448
Views
0
CrossRef citations to date
0
Altmetric
Research Articles

Exploring expectations and readiness for healthy lifestyle promotion in Swedish primary health care: a qualitative analysis of managers, facilitators, and professionals

ORCID Icon, &
Pages 201-213 | Received 11 Mar 2023, Accepted 28 Dec 2023, Published online: 19 Jan 2024

References

  • OECD. Health at a glance: Europe 2020: state of health in the EU cycle. Paris: OECD Publishing 2020.
  • World Health Organization. Noncommunicable diseases 2021. [cited October 27, 2023]. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases.
  • OECD. Realising the potential of primary health care. [cited October 27, 2023]. 2023.
  • Socialdepartementet [Ministry of Social Affairs]. God och nära vård. En reform för ett hållbart hälso- och sjukvårdssystem. SOU 2020:19 [Good and close care. A reform for a sustainable health care system]. Swedish. Stockholm; 2020.
  • Zonneveld N, Driessen N, Stüssgen RAJ, et al. Values of integrated care: a systematic review. Int J Integr Care. 2018;18(4):9. doi: 10.5334/ijic.4172.
  • Valentijn PP, Schepman SM, Opheij W, et al. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013;13(1):e010. doi: 10.5334/ijic.886.
  • World Health Organization. Operational framework for primary health care: transforming vision into action. Geneva: World Health Organization and the United Nations Childrens’ Fund (UNICEF); 2020.
  • World Health Organization. WHO global strategy on people-centred and integrated health services: interim report. Geneva: World Health Organization; 2015.
  • World Health Organization. Primary health care: closing the gap between public health and primary care through integration. Geneva: WHO; 2018 [cited October 27, 2022]. https://www.who.int/publications/i/item/primary-health-care-closing-the-gap-between-public-health-and-primary-care-through-integration
  • Beaglehole R, Bonita R, Horton R, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377(9775):1438–1447. doi: 10.1016/S0140-6736(11)60393-0.
  • Wändell PE, de Waard AM, Holzmann MJ, et al. Barriers and facilitators among health professionals in primary care to prevention of cardiometabolic diseases: a systematic review. Fam Pract. 2018;35(4):383–398. doi: 10.1093/fampra/cmx137.
  • Wiggers J, McElwaine K, Freund M, et al. Increasing the provision of preventive care by community healthcare services: a stepped wedge implementation trial. Implement Sci. 2017;12(1):105.
  • Rogers L, De Brún A, McAuliffe E. Defining and assessing context in healthcare implementation studies: a systematic review. BMC Health Serv Res. 2020;20(1):591. doi: 10.1186/s12913-020-05212-7.
  • Keyworth C, Epton T, Goldthorpe J, et al. It’s difficult, I think it’s complicated’: health care professionals’ barriers and enablers to providing opportunistic behaviour change interventions during routine medical consultations. Br J Health Psychol. 2019;24(3):571–592. doi: 10.1111/bjhp.12368.
  • Keyworth C, Epton T, Goldthorpe J, et al. Delivering opportunistic behavior change interventions: a systematic review of systematic reviews. Prev Sci. 2020;21(3):319–331. doi: 10.1007/s11121-020-01087-6.
  • Socialstyrelsen. [National Board of Health and Welfare]. Nationella riktlinjer för prevention och behandling vid ohälsosamma levnadsvanor. Stöd för styrning och ledning [National guidelines for prevention and treatment of unhealtly lifestyle habits]. 2018. [cited October 27, 2023]. https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/nationella-riktlinjer/2018-6-24.pdf.
  • Kardakis T, Jerdén L, Nyström ME, et al. Implementation of clinical practice guidelines on lifestyle interventions in swedish primary healthcare – a two-year follow up. BMC Health Serv Res. 2018;18(1):227. doi: 10.1186/s12913-018-3023-z.
  • Strid Nilsing E, Wallin L, Nilsagård Y. Implementation of a health promotion practice using individually targeted lifestyle interventions in primary health care: protocol for the "act in time" mixed methods process evaluation study. JMIR Res Protoc. 2022;11(8):e37634. 19 doi: 10.2196/37634.
  • Harvey G, Kitson A. Implementing evidence-based practice in healthcare: a facilitation guide. London: Routledge; 2015.
  • Cranley LA, Cummings GG, Profetto-McGrath J, et al. Facilitation roles and characteristics associated with ­research use by healthcare professionals: a scoping ­review. BMJ Open. 2017;7(8):e014384. doi: 10.1136/bmjopen-2016-014384.
  • Kotter JP. Leading change. Boston: Harvard Business School Press; 1996.
  • Odell K. Förändringshandboken: för ledare och medarbetare [Handbook for change: for leaders and co-workers]. Swedish, Stockholm: Liber; 2019.
  • Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55(1):68–78. doi: 10.1037//0003-066x.55.1.68.
  • Colquhoun HL, Squires JE, Kolehmainen N, et al. Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review. Implement Sci. 2017;12(1):30.
  • Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing ­implementation science. Implement Sci. 2009;4(1):50. doi: 10.1186/1748-5908-4-50.
  • Rogers HL, Fernández SN, Pablo Hernando S, et al. ”My patients asked me if I owned a fruit stand in town or something.” Barriers and facilitators of personalized dietary advice implemented in a primary care setting. J Pers Med. 2021;11(8):747.
  • Rogers HL, Pablo Hernando S, Núñez-Fernández S, et al. Barriers and facilitators in the implementation of an evidence-based health promotion intervention in a primary care setting: a qualitative study. J Health Organ Manag. 2021;2:349–367.
  • Kirk MA, Kelley C, Yankey N, et al. A systematic review of the use of the consolidated framework for implementation research. Implement Sci. 2016;11:72. doi: 10.1186/s13012-016-0437-z.
  • Martinez C, Bacigalupe G, Cortada JM, et al. The implementation of health promotion in primary and community care: a qualitative analysis of the ‘prescribe vida saludable’ strategy. BMC Fam Pract. 2017;18(1):23. doi: 10.1186/s12875-017-0584-6.
  • Strid Nilsing E, Wallin L, Nilsagård Y. Expectations on implementation of a health promotion practice using individually targeted lifestyle interventions in primary health care: a qualitative study. BMC Prim Care. 2023;24(1):122. doi: 10.1186/s12875-023-02079-5.
  • Proctor EK, Powell BJ, McMillen JC. Implementation strategies: recommendations for specifying and reporting. Implement Sci. 2013;8:139.
  • Powell BJ, McMillen JC, Proctor EK, et al. A compilation of strategies for implementing clinical innovations in health and mental health. Med Care Res Rev. 2012;69(2):123–157. doi: 10.1177/1077558711430690.
  • Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the expert recommendations for implementing change (ERIC) project. Implement Sci. 2015;10:21.
  • Denzin NK, Lincoln YS. Handbook of qualitative research. 2nd ed. Thousand Oaks, California: Sage Publications; 2000.
  • Krueger R, Casey M. Focus groups: a practical guide for applied research. Thousand Oaks: SAGE Publication, Inc; 2009.
  • Elo S, Kyngäs H. The qualitative content analysis ­process. J Adv Nurs. 2008;62(1):107–115. doi: 10.1111/j.1365-2648.2007.04569.x.
  • Damschroder LJ, Reardon CM, Lowery JC. The consolidated framework for implementation research (CFIR). In: Nilsen P, Birken SA, editors. Handbook on implementation science. Massachusetts: Edward Elgar Publishing Inc; 2020.
  • Eldh AC, Arestedt L, Bertero C. Quotations in qualitative studies: reflections on constituents, custom, and purpose. Int J Qual Methods. 2020;19:1–6.
  • World Medical Association. World medical association declaration of helsinki: ethical principles for medical research involving human subjects. Jama. 2013;310(20):2191–2194. doi: 10.1001/jama.2013.281053.
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–357. doi: 10.1093/intqhc/mzm042.
  • Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998;7(3):149–158. doi: 10.1136/qshc.7.3.149.
  • Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Adm Policy Ment Health. 2011;38(1):4–23. doi: 10.1007/s10488-010-0327-7.
  • Meza RD, Triplett NS, Woodard GS. The relationship between first-level leadership and inner-context and implementation outcomes in behavioral health: a scoping review. Implement Sci. 2021;16(1):69.
  • Birken S, Clary A, Tabriz AA, et al. Middle managers’ role in implementing evidence-based practices in healthcare: a systematic review. Implement Sci. 2018;13(1):149.
  • Bunger AC, Birken SA, Hoffman JA, et al. Elucidating the influence of supervisors’ roles on implementation climate. Implement Sci. 2019;14(1):93.
  • Gifford W, Graham ID, Ehrhart MG, et al. Ottawa model of implementation leadership and implementation leadership scale: mapping concepts for developing and evaluating theory-based leadership interventions. J Healthc Leadersh. 2017;9:15–23. doi: 10.2147/JHL.S125558.
  • Birken SA, Lee SY, Weiner BJ, et al. From strategy to action: how top managers’ support increases middle managers’ commitment to innovation implementation in health care organizations. Health Care Manage Rev. 2015;40(2):159–168. doi: 10.1097/HMR.0000000000000018.
  • Flodgren G, Eccles MP, Shepperd S, et al. An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes. Cochrane Database Syst Rev. 2011;2011(7):Cd009255.
  • Abelsson T, Karlsson AK, Morténius H. A feeling of ambiguity: a qualitative content analysis of managers’ experiences of evidence-based practice in swedish primary care. J Healthc Leadersh. 2022;14:143–153. doi: 10.2147/JHL.S371643.
  • Zurynski Y, Smith C, Siette J, et al. Identifying enablers and barriers to referral, uptake and completion of lifestyle modification programmes: a rapid literature ­review. BMJ Open. 2021;11(3):e045094. doi: 10.1136/bmjopen-2020-045094.
  • Moullin JC, Dickson KS, Stadnick NA, et al. Ten recommendations for using implementation frameworks in research and practice. Implement Sci Commun. 2020;1(1):42. doi: 10.1186/s43058-020-00023-7.
  • Nilsen P, Seing I, Ericsson C, et al. Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC Health Serv Res. 2020;20(1):147. doi: 10.1186/s12913-020-4999-8.
  • Duan Y, Iaconi A, Wang J, et al. Conceptual and ­relational advances of the PARIHS and i-PARIHS frameworks over the last decade: a critical interpretive synthesis. Implement Sci. 2022;17(1):78.
  • Moore GF, Audrey S, Barker M, et al. Process evaluation of complex interventions: medical research council guidance. BMJ. 2015;350:h1258. doi: 10.1136/bmj.h1258.
  • Novick G. Is there a bias against telephone interviews in qualitative research? Res Nurs Health. 2008;31(4):391–398. doi: 10.1002/nur.20259.
  • Cachia M, Millward L. The telephone medium and semi-structured interviews: a complementary fit. Qual Res Organ Manag. 2011;6(3):265–277. doi: 10.1108/17465641111188420.
  • Vogl S. Telephone versus face-to-face interviews: mode effect on semistructured interviews with children. Sociol Methodol. 2013;43(1):133–177. doi: 10.1177/0081175012465967.
  • Damschroder LJ, Reardon CM, Widerquist MAO, et al. The updated consolidated framework for implementation research based on user feedback. Implement Sci. 2022;17(1):75.
  • Damschroder LJ, Reardon CM, Widerquist MAO, et al. Conceptualizing outcomes for use with the consolidated framework for implementation research (CFIR): the CFIR outcomes addendum. Implement Sci. 2022;17(1):7. doi: 10.1186/s13012-021-01181-5.
  • Fridberg H, Wallin L, Tistad M. The innovation characteristics of person-centred care as perceived by healthcare professionals: an interview study employing a deductive-inductive content analysis guided by the consolidated framework for implementation research. BMC Health Serv Res. 2021;21(1):904. doi: 10.1186/s12913-021-06942-y.
  • Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10(1):53. doi: 10.1186/s13012-015-0242-0.