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The development of implementation management instruments for a new complex stroke caregiver intervention based on systematic stakeholder and risk analyses.

Abstract：

BACKGROUND:Stakeholders are important contributors in the implementation of a complex public health intervention. During the development phase of an implementation, alongside careful design of its components and investing in the exploration of the dynamic multi-stakeholder stroke rehabilitation setting, it is essential to assess possible implementation risks. Systematic stakeholder and risk analyses can guide the exploration process and enable teams involved in complex interventions to develop context-tailored implementation management instruments. PURPOSE:To develop instruments that facilitate the implementation of the complex stroke caregiver intervention project in the real-life support system. METHODS:Systematic stakeholder and risk analyses were conducted composing five activities. Project stakeholders were identified, classified and assessed using a top-down approach, while implementation risks were identified and assessed by applying a bottom-up approach. Data were collected through interviews and focus groups. RESULTS:Based on the knowledge provided by the stakeholders, two context-tailored implementation management instruments were designed with a top-down approach: (1) a comprehensive 'stakeholder-risk atlas' providing individual stakeholder information, such as role, access, contribution, power and interest, expectations, perceived risks and specific engagement activities and (2) an overall 'project implementation strategy' concentrating on communication, transparency, network building and professionalism. CONCLUSION:Complex interventions will benefit from early and comprehensive stakeholder and risk analyses. The early involvement of stakeholders, with their insightful knowledge, enables the research team to develop context-tailored implementation management instruments. Instruments will support the team during implementation and may impact positively on the outcome of the intervention. Knowledge can be obtained by combining top-down and bottom-up working approaches.

journal_name

Scand J Caring Sci

journal_title

Scandinavian journal of caring sciences

authors

Krieger T,Boumans N,Feron F,Dorant E

doi

10.1111/scs.12723

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

215-229

issue

eissn

0283-9318

issn

1471-6712

journal_volume

pub_type

杂志文章

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The development of implementation management instruments for a new complex stroke caregiver intervention based on systematic stakeholder and risk analyses.