TY - JOUR
T1 - Using qualitative process evaluation in the development of a complex intervention to advance person-centred practice by pharmacists
T2 - The Medicines and Alcohol Consultation (MAC)
AU - Madden, Mary
AU - Morris, Stephanie
AU - Stewart, Duncan
AU - Atkin, Karl
AU - Gough, Brendan
AU - Mills, Thomas
AU - McCambridge, Jim
N1 - Publisher Copyright:
© 2021 The Authors
PY - 2021/9/23
Y1 - 2021/9/23
N2 - In order to effectively evaluate complex interventions, there have been calls for the further integration of qualitative methods. Qualitative process studies of brief alcohol interventions and medicines reviews are notably lacking. This article provides a grounded example through the presentation of findings from an embedded qualitative process evaluation of a multi-site, pilot cluster RCT of a new intervention: the Medicines and Alcohol Consultation (MAC). MAC is designed to increase the capacity of community pharmacists (CPs) to conduct person-centred medicines reviews in which the subject of alcohol consumption is raised in connection with medications and associated health conditions. Participant-focused qualitative studies (interviews, observations, recorded consultations) sought to understand how CPs engaged with and implemented MAC in context. This article documents effects of the intervention on developing person-centred consultation practice and highlights how qualitative process studies can be used formatively to develop middle range programme theory and to optimise intervention design for testing in a definitive RCT.
AB - In order to effectively evaluate complex interventions, there have been calls for the further integration of qualitative methods. Qualitative process studies of brief alcohol interventions and medicines reviews are notably lacking. This article provides a grounded example through the presentation of findings from an embedded qualitative process evaluation of a multi-site, pilot cluster RCT of a new intervention: the Medicines and Alcohol Consultation (MAC). MAC is designed to increase the capacity of community pharmacists (CPs) to conduct person-centred medicines reviews in which the subject of alcohol consumption is raised in connection with medications and associated health conditions. Participant-focused qualitative studies (interviews, observations, recorded consultations) sought to understand how CPs engaged with and implemented MAC in context. This article documents effects of the intervention on developing person-centred consultation practice and highlights how qualitative process studies can be used formatively to develop middle range programme theory and to optimise intervention design for testing in a definitive RCT.
KW - Qualitative process evaluation, Complex intervention, Person-centred Alcohol Pharmacy
UR - http://www.scopus.com/inward/record.url?scp=85139224440&partnerID=8YFLogxK
U2 - 10.1016/j.ssmqr.2021.100012
DO - 10.1016/j.ssmqr.2021.100012
M3 - Article
SN - 2667-3215
VL - 1
JO - Social Science and Medicine - Qualitative Research in Health
JF - Social Science and Medicine - Qualitative Research in Health
M1 - 100012
ER -