Comparative analysis: Contextual factors analysis of best performing SMIs
Main objectives:
- To develop a contextual framework explaining how self-management interventions work in specific contexts and for specific patient groups
- To compare and describe the most influencing contextual factors for successful implementation for the most effective self-management interventions (SMIs)
- To make recommendations for how our findings can be incorporated in the COMPAR-EU platform
- To harness international, national, and local knowledge and experience of SMIs
Approach:
To better understand the effectiveness of SMIs, we search for qualitative studies of most effective SMIs identified in the network meta-analysis. Two specially trained researchers independently extract information of contextual factors using a structured form that documents methods, risk of bias, study population, intervention characteristics, contextual and cultural factors of the implementation and outcomes. A qualitative content analysis is applied to these studies and outcomes are synthesised for the four chronic conditions. A framework is developed for understanding the success of the selected SMIs. It shows context factors influencing at individual level, interaction level (patient with family/friends or patient with care professionals) and at the health care system level. A modified Delphi consultation with a panel of experts on self-management and/or implementation of health care interventions is performed to prioritise the influence and importance of the contextual factors on a European level. Finally, we prepare the integration of the results into the decision-making tools.
Leading partner: Netherlands Institute for Health Services Research (Nivel), The Netherlands
Other partners involved:
- Fundación Avedis Donabedian (FAD), Spain