Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysis
Objective To explore patients’ with asplenia and general practitioners’ (GPs) (1) perceptions of a novel, Health Action Process Approach (HAPA)-based, educational intervention which targets to increase adherence to post-splenectomy sepsis (PSS) prevention measures and (2) their experience in impleme...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/11/e060492.full |
| _version_ | 1811233535334285312 |
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| author | Erik Farin-Glattacker Manuela Glattacker Siegbert Rieg Natascha Anka Johannes Camp Marianne Bayrhuber |
| author_facet | Erik Farin-Glattacker Manuela Glattacker Siegbert Rieg Natascha Anka Johannes Camp Marianne Bayrhuber |
| author_sort | Erik Farin-Glattacker |
| collection | DOAJ |
| description | Objective To explore patients’ with asplenia and general practitioners’ (GPs) (1) perceptions of a novel, Health Action Process Approach (HAPA)-based, educational intervention which targets to increase adherence to post-splenectomy sepsis (PSS) prevention measures and (2) their experience in implementing prevention measures following this intervention.Design A process evaluation conducted on average 3.5 (for patients) and 3.8 (for GPs) months after the intervention between January 2020 and April 2021 individually by means of semi-structured guideline-based telephone interviews. Data was analysed using qualitative content analysis.Participants Volunteer subsample of N=25 patients with asplenia and N=8 GPs who received the intervention. Inclusion criteria were met by prior participation in the intervention (German-speaking, of full age and insured by the cooperating health insurance). Patient selection was done by purposeful selection aiming at maximum variability in terms of adherence to preventative measures prior to intervention participation. Participating GPs are a non-purposeful selected convenience sample. For reasons of data protection, no personal data was collected.Results The intervention was positively evaluated and its personal relevancy for patients and for the GPs’ professional work became apparent. The intervention promoted risk awareness, intention to action, action planning and subsequently, improved adherence to preventative measures. Helpful factors for implementation among the patients were social support by relatives and GPs. Barriers to adherence identified in both groups can be divided into patient-attributed (eg, comorbidities), doctor-related (eg, lack of knowledge or support) as well as contextual factors (eg, vaccine supply constraints).Conclusions Our findings indicate a patient and GP perceived benefit of the intervention, but still identify prevailing barriers to implementation. In a further step, a quantitative evaluation of the intervention will be conducted and recommendations for integrating the intervention in usual care will be made.Trial registration number DRKS00015238. |
| first_indexed | 2024-04-12T11:21:35Z |
| format | Article |
| id | doaj.art-e3ed874c194a4008b27838ae9e54acd1 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-12T11:21:35Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-e3ed874c194a4008b27838ae9e54acd12022-12-22T03:35:21ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2021-060492Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysisErik Farin-Glattacker0Manuela Glattacker1Siegbert Rieg2Natascha Anka3Johannes Camp4Marianne Bayrhuber5Section of Health Care Research and Rehabilitation Research, University of Freiburg Faculty of Medicine, Freiburg, GermanySection of Health Care Research and Rehabilitation Research, University of Freiburg Faculty of Medicine, Freiburg, GermanyDivision of Infectious Diseases, Department of Medicine II, University of Freiburg Faculty of Medicine, Freiburg, GermanySection of Health Care Research and Rehabilitation Research, University of Freiburg Faculty of Medicine, Freiburg, GermanyDivision of Infectious Diseases, Department of Medicine II, University of Freiburg Faculty of Medicine, Freiburg, GermanySection of Health Care Research and Rehabilitation Research, University of Freiburg Faculty of Medicine, Freiburg, GermanyObjective To explore patients’ with asplenia and general practitioners’ (GPs) (1) perceptions of a novel, Health Action Process Approach (HAPA)-based, educational intervention which targets to increase adherence to post-splenectomy sepsis (PSS) prevention measures and (2) their experience in implementing prevention measures following this intervention.Design A process evaluation conducted on average 3.5 (for patients) and 3.8 (for GPs) months after the intervention between January 2020 and April 2021 individually by means of semi-structured guideline-based telephone interviews. Data was analysed using qualitative content analysis.Participants Volunteer subsample of N=25 patients with asplenia and N=8 GPs who received the intervention. Inclusion criteria were met by prior participation in the intervention (German-speaking, of full age and insured by the cooperating health insurance). Patient selection was done by purposeful selection aiming at maximum variability in terms of adherence to preventative measures prior to intervention participation. Participating GPs are a non-purposeful selected convenience sample. For reasons of data protection, no personal data was collected.Results The intervention was positively evaluated and its personal relevancy for patients and for the GPs’ professional work became apparent. The intervention promoted risk awareness, intention to action, action planning and subsequently, improved adherence to preventative measures. Helpful factors for implementation among the patients were social support by relatives and GPs. Barriers to adherence identified in both groups can be divided into patient-attributed (eg, comorbidities), doctor-related (eg, lack of knowledge or support) as well as contextual factors (eg, vaccine supply constraints).Conclusions Our findings indicate a patient and GP perceived benefit of the intervention, but still identify prevailing barriers to implementation. In a further step, a quantitative evaluation of the intervention will be conducted and recommendations for integrating the intervention in usual care will be made.Trial registration number DRKS00015238.https://bmjopen.bmj.com/content/12/11/e060492.full |
| spellingShingle | Erik Farin-Glattacker Manuela Glattacker Siegbert Rieg Natascha Anka Johannes Camp Marianne Bayrhuber Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysis BMJ Open |
| title | Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysis |
| title_full | Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysis |
| title_fullStr | Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysis |
| title_full_unstemmed | Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysis |
| title_short | Patients’ with asplenia and doctors’ experiences in implementing preventative measures following a novel educational intervention: a qualitative analysis |
| title_sort | patients with asplenia and doctors experiences in implementing preventative measures following a novel educational intervention a qualitative analysis |
| url | https://bmjopen.bmj.com/content/12/11/e060492.full |
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