Abstract
BackgroundSelecting appropriate strategies to target barriers to implementing interventions represents a considerable challenge in implementation research and practice. The aim was to investigate what categories of implementation strategies were selected by health care practitioners and their managers in a co-design process and how they justified these strategies aimed at facilitating the implementation of the WALK-Cph intervention.MethodsThe study used a qualitative research design to explore what implementation strategies were selected and the justifications for selecting these strategies. Workshops were used because this qualitative method is particularly well suited for studying co-design processes that involve substantial attention to social interaction and the context. Data were 1) analyzed deductively based on the Proctor et al. taxonomy of implementation strategies, 2) categorized in accordance with the ERIC compilation of implementation strategies by Powell et al., and 3) analyzed to examine the justification for the selected strategies by the Proctor et al. framework for justifications of implementation strategies.ResultsThirteen different types of implementation strategies were chosen across two hospitals. The deductive analysis showed that selection of implementation strategies was based on pragmatic and theoretical justifications. The contents of the two types of justifications were thematized into nine subthemes.ConclusionThis study contributes with knowledge about categories and justification of implementation strategies selected in a co-design process. In this study, implementation strategies were selected through pragmatic and theoretical justifications. This points to a challenge in balancing strategies based on practice-based and research-based knowledge and thereby selection of strategies with or without proven effectiveness.
Highlights
Selecting appropriate strategies to target barriers to implementing interventions represents a considerable challenge in implementation research and practice [4,5,6,7,8,9], e.g., choosing appropriate strategies to influence poor motivation or negative attitudes concerning the use of a new intervention
In response to lack of empirical knowledge on the involvement of health care practitioners in co-designing implementation strategies, the aim of this study was to investigate what implementation strategies were selected by health care practitioners and their managers and how they justified these strategies aimed at facilitating the implementation of the WALK-Cph intervention
Empirical justifications The analysis showed that empirical justifications were not used to select implementation strategies
Summary
Selecting appropriate strategies to target barriers to implementing interventions represents a consid‐ erable challenge in implementation research and practice. The aim was to investigate what categories of implemen‐ tation strategies were selected by health care practitioners and their managers in a co-design process and how they justified these strategies aimed at facilitating the implementation of the WALK-Cph intervention. Selecting appropriate strategies to target barriers to implementing interventions represents a considerable challenge in implementation research and practice [4,5,6,7,8,9], e.g., choosing appropriate strategies to influence poor motivation or negative attitudes concerning the use of a new intervention. If the identified barrier is insufficient skills training can have more impact on health care practitioners’ performance than a “default” strategy, which has always been selected in the past regardless of what barriers might have existed
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