, D. T., Greaves, F., Harper, L., Hawe, P., Moore, L., Petticrew, M., Rehfuess, E., Shiell, A., Thomas, J., & White, M. (2017). The need for a complex systems model of evidence for public health. Lancet (London, England), 390(10112), 2602–2604. https://doi.org/10.1016/S0140-6736(17)31267-9
Skivington, K., Matthews, L., Simpson, S. A., Craig, P., Baird, J., Blazeby, J. M., Boyd, K. A., Craig, N., French, D. P., McIntosh, E., Petticrew, M., Rycroft-Malone, J., White, M., & Moore, L. (2021). A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ (Clinical research ed.), 374, n2061. https://doi.org/10.1136/bmj.n2061
Thirsk LM, & Clark AM. (2017). Using Qualitative Research for Complex Interventions: The Contributions of Hermeneutics. International Journal of Qualitative Methods, 16(1). https://doi.org/10.1177/1609406917721068
van Meijel, B., Gamel, C., van Swieten-Duijfjes, B., & Grypdonck, M. H. (2004). The development of evidence-based nursing interventions: methodological considerations. Journal of advanced nursing, 48(1), 84–92. https://doi.org/10.1111/j.1365-2648.2004.03171.x
Yardley, L., Bradbury, K., & Morrison, L. (2021). Using qualitative research for intervention development and evaluation. In P. M. Camic (Ed.), Qualitative research in psychology: Expanding perspectives in methodology and design (pp. 263–282). American Psychological Association. https://doi.org/10.1037/0000252-013
https://orcid.org/0000-0002-9570-3926