Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectives
Objectives Our aim was to examine the feasibility and implementation of a complex intervention to improve the care of patients with peripheral arterial disease (the LEGS intervention) from the perspective of patients, general practitioners and secondary care clinicians.Design A qualitative study inv...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-01-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/1/e066883.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823857206940925952 |
|---|---|
| author | Athanasios Saratzis Vanessa Lawrence Ruth Benson Emma Watson Prakash Saha Clair Le Boutillier Bernadeta Bridgwood |
| author_facet | Athanasios Saratzis Vanessa Lawrence Ruth Benson Emma Watson Prakash Saha Clair Le Boutillier Bernadeta Bridgwood |
| author_sort | Athanasios Saratzis |
| collection | DOAJ |
| description | Objectives Our aim was to examine the feasibility and implementation of a complex intervention to improve the care of patients with peripheral arterial disease (the LEGS intervention) from the perspective of patients, general practitioners and secondary care clinicians.Design A qualitative study involving semistructured individual interviews with patients and providers to gain an understanding of the feasibility of the LEGS intervention as well the barriers and facilitators to implementation in secondary and primary care.Setting Primary and secondary care settings across two National Health Service Trusts.Participants Twenty-five semistructured telephone interviews were conducted with (1) patients who had received the intervention (n=11), (2) secondary care clinicians responsible for delivering the intervention (n=8) and (3) general practitioners (n=6).Analysis Data were initially analysed using inductive descriptive thematic analysis. The consolidated framework for implementation research was then used as a matrix to explore patterns in the data and to map connections between the three participant groups. Lastly, interpretive analysis allowed for refining, and a final coding frame was developed.Results Four overarching themes were identified: (1) the potential to make a difference, (2) a solution to address the gap in no man’s land, (3), prioritising and making it happen and (4) personalised information and supportive conversations for taking on the advice. The impetus for prioritising and delivering the intervention was further driven by its flexibility and adaptability to be tailored to the individual and to the environment.Conclusions The LEGS intervention can be tailored for use at early and late stages of peripheral arterial disease, provides an opportunity to meet patient needs and can be used to promote shared working across the primary–secondary care interface. |
| format | Article |
| id | doaj-art-5ff25992c77743f395e4bbe6e0a9efdc |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-5ff25992c77743f395e4bbe6e0a9efdc2025-02-11T23:00:15ZengBMJ Publishing GroupBMJ Open2044-60552023-01-0113110.1136/bmjopen-2022-066883Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectivesAthanasios Saratzis0Vanessa Lawrence1Ruth Benson2Emma Watson3Prakash Saha4Clair Le Boutillier5Bernadeta Bridgwood6University of Leicester, Leicester, UKHealth Service and Population Research, King`s College London, London, UKDepartment of Vascular Surgery, University of Otago, Christchurch, New ZealandNIHR Cardiovascular Sciences, University of Leicester, Leicester, UKGuy’s and St Thomas’ NHS Foundation Trust, London, UKDivision of Methodologies, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King`s College London, London, UKDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UKObjectives Our aim was to examine the feasibility and implementation of a complex intervention to improve the care of patients with peripheral arterial disease (the LEGS intervention) from the perspective of patients, general practitioners and secondary care clinicians.Design A qualitative study involving semistructured individual interviews with patients and providers to gain an understanding of the feasibility of the LEGS intervention as well the barriers and facilitators to implementation in secondary and primary care.Setting Primary and secondary care settings across two National Health Service Trusts.Participants Twenty-five semistructured telephone interviews were conducted with (1) patients who had received the intervention (n=11), (2) secondary care clinicians responsible for delivering the intervention (n=8) and (3) general practitioners (n=6).Analysis Data were initially analysed using inductive descriptive thematic analysis. The consolidated framework for implementation research was then used as a matrix to explore patterns in the data and to map connections between the three participant groups. Lastly, interpretive analysis allowed for refining, and a final coding frame was developed.Results Four overarching themes were identified: (1) the potential to make a difference, (2) a solution to address the gap in no man’s land, (3), prioritising and making it happen and (4) personalised information and supportive conversations for taking on the advice. The impetus for prioritising and delivering the intervention was further driven by its flexibility and adaptability to be tailored to the individual and to the environment.Conclusions The LEGS intervention can be tailored for use at early and late stages of peripheral arterial disease, provides an opportunity to meet patient needs and can be used to promote shared working across the primary–secondary care interface.https://bmjopen.bmj.com/content/13/1/e066883.full |
| spellingShingle | Athanasios Saratzis Vanessa Lawrence Ruth Benson Emma Watson Prakash Saha Clair Le Boutillier Bernadeta Bridgwood Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectives BMJ Open |
| title | Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectives |
| title_full | Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectives |
| title_fullStr | Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectives |
| title_full_unstemmed | Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectives |
| title_short | Factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care: a qualitative exploration of patient and provider perspectives |
| title_sort | factors that influence the feasibility and implementation of a complex intervention to improve the treatment of peripheral arterial disease in primary and secondary care a qualitative exploration of patient and provider perspectives |
| url | https://bmjopen.bmj.com/content/13/1/e066883.full |
| work_keys_str_mv | AT athanasiossaratzis factorsthatinfluencethefeasibilityandimplementationofacomplexinterventiontoimprovethetreatmentofperipheralarterialdiseaseinprimaryandsecondarycareaqualitativeexplorationofpatientandproviderperspectives AT vanessalawrence factorsthatinfluencethefeasibilityandimplementationofacomplexinterventiontoimprovethetreatmentofperipheralarterialdiseaseinprimaryandsecondarycareaqualitativeexplorationofpatientandproviderperspectives AT ruthbenson factorsthatinfluencethefeasibilityandimplementationofacomplexinterventiontoimprovethetreatmentofperipheralarterialdiseaseinprimaryandsecondarycareaqualitativeexplorationofpatientandproviderperspectives AT emmawatson factorsthatinfluencethefeasibilityandimplementationofacomplexinterventiontoimprovethetreatmentofperipheralarterialdiseaseinprimaryandsecondarycareaqualitativeexplorationofpatientandproviderperspectives AT prakashsaha factorsthatinfluencethefeasibilityandimplementationofacomplexinterventiontoimprovethetreatmentofperipheralarterialdiseaseinprimaryandsecondarycareaqualitativeexplorationofpatientandproviderperspectives AT clairleboutillier factorsthatinfluencethefeasibilityandimplementationofacomplexinterventiontoimprovethetreatmentofperipheralarterialdiseaseinprimaryandsecondarycareaqualitativeexplorationofpatientandproviderperspectives AT bernadetabridgwood factorsthatinfluencethefeasibilityandimplementationofacomplexinterventiontoimprovethetreatmentofperipheralarterialdiseaseinprimaryandsecondarycareaqualitativeexplorationofpatientandproviderperspectives |