Title |
Implementation of a self-management support approach (WISE) across a health system: a process evaluation explaining what did and did not work for organisations, clinicians and patients
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Published in |
Implementation Science, October 2014
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DOI | 10.1186/s13012-014-0129-5 |
Pubmed ID | |
Authors |
Anne Kennedy, Anne Rogers, Carolyn Chew-Graham, Thomas Blakeman, Robert Bowen, Caroline Gardner, Victoria Lee, Rebecca Morris, Joanne Protheroe |
Abstract |
Implementation of long-term condition management interventions rests on the notion of whole systems re-design, where incorporating wider elements of health care systems are integral to embedding effective and integrated solutions. However, most self-management support (SMS) evaluations still focus on particular elements or outcomes of a sub-system. A randomised controlled trial of a SMS intervention (WISE-Whole System Informing Self-management Engagement) implemented in primary care showed no effect on patient-level outcomes. This paper reports on a parallel process evaluation to ascertain influences affecting WISE implementation at patient, clinical and organisational levels. Normalisation Process Theory (NPT) provided a sensitising background and analytical framework. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 8 | 33% |
Canada | 2 | 8% |
Brazil | 1 | 4% |
Ireland | 1 | 4% |
Timor-Leste | 1 | 4% |
Portugal | 1 | 4% |
Unknown | 10 | 42% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 13 | 54% |
Scientists | 6 | 25% |
Practitioners (doctors, other healthcare professionals) | 3 | 13% |
Science communicators (journalists, bloggers, editors) | 2 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | 2% |
Bangladesh | 1 | <1% |
Canada | 1 | <1% |
Unknown | 163 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 29 | 17% |
Student > Ph. D. Student | 27 | 16% |
Student > Master | 27 | 16% |
Other | 15 | 9% |
Student > Doctoral Student | 8 | 5% |
Other | 29 | 17% |
Unknown | 33 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 42 | 25% |
Social Sciences | 20 | 12% |
Nursing and Health Professions | 20 | 12% |
Psychology | 17 | 10% |
Business, Management and Accounting | 7 | 4% |
Other | 21 | 13% |
Unknown | 41 | 24% |