Skip to content

Attending to design when developing complex health interventions: a qualitative interview study with intervention developers and associated stakeholders

Research output: Contribution to journalArticle

Standard

Attending to design when developing complex health interventions : a qualitative interview study with intervention developers and associated stakeholders. / Rousseau, Nikki; Turner, Katrina M; Duncan, Edward; O'Cathain, Alicia; Croot, Liz; Yardley, Lucy; Hoddinott, Pat.

In: PLoS ONE, Vol. 14, No. 10, 15.10.2019, p. e0223615.

Research output: Contribution to journalArticle

Harvard

APA

Vancouver

Author

Rousseau, Nikki ; Turner, Katrina M ; Duncan, Edward ; O'Cathain, Alicia ; Croot, Liz ; Yardley, Lucy ; Hoddinott, Pat. / Attending to design when developing complex health interventions : a qualitative interview study with intervention developers and associated stakeholders. In: PLoS ONE. 2019 ; Vol. 14, No. 10. pp. e0223615.

Bibtex

@article{266422db29504ab09616257f36dabfff,
title = "Attending to design when developing complex health interventions: a qualitative interview study with intervention developers and associated stakeholders",
abstract = "BACKGROUNDGuidance and frameworks exist to assist those developing health interventions but may offer limited discussion of 'design', the part of development concerned with generating ideas for and making decisions about an intervention's content, format and delivery. The aim of this paper is to describe and understand the views and experiences of developers and associated stakeholders in relation to how design occurs in health intervention development.METHODSSemi-structured interviews were conducted with 21 people who had developed complex interventions to improve health and/or who were relevant stakeholders (e.g. funders and publishers of intervention development work), regarding their views, experiences and approaches to intervention design. Sampling was purposive in terms of maximising diversity. A thematic inductive analysis was conducted.RESULTSApproaches to design varied substantially between intervention developers. This contrasted with consistency in other activities undertaken during development, such as literature review. Design also posed more challenges than other parts of development. We identified six 'modes' of design: informed; negotiated; structured; delegated; 'my baby'; and creative partnership. In understanding the differences between these different modes, and the challenges posed by intervention design, we identified three key themes: enabling creativity during the design process; working with different types of knowledge; and 'stabilising' (developing clear shared understandings of) the intervention development to enable design.CONCLUSIONSDesign has received less attention than other activities undertaken when developing interventions to improve health. Developers take a variety of approaches to design and often find it challenging. Guidance for intervention development in health has tended to see design as proceeding in a predictable and controlled manner from acquired knowledge. Our study suggests that design rarely reflects this rational ideal. Future guidance on intervention development in healthcare should support developers to work effectively with different types of knowledge, to help design progress more smoothly and to maximise creativity.",
keywords = "Creativity, Research Design, Qualitative study, Language, decision making, allied health care professionals, Prototypes, research grants",
author = "Nikki Rousseau and Turner, {Katrina M} and Edward Duncan and Alicia O'Cathain and Liz Croot and Lucy Yardley and Pat Hoddinott",
year = "2019",
month = "10",
day = "15",
doi = "10.1371/journal.pone.0223615",
language = "English",
volume = "14",
pages = "e0223615",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "10",

}

RIS - suitable for import to EndNote

TY - JOUR

T1 - Attending to design when developing complex health interventions

T2 - a qualitative interview study with intervention developers and associated stakeholders

AU - Rousseau, Nikki

AU - Turner, Katrina M

AU - Duncan, Edward

AU - O'Cathain, Alicia

AU - Croot, Liz

AU - Yardley, Lucy

AU - Hoddinott, Pat

PY - 2019/10/15

Y1 - 2019/10/15

N2 - BACKGROUNDGuidance and frameworks exist to assist those developing health interventions but may offer limited discussion of 'design', the part of development concerned with generating ideas for and making decisions about an intervention's content, format and delivery. The aim of this paper is to describe and understand the views and experiences of developers and associated stakeholders in relation to how design occurs in health intervention development.METHODSSemi-structured interviews were conducted with 21 people who had developed complex interventions to improve health and/or who were relevant stakeholders (e.g. funders and publishers of intervention development work), regarding their views, experiences and approaches to intervention design. Sampling was purposive in terms of maximising diversity. A thematic inductive analysis was conducted.RESULTSApproaches to design varied substantially between intervention developers. This contrasted with consistency in other activities undertaken during development, such as literature review. Design also posed more challenges than other parts of development. We identified six 'modes' of design: informed; negotiated; structured; delegated; 'my baby'; and creative partnership. In understanding the differences between these different modes, and the challenges posed by intervention design, we identified three key themes: enabling creativity during the design process; working with different types of knowledge; and 'stabilising' (developing clear shared understandings of) the intervention development to enable design.CONCLUSIONSDesign has received less attention than other activities undertaken when developing interventions to improve health. Developers take a variety of approaches to design and often find it challenging. Guidance for intervention development in health has tended to see design as proceeding in a predictable and controlled manner from acquired knowledge. Our study suggests that design rarely reflects this rational ideal. Future guidance on intervention development in healthcare should support developers to work effectively with different types of knowledge, to help design progress more smoothly and to maximise creativity.

AB - BACKGROUNDGuidance and frameworks exist to assist those developing health interventions but may offer limited discussion of 'design', the part of development concerned with generating ideas for and making decisions about an intervention's content, format and delivery. The aim of this paper is to describe and understand the views and experiences of developers and associated stakeholders in relation to how design occurs in health intervention development.METHODSSemi-structured interviews were conducted with 21 people who had developed complex interventions to improve health and/or who were relevant stakeholders (e.g. funders and publishers of intervention development work), regarding their views, experiences and approaches to intervention design. Sampling was purposive in terms of maximising diversity. A thematic inductive analysis was conducted.RESULTSApproaches to design varied substantially between intervention developers. This contrasted with consistency in other activities undertaken during development, such as literature review. Design also posed more challenges than other parts of development. We identified six 'modes' of design: informed; negotiated; structured; delegated; 'my baby'; and creative partnership. In understanding the differences between these different modes, and the challenges posed by intervention design, we identified three key themes: enabling creativity during the design process; working with different types of knowledge; and 'stabilising' (developing clear shared understandings of) the intervention development to enable design.CONCLUSIONSDesign has received less attention than other activities undertaken when developing interventions to improve health. Developers take a variety of approaches to design and often find it challenging. Guidance for intervention development in health has tended to see design as proceeding in a predictable and controlled manner from acquired knowledge. Our study suggests that design rarely reflects this rational ideal. Future guidance on intervention development in healthcare should support developers to work effectively with different types of knowledge, to help design progress more smoothly and to maximise creativity.

KW - Creativity

KW - Research Design

KW - Qualitative study

KW - Language

KW - decision making

KW - allied health care professionals

KW - Prototypes

KW - research grants

U2 - 10.1371/journal.pone.0223615

DO - 10.1371/journal.pone.0223615

M3 - Article

VL - 14

SP - e0223615

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 10

ER -