Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, West Yorkshire, UK.
School of Psychology, University of Leeds, Leeds, UK.
Health Expect. 2023 Aug;26(4):1478-1490. doi: 10.1111/hex.13682. Epub 2023 Apr 25.
Complex intervention development has been described as the 'Cinderella' black box in health services research. Greater transparency in the intervention development process is urgently needed to help reduce research waste.
We applied a new consensus-based framework for complex intervention development to our programme of research, in which we developed an intervention to improve the safety and experience of care transitions for older people. Through this process, we aimed to reflect on the framework's utility for intervention development and identify any important gaps within it to support its continued development.
The framework was a useful tool for transparent reporting of the process of complex intervention development. We identified potential 'action' gaps in the framework including 'consolidation of evidence' and 'development of principles' that could bracket and steer decision-making in the process.
We consider that the level of transparency demonstrated in this report, aided through use of the framework, is essential in the quest for reducing research waste.
We have involved our dedicated patient and public involvement group in all work packages of this programme of research. Specifically, they attended and contributed to co-design workshops and contributed to finalizing the intervention for the pilot evaluation. Staff also participated by attending co-design workshops, helping us to prioritize content ideas for the intervention and supporting the development of intervention components outside of the workshops.
复杂干预措施的发展被描述为卫生服务研究中的“灰姑娘”黑箱。迫切需要提高干预措施开发过程的透明度，以帮助减少研究浪费。
我们将一个新的基于共识的复杂干预措施开发框架应用于我们的研究计划，在此过程中，我们开发了一项干预措施，以提高老年人护理过渡的安全性和体验。通过这个过程，我们旨在反思该框架在干预开发中的实用性，并确定其中任何重要的差距，以支持其持续发展。
该框架是透明报告复杂干预措施开发过程的有用工具。我们确定了框架中的潜在“行动”差距，包括“证据整合”和“原则制定”，这些差距可以框定和指导决策过程。
我们认为，通过使用该框架，本报告中展示的透明度水平对于减少研究浪费至关重要。
我们在该研究计划的所有工作包中都涉及了我们专门的患者和公众参与小组。具体来说，他们参加了共同设计研讨会并做出了贡献，并为试点评估最终确定了干预措施。工作人员还通过参加共同设计研讨会参与其中，帮助我们确定干预措施的内容创意，并支持研讨会之外的干预措施组件的开发。
