Department of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
BMJ Open. 2023 Mar 2;13(3):e068603. doi: 10.1136/bmjopen-2022-068603.
The Assessment of Burden of Chronic Conditions (ABCC) tool is developed and validated to support and facilitate a personalised approach to care for people with chronic conditions. The benefit of using the ABCC-tool greatly depends on how it is implemented. To enable a deeper understanding of when, how and by whom the ABCC-tool is used, this study protocol describes the design of an implementation study in which the context, experiences and implementation process of the ABCC-tool by primary care healthcare providers (HCPs) in the Netherlands will be investigated.
This protocol describes an implementation study alongside an effectiveness trial, in which the ABCC-tool is evaluated in general practices. The implementation strategy of the tool in the trial confines to providing written information and an instruction video explaining the technical use of the ABCC-tool. The outcomes include a description of: (1) the barriers and facilitators of HCPs for implementation of the ABCC-tool, guided by the Consolidated Framework for Implementation Research (CFIR) and (2) the implementation outcomes guided by the Reach-Effect-Adoption-Implementation-Maintenance (RE-AIM) framework Carroll's fidelity framework. All outcomes will be gathered through individual semistructured interviews throughout 12 months of use. Interviews will be audiorecorded and transcribed. Transcripts will be analysed using content analysis for identifying barriers and facilitators (based on CFIR) and thematic analyses of HCPs' experiences (based on the RE-AIM and the fidelity frameworks).
The presented study was approved by the Medical Ethics Committee of Zuyderland Hospital, Heerlen (METCZ20180131). Written informed consent is mandatory prior to participation in the study. The results from the study in this protocol will be disseminated through publication in peer-reviewed scientific journals and conference presentations.
评估慢性病负担（ABCC）工具是为支持和促进针对慢性病患者的个性化护理方法而开发和验证的。使用 ABCC 工具的好处在很大程度上取决于它的实施方式。为了更深入地了解 ABCC 工具何时、如何以及由谁使用，本研究方案描述了一项实施研究的设计，该研究将调查荷兰初级保健医疗保健提供者（HCPs）使用 ABCC 工具的背景、经验和实施过程。
本方案描述了一项实施研究，同时进行了一项有效性试验，在该试验中，ABCC 工具在一般实践中进行了评估。试验中该工具的实施策略仅限于提供书面信息和说明如何使用 ABCC 工具的视频。结果包括：（1）根据实施研究综合框架（CFIR）描述 HCP 实施 ABCC 工具的障碍和促进因素，（2）根据 Reach-Effect-Adoption-Implementation-Maintenance（RE-AIM）框架卡罗尔的保真度框架描述实施结果。所有结果将通过在 12 个月的使用过程中进行的个人半结构化访谈来收集。访谈将进行录音和转录。使用内容分析识别障碍和促进因素（基于 CFIR）以及对 HCP 经验进行主题分析（基于 RE-AIM 和保真度框架）来分析转录本。
本研究方案中提出的研究已获得泽兰医院医学伦理委员会（METCZ20180131）的批准。在参与研究之前，必须获得书面知情同意。本方案中研究的结果将通过在同行评议的科学期刊上发表和会议报告来传播。
