Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/34847
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dc.contributor.authorMacgregor, Aishaen_UK
dc.contributor.authorMcCormack, Brendanen_UK
dc.contributor.authorSpilsbury, Karenen_UK
dc.contributor.authorHockley, Joen_UK
dc.contributor.authorRutherford, Alasdairen_UK
dc.contributor.authorOgden, Margareten_UK
dc.contributor.authorSoulsby, Ireneen_UK
dc.contributor.authorMcKenzie, Maisieen_UK
dc.contributor.authorHanratty, Barbaraen_UK
dc.contributor.authorForbat, Lizen_UK
dc.date.accessioned2023-02-14T01:05:59Z-
dc.date.available2023-02-14T01:05:59Z-
dc.date.issued2023en_UK
dc.identifier.other1019602en_UK
dc.identifier.urihttp://hdl.handle.net/1893/34847-
dc.description.abstractBackground: Realist evaluation aims to address the knowledge to practice gap by explaining how an intervention is expected to work, as well as what is likely to impact upon the success of its implementation, by developing programme theories that link contexts, mechanisms and outcomes. Co-production approaches to the development of programme theories offer substantial benefits in addressing power relations, including and valuing different types of knowledge, and promoting buy-in from stakeholders while navigating the complex social systems in which innovations are embedded. This paper describes the co-production of an initial programme theory of how an evidence based intervention developed in Australia - called ‘Palliative Care Needs Rounds’ – might work in England and Scotland to support care home residents approaching their end of life. Methods: Using realist evaluation and iPARIHS (integrated Promoting Action on Research Implementation in Health Services) we sought to determine how contexts and mechanisms of change might shape implementation outcomes. Pre-intervention online interviews (n = 28) were conducted (February-April 2021), followed by four co-design online workshops with 43 participants (April-June 2021). The online interviews and workshops included a range of stakeholders, including care home staff, specialist palliative care staff, paramedics, general practitioners, and relatives of people living in care homes. Results: This methodology paper reports developments in realist evaluation and co-production methodologies, and how they were used to develop context, mechanisms, outcomes (CMOs) configurations, and chains of inference. The initial (pre-intervention) programme theory is used to illustrate this process. Two developments to iPARIHS are described. First, involving stakeholders in the collaborative co-design workshops created opportunities to commence facilitation. Second, we describe developing iPARIHS’ innovation component, to include novel stakeholder interpretations, perceptions and anticipated use of the intervention as they participated in workshop discussions. Conclusions: This rapid and robust co-production methodology draws on interactive collaborative research practices (interviews, workshop discussions of data, illustrative vignettes and visual methods). These innovative and engaging methods can be packaged for online processes to develop, describe and interrogate the CMOs in order to co-produce a programme theory. These approaches also commence facilitation and innovation, and can be adopted in other implementation science and realist studies.en_UK
dc.language.isoenen_UK
dc.publisherFrontiers Media SAen_UK
dc.relationMacgregor A, McCormack B, Spilsbury K, Hockley J, Rutherford A, Ogden M, Soulsby I, McKenzie M, Hanratty B & Forbat L (2023) Supporting care home residents in the last year of life through ‘Needs Rounds’: Development of a pre-implementation programme theory through a rapid collaborative online approach. <i>Frontiers in Health Services</i>, 2, Art. No.: 1019602. https://doi.org/10.3389/frhs.2022.1019602en_UK
dc.rights© 2023 Macgregor, McCormack, Spilsbury, Hockley, Rutherford, Ogden, Soulsby, Mckenzie, Hanratty and Forbat. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY - https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectcare homesen_UK
dc.subjectco-productionen_UK
dc.subjectengagementen_UK
dc.subjectend of lifeen_UK
dc.subjecttheory developmenten_UK
dc.subjectpalliative careen_UK
dc.subjectiPARIHSen_UK
dc.subjecthospiceen_UK
dc.titleSupporting care home residents in the last year of life through ‘Needs Rounds’: Development of a pre-implementation programme theory through a rapid collaborative online approachen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.3389/frhs.2022.1019602en_UK
dc.citation.jtitleFrontiers in Health Servicesen_UK
dc.citation.issn2813-0146en_UK
dc.citation.issn2813-0146en_UK
dc.citation.volume2en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNIHR National Institute for Health Researchen_UK
dc.author.emailelizabeth.forbat1@stir.ac.uken_UK
dc.citation.date09/01/2023en_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.contributor.affiliationUniversity of Sydneyen_UK
dc.contributor.affiliationUniversity of Leedsen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationSociology, Social Policy & Criminologyen_UK
dc.contributor.affiliationDementia and Ageingen_UK
dc.contributor.affiliationDementia and Ageingen_UK
dc.contributor.affiliationPatient and Public Involvement (PPI)en_UK
dc.contributor.affiliationNewcastle Universityen_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.identifier.wtid1871507en_UK
dc.contributor.orcid0000-0001-5812-9323en_UK
dc.contributor.orcid0000-0003-2530-1195en_UK
dc.contributor.orcid0000-0002-7218-5775en_UK
dc.date.accepted2022-12-12en_UK
dcterms.dateAccepted2022-12-12en_UK
dc.date.filedepositdate2023-02-08en_UK
dc.relation.funderprojectImproving end of life care: supporting the workforce and reducing hospitalisations through an implementation study in care homesen_UK
dc.relation.funderrefNIHR128799en_UK
dc.subject.tagAgeingen_UK
dc.subject.tagCancer and Palliative Careen_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorMacgregor, Aisha|0000-0001-5812-9323en_UK
local.rioxx.authorMcCormack, Brendan|en_UK
local.rioxx.authorSpilsbury, Karen|en_UK
local.rioxx.authorHockley, Jo|en_UK
local.rioxx.authorRutherford, Alasdair|0000-0003-2530-1195en_UK
local.rioxx.authorOgden, Margaret|en_UK
local.rioxx.authorSoulsby, Irene|en_UK
local.rioxx.authorMcKenzie, Maisie|en_UK
local.rioxx.authorHanratty, Barbara|en_UK
local.rioxx.authorForbat, Liz|0000-0002-7218-5775en_UK
local.rioxx.projectNIHR128799|National Institute for Health Research|http://dx.doi.org/10.13039/501100000272en_UK
local.rioxx.freetoreaddate2023-02-08en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2023-02-08|en_UK
local.rioxx.filenamefrhs-02-1019602.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source2813-0146en_UK
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