How can the results of a qualitative process evaluation be applied in management, improvement and modification of a preventive community trial? The IHHP Study

This study reports the results of the qualitative process evaluation (PE) of the Isfahan Healthy Heart Program (IHHP), an integrated community-based trial for prevention and control of non-communicable diseases in Iran. The study explored the overall quality of program implementation. The participan...

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Published inArchives of public health = Archives belges de santé publique Vol. 69; no. 1; p. 9
Main Authors Sarrafzadegan, Nizal, Rabiei, Katayoun, Alavi, Mousa, Abedi, Heidarali, Zarfeshani, Sonia
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 05.12.2011
BioMed Central
Subjects
Analysis
Boards of directors
Chronic diseases
Clinical trials
Community
Control
Data analysis
Data collection
Health care
Heart
Human resources
Intervention
Interviews
Medical personnel
Meetings
Mortality
Objectives
Performance evaluation
Population
Prevention
Professionals
Public health
Qualitative research
Quality management
Researchers
Studies
Iran
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Summary:This study reports the results of the qualitative process evaluation (PE) of the Isfahan Healthy Heart Program (IHHP), an integrated community-based trial for prevention and control of non-communicable diseases in Iran. The study explored the overall quality of program implementation. The participants, including designers of IHHP, stakeholders and community members (n = 60) were purposefully recruited from the intervention areas. Data collected from semi-structured interviews and field notes were analyzed using a modified thematic analysis. Four main themes were identified. Our findings highlighted the key role of the resources as both facilitating and hindering factors. IHHP directors faced incompatibilities arising from negative perceptions/attitudes which resulted in decreased adherence to the program. Hence various strategies were used to motivate, strengthen and organize the human workforce implementing the program. Recommendations arising from evaluation of the program were used in subsequent stages of implementation. Qualitative research is an important component of community trials which can improve their implementation.
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ISSN:2049-3258
0778-7367
2049-3258
DOI:10.1186/0778-7367-69-9