What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysis

Objective To qualitatively analyse different types of dissemination of information during monthly group calls between researchers, providers and clinical staff used to establish best practices for implementing an asthma shared decision-making (SDM) intervention. Evaluating dissemination of informati...

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Main Authors: Thomas Ludden, Lindsay Shade, Madelyn Welch, Jacqueline Halladay, Katrina E Donahue, Tamera Coyne-Beasley, Paul Bray, Hazel Tapp
Format: Article
Language:English
Published: BMJ Publishing Group 2020-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/3/e030883.full
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author Thomas Ludden
Lindsay Shade
Madelyn Welch
Jacqueline Halladay
Katrina E Donahue
Tamera Coyne-Beasley
Paul Bray
Hazel Tapp
author_facet Thomas Ludden
Lindsay Shade
Madelyn Welch
Jacqueline Halladay
Katrina E Donahue
Tamera Coyne-Beasley
Paul Bray
Hazel Tapp
author_sort Thomas Ludden
collection DOAJ
description Objective To qualitatively analyse different types of dissemination of information during monthly group calls between researchers, providers and clinical staff used to establish best practices for implementing an asthma shared decision-making (SDM) intervention. Evaluating dissemination of information can provide a better understanding of how best practices are shared, informing implementation approaches to improve the uptake of new evidence and overcome barriers.Setting 10 primary care practices in North Carolina.Participants Providers and clinical staff participated in monthly group phone calls with researchers to share best practices during implementation of a SDM intervention for asthma patients.Design The research team transcribed and coded statements using content analysis into three different knowledge types: Knowledge Position, Knowledge Form and Knowledge Object. Knowledge Objects were further classified using directed content analysis where the research team interpreted the content objects through a classification process of identifying themes or patterns to describe three different types of dissemination of information: (A) Confirmation of Existing Knowledge, (B) Generation of New Knowledge and (C) Spreading of New Knowledge.Results Across the 8 transcripts, 4 Knowledge Positions, 7 Knowledge Forms and 18 types of Knowledge Objects were identified. From the Knowledge Objects, Confirmation of Existing Knowledge occurred during the training of participating practices. The review also identified Generation of New Knowledge by providers and clinical staff raised in these calls. This Generation of New Knowledge was later documented being used by other practices with the identification of Spreading of New Knowledge.Conclusion The research team described the types of dissemination of information that occurred between researchers, providers and clinical staff during implementation of an asthma SDM intervention. Both Confirmation of Existing Knowledge and Generation of New Knowledge in response to barriers occurred. These exploratory dissemination of information results provide additional mechanisms for evaluating implementation science.Trial registration number NCT02047929; Post-results
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spelling doaj-art-abcdb91268c54b58b210fd5e4b1ca5da2024-12-07T00:35:08ZengBMJ Publishing GroupBMJ Open2044-60552020-03-0110310.1136/bmjopen-2019-030883What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysisThomas Ludden0Lindsay Shade1Madelyn Welch2Jacqueline Halladay3Katrina E Donahue4Tamera Coyne-Beasley5Paul Bray6Hazel Tapp71Department of Family Medicine, Atrium Health, Charlotte, NC USADepartment of Family Medicine, Atrium Health, Charlotte, North Carolina, USASchool of Medicine, University of South Carolina, Columbia, South Carolina, USADepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Pediatrics and Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USACommunity Based Care, Vidant Medical Center, Greenville, North Carolina, USADepartment of Family Medicine, Atrium Health, Charlotte, North Carolina, USAObjective To qualitatively analyse different types of dissemination of information during monthly group calls between researchers, providers and clinical staff used to establish best practices for implementing an asthma shared decision-making (SDM) intervention. Evaluating dissemination of information can provide a better understanding of how best practices are shared, informing implementation approaches to improve the uptake of new evidence and overcome barriers.Setting 10 primary care practices in North Carolina.Participants Providers and clinical staff participated in monthly group phone calls with researchers to share best practices during implementation of a SDM intervention for asthma patients.Design The research team transcribed and coded statements using content analysis into three different knowledge types: Knowledge Position, Knowledge Form and Knowledge Object. Knowledge Objects were further classified using directed content analysis where the research team interpreted the content objects through a classification process of identifying themes or patterns to describe three different types of dissemination of information: (A) Confirmation of Existing Knowledge, (B) Generation of New Knowledge and (C) Spreading of New Knowledge.Results Across the 8 transcripts, 4 Knowledge Positions, 7 Knowledge Forms and 18 types of Knowledge Objects were identified. From the Knowledge Objects, Confirmation of Existing Knowledge occurred during the training of participating practices. The review also identified Generation of New Knowledge by providers and clinical staff raised in these calls. This Generation of New Knowledge was later documented being used by other practices with the identification of Spreading of New Knowledge.Conclusion The research team described the types of dissemination of information that occurred between researchers, providers and clinical staff during implementation of an asthma SDM intervention. Both Confirmation of Existing Knowledge and Generation of New Knowledge in response to barriers occurred. These exploratory dissemination of information results provide additional mechanisms for evaluating implementation science.Trial registration number NCT02047929; Post-resultshttps://bmjopen.bmj.com/content/10/3/e030883.full
spellingShingle Thomas Ludden
Lindsay Shade
Madelyn Welch
Jacqueline Halladay
Katrina E Donahue
Tamera Coyne-Beasley
Paul Bray
Hazel Tapp
What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysis
BMJ Open
title What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysis
title_full What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysis
title_fullStr What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysis
title_full_unstemmed What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysis
title_short What types of dissemination of information occurred between researchers, providers and clinical staff while implementing an asthma shared decision-making intervention: a directed content analysis
title_sort what types of dissemination of information occurred between researchers providers and clinical staff while implementing an asthma shared decision making intervention a directed content analysis
url https://bmjopen.bmj.com/content/10/3/e030883.full
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