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OTCH trial process evaluation: factors mediating the delivery of the OTCH intervention according to the protocol

Research output: Contribution to conference - Without ISBN/ISSN › Conference paper › peer-review

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OTCH trial process evaluation: factors mediating the delivery of the OTCH intervention according to the protocol. / Masterson Algar, Patricia; Rycroft-Malone, Joanne; Burton, Christopher et al.
2013. Paper presented at SRR Winter Meeting, Bath, United Kingdom.

Research output: Contribution to conference - Without ISBN/ISSN › Conference paper › peer-review

Harvard

Masterson Algar, P, Rycroft-Malone, J, Burton, C, Sackley, C & Walker, M 2013, 'OTCH trial process evaluation: factors mediating the delivery of the OTCH intervention according to the protocol', Paper presented at SRR Winter Meeting, Bath, United Kingdom, 5/02/13 - 5/02/13. https://doi.org/10.1177/0269215513486411

APA

Masterson Algar, P., Rycroft-Malone, J., Burton, C., Sackley, C., & Walker, M. (2013). OTCH trial process evaluation: factors mediating the delivery of the OTCH intervention according to the protocol. Paper presented at SRR Winter Meeting, Bath, United Kingdom. https://doi.org/10.1177/0269215513486411

Vancouver

Masterson Algar P, Rycroft-Malone J, Burton C, Sackley C, Walker M. OTCH trial process evaluation: factors mediating the delivery of the OTCH intervention according to the protocol. 2013. Paper presented at SRR Winter Meeting, Bath, United Kingdom. doi: 10.1177/0269215513486411

Author

Masterson Algar, Patricia ; Rycroft-Malone, Joanne ; Burton, Christopher et al. / OTCH trial process evaluation : factors mediating the delivery of the OTCH intervention according to the protocol. Paper presented at SRR Winter Meeting, Bath, United Kingdom.

Bibtex

@conference{cf322d238113434ebf671d056d13a89b,
title = "OTCH trial process evaluation: factors mediating the delivery of the OTCH intervention according to the protocol",
abstract = "Background: A cluster randomized controlledtrial with residents with stroke in care homes(OTCH) aims to evaluate the impact of a complexoccupational therapy intervention focused on promotingindependence via activities of daily living. Aprocess evaluation is running alongside the OTCHtrial to examine intervention fidelity.Method: An explanatory programme theory ofintervention fidelity which integrates aspects ofimplementation and anticipated impacts has beenconstructed to underpin the process evaluation.The theory is being tested drawing on both indepthsemi-structured interviews (n = 17) andreports of critical incidents from the trial (n = 20)with all occupational therapists.Results/findings: A key theme emerging from theprocess evaluation relates to how occupationaltherapists have had to balance the requirements ofdelivering the OTCH trial intervention within bothcare home and research contexts simultaneously.Occupational therapists{\textquoteright} previous experiences,characteristics of patients allocated to the trial andthe managerial structure of the care homes werethe factors that influenced how successful occupationaltherapists were in achieving this balance.Discussion: Occupational therapists with previousresearch experience were more cognisant ofthe study outcome measures, and used them toguide patients{\textquoteright} goal setting. Occupational therapistswith extensive professional (non-research)experience reported more confidence in their abilityto tailor more peripheral components of theintervention, or to target goals outside the scopeof the trial intervention.Conclusion: This process evaluation illuminatesthe complexities in considering the fidelity of rehabilitationtrial interventions, specifically in how therapistexperience may influence implementation.",
author = "{Masterson Algar}, Patricia and Joanne Rycroft-Malone and Christopher Burton and Catherine Sackley and Marian Walker",
year = "2013",
month = feb,
day = "5",
doi = "10.1177/0269215513486411",
language = "English",
note = "SRR Winter Meeting ; Conference date: 05-02-2013 Through 05-02-2013",

}

RIS

TY - CONF

T1 - OTCH trial process evaluation

T2 - SRR Winter Meeting

AU - Masterson Algar, Patricia

AU - Rycroft-Malone, Joanne

AU - Burton, Christopher

AU - Sackley, Catherine

AU - Walker, Marian

PY - 2013/2/5

Y1 - 2013/2/5

N2 - Background: A cluster randomized controlledtrial with residents with stroke in care homes(OTCH) aims to evaluate the impact of a complexoccupational therapy intervention focused on promotingindependence via activities of daily living. Aprocess evaluation is running alongside the OTCHtrial to examine intervention fidelity.Method: An explanatory programme theory ofintervention fidelity which integrates aspects ofimplementation and anticipated impacts has beenconstructed to underpin the process evaluation.The theory is being tested drawing on both indepthsemi-structured interviews (n = 17) andreports of critical incidents from the trial (n = 20)with all occupational therapists.Results/findings: A key theme emerging from theprocess evaluation relates to how occupationaltherapists have had to balance the requirements ofdelivering the OTCH trial intervention within bothcare home and research contexts simultaneously.Occupational therapists’ previous experiences,characteristics of patients allocated to the trial andthe managerial structure of the care homes werethe factors that influenced how successful occupationaltherapists were in achieving this balance.Discussion: Occupational therapists with previousresearch experience were more cognisant ofthe study outcome measures, and used them toguide patients’ goal setting. Occupational therapistswith extensive professional (non-research)experience reported more confidence in their abilityto tailor more peripheral components of theintervention, or to target goals outside the scopeof the trial intervention.Conclusion: This process evaluation illuminatesthe complexities in considering the fidelity of rehabilitationtrial interventions, specifically in how therapistexperience may influence implementation.

AB - Background: A cluster randomized controlledtrial with residents with stroke in care homes(OTCH) aims to evaluate the impact of a complexoccupational therapy intervention focused on promotingindependence via activities of daily living. Aprocess evaluation is running alongside the OTCHtrial to examine intervention fidelity.Method: An explanatory programme theory ofintervention fidelity which integrates aspects ofimplementation and anticipated impacts has beenconstructed to underpin the process evaluation.The theory is being tested drawing on both indepthsemi-structured interviews (n = 17) andreports of critical incidents from the trial (n = 20)with all occupational therapists.Results/findings: A key theme emerging from theprocess evaluation relates to how occupationaltherapists have had to balance the requirements ofdelivering the OTCH trial intervention within bothcare home and research contexts simultaneously.Occupational therapists’ previous experiences,characteristics of patients allocated to the trial andthe managerial structure of the care homes werethe factors that influenced how successful occupationaltherapists were in achieving this balance.Discussion: Occupational therapists with previousresearch experience were more cognisant ofthe study outcome measures, and used them toguide patients’ goal setting. Occupational therapistswith extensive professional (non-research)experience reported more confidence in their abilityto tailor more peripheral components of theintervention, or to target goals outside the scopeof the trial intervention.Conclusion: This process evaluation illuminatesthe complexities in considering the fidelity of rehabilitationtrial interventions, specifically in how therapistexperience may influence implementation.

U2 - 10.1177/0269215513486411

DO - 10.1177/0269215513486411

M3 - Conference paper

Y2 - 5 February 2013 through 5 February 2013

ER -