schliessen

Filtern

 

Bibliotheken

The development of effective behaviour change interventions to support the use of malaria rapid diagnostic tests by Tanzanian clinicians

Parasitological confirmation is now recommended for all cases of suspected malaria. The roll-out of rapid diagnostic tests (RDTs) is hoped to enable this goal in low resource settings through point of care testing. However, simply making RDTs available has not led to high uptake of the tests or adhe... Full description

Journal Title: Implementation science : IS 26 June 2014, Vol.9, pp.83
Main Author: Chandler, Clare I R
Other Authors: Meta, Judith , Ponzo, Célia , Nasuwa, Fortunata , Kessy, John , Mbakilwa, Hilda , Haaland, Ane , Reyburn, Hugh
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1748-5908 ; PMID: 24969367 Version:1 ; DOI: 10.1186/1748-5908-9-83
Link: http://pubmed.gov/24969367
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: medline24969367
title: The development of effective behaviour change interventions to support the use of malaria rapid diagnostic tests by Tanzanian clinicians
format: Article
creator:
  • Chandler, Clare I R
  • Meta, Judith
  • Ponzo, Célia
  • Nasuwa, Fortunata
  • Kessy, John
  • Mbakilwa, Hilda
  • Haaland, Ane
  • Reyburn, Hugh
subjects:
  • Technology Transfer
  • Malaria -- Diagnosis
  • Practice Patterns, Physicians' -- Organization & Administration
  • Reagent Kits, Diagnostic -- Statistics & Numerical Data
ispartof: Implementation science : IS, 26 June 2014, Vol.9, pp.83
description: Parasitological confirmation is now recommended for all cases of suspected malaria. The roll-out of rapid diagnostic tests (RDTs) is hoped to enable this goal in low resource settings through point of care testing. However, simply making RDTs available has not led to high uptake of the tests or adherence to results by clinicians, with malaria continuing to be overdiagnosed in many settings. We undertook to design an evidence-based intervention package that would be sufficient to support the introduction of RDTs at dispensaries in Tanzania, to be evaluated through the Targeting Artemisinin Combination Therapy (TACT) cluster randomised controlled trial. We describe five steps in our intervention design: formative research, review of existing evidence and theory, a workshop to define the intervention approach and content and results of formative research, engagement with behaviour change theory and literature, detailed design of intervention materials and piloting and pretesting of intervention materials. This involved fieldwork with a total of 19 health workers and 212 community members in northeast Tanzania. The formative research suggested that RDTs were a potential source of conflict in the health worker-patient interaction, but that health workers used various techniques to resolve this, including provision of antimalarial drugs for RDT-negative patients. Our reviews showed that evidence was mixed regarding the effectiveness of different methods and theories to support change in prescribing practice. Our design process is presented, drawing from this collective evidence. We describe the final TACT intervention package (including interactive small group workshops, feedback text messages, motivational text messages and patient information leaflets and posters) in terms of its programme theory and implementation theory. Our study suggests that evidence-based design of complex interventions is possible. The use of formative research to understand malaria overdiagnosis in context was central to the design of the intervention as well as empirical research to test materials and methods prior to implementation. The TACT interventions may be appropriate for other settings where clinicians face similar challenges with malaria diagnostics. NCT01292707.
language: eng
source:
identifier: E-ISSN: 1748-5908 ; PMID: 24969367 Version:1 ; DOI: 10.1186/1748-5908-9-83
fulltext: fulltext
issn:
  • 17485908
  • 1748-5908
url: Link


@attributes
ID1446093413
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid24969367
sourceidmedline
recordidTN_medline24969367
sourceformatXML
sourcesystemOther
pqid1560107424
galeid540645333
display
typearticle
titleThe development of effective behaviour change interventions to support the use of malaria rapid diagnostic tests by Tanzanian clinicians
creatorChandler, Clare I R ; Meta, Judith ; Ponzo, Célia ; Nasuwa, Fortunata ; Kessy, John ; Mbakilwa, Hilda ; Haaland, Ane ; Reyburn, Hugh
ispartofImplementation science : IS, 26 June 2014, Vol.9, pp.83
identifier
subjectTechnology Transfer ; Malaria -- Diagnosis ; Practice Patterns, Physicians' -- Organization & Administration ; Reagent Kits, Diagnostic -- Statistics & Numerical Data
descriptionParasitological confirmation is now recommended for all cases of suspected malaria. The roll-out of rapid diagnostic tests (RDTs) is hoped to enable this goal in low resource settings through point of care testing. However, simply making RDTs available has not led to high uptake of the tests or adherence to results by clinicians, with malaria continuing to be overdiagnosed in many settings. We undertook to design an evidence-based intervention package that would be sufficient to support the introduction of RDTs at dispensaries in Tanzania, to be evaluated through the Targeting Artemisinin Combination Therapy (TACT) cluster randomised controlled trial. We describe five steps in our intervention design: formative research, review of existing evidence and theory, a workshop to define the intervention approach and content and results of formative research, engagement with behaviour change theory and literature, detailed design of intervention materials and piloting and pretesting of intervention materials. This involved fieldwork with a total of 19 health workers and 212 community members in northeast Tanzania. The formative research suggested that RDTs were a potential source of conflict in the health worker-patient interaction, but that health workers used various techniques to resolve this, including provision of antimalarial drugs for RDT-negative patients. Our reviews showed that evidence was mixed regarding the effectiveness of different methods and theories to support change in prescribing practice. Our design process is presented, drawing from this collective evidence. We describe the final TACT intervention package (including interactive small group workshops, feedback text messages, motivational text messages and patient information leaflets and posters) in terms of its programme theory and implementation theory. Our study suggests that evidence-based design of complex interventions is possible. The use of formative research to understand malaria overdiagnosis in context was central to the design of the intervention as well as empirical research to test materials and methods prior to implementation. The TACT interventions may be appropriate for other settings where clinicians face similar challenges with malaria diagnostics. NCT01292707.
languageeng
source
version7
lds50peer_reviewed
links
openurl$$Topenurl_article
backlink$$Uhttp://pubmed.gov/24969367$$EView_this_record_in_MEDLINE/PubMed
openurlfulltext$$Topenurlfull_article
addlink$$Uhttp://exlibris-pub.s3.amazonaws.com/aboutMedline.html$$EView_the_MEDLINE/PubMed_Copyright_Statement
search
creatorcontrib
0Chandler, Clare I R
1Meta, Judith
2Ponzo, Célia
3Nasuwa, Fortunata
4Kessy, John
5Mbakilwa, Hilda
6Haaland, Ane
7Reyburn, Hugh
titleThe development of effective behaviour change interventions to support the use of malaria rapid diagnostic tests by Tanzanian clinicians
description
0Parasitological confirmation is now recommended for all cases of suspected malaria. The roll-out of rapid diagnostic tests (RDTs) is hoped to enable this goal in low resource settings through point of care testing. However, simply making RDTs available has not led to high uptake of the tests or adherence to results by clinicians, with malaria continuing to be overdiagnosed in many settings. We undertook to design an evidence-based intervention package that would be sufficient to support the introduction of RDTs at dispensaries in Tanzania, to be evaluated through the Targeting Artemisinin Combination Therapy (TACT) cluster randomised controlled trial.
1We describe five steps in our intervention design: formative research, review of existing evidence and theory, a workshop to define the intervention approach and content and results of formative research, engagement with behaviour change theory and literature, detailed design of intervention materials and piloting and pretesting of intervention materials. This involved fieldwork with a total of 19 health workers and 212 community members in northeast Tanzania.
2The formative research suggested that RDTs were a potential source of conflict in the health worker-patient interaction, but that health workers used various techniques to resolve this, including provision of antimalarial drugs for RDT-negative patients. Our reviews showed that evidence was mixed regarding the effectiveness of different methods and theories to support change in prescribing practice. Our design process is presented, drawing from this collective evidence. We describe the final TACT intervention package (including interactive small group workshops, feedback text messages, motivational text messages and patient information leaflets and posters) in terms of its programme theory and implementation theory.
3Our study suggests that evidence-based design of complex interventions is possible. The use of formative research to understand malaria overdiagnosis in context was central to the design of the intervention as well as empirical research to test materials and methods prior to implementation. The TACT interventions may be appropriate for other settings where clinicians face similar challenges with malaria diagnostics.
4NCT01292707.
subject
0Technology Transfer
1Malaria -- Diagnosis
2Practice Patterns, Physicians' -- Organization & Administration
3Reagent Kits, Diagnostic -- Statistics & Numerical Data
general
024969367
1English
2MEDLINE/PubMed (U.S. National Library of Medicine)
310.1186/1748-5908-9-83
4MEDLINE/PubMed (NLM)
sourceidmedline
recordidmedline24969367
issn
017485908
11748-5908
rsrctypearticle
creationdate2014
addtitleImplementation science : IS
searchscope
0medline
1nlm_medline
2MEDLINE
scope
0medline
1nlm_medline
2MEDLINE
lsr4120140626
citationpf 83 vol 9
startdate20140626
enddate20140626
lsr30VSR-Enriched:[issue, pqid, galeid]
sort
titleThe development of effective behaviour change interventions to support the use of malaria rapid diagnostic tests by Tanzanian clinicians
authorChandler, Clare I R ; Meta, Judith ; Ponzo, Célia ; Nasuwa, Fortunata ; Kessy, John ; Mbakilwa, Hilda ; Haaland, Ane ; Reyburn, Hugh
creationdate20140626
lso0120140626
facets
frbrgroupid8783001962367296016
frbrtype5
newrecords20190701
languageeng
creationdate2014
topic
0Technology Transfer
1Malaria–Diagnosis
2Practice Patterns, Physicians'–Organization & Administration
3Reagent Kits, Diagnostic–Statistics & Numerical Data
collectionMEDLINE/PubMed (NLM)
prefilterarticles
rsrctypearticles
creatorcontrib
0Chandler, Clare I R
1Meta, Judith
2Ponzo, Célia
3Nasuwa, Fortunata
4Kessy, John
5Mbakilwa, Hilda
6Haaland, Ane
7Reyburn, Hugh
jtitleImplementation Science : Is
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Chandler
1Meta
2Ponzo
3Nasuwa
4Kessy
5Mbakilwa
6Haaland
7Reyburn
aufirst
0Clare I R
1Judith
2Célia
3Fortunata
4John
5Hilda
6Ane
7Hugh
au
0Chandler, Clare I R
1Meta, Judith
2Ponzo, Célia
3Nasuwa, Fortunata
4Kessy, John
5Mbakilwa, Hilda
6Haaland, Ane
7Reyburn, Hugh
atitleThe development of effective behaviour change interventions to support the use of malaria rapid diagnostic tests by Tanzanian clinicians
jtitleImplementation science : IS
risdate20140626
volume9
spage83
pages83
eissn1748-5908
formatjournal
genrearticle
ristypeJOUR
abstractParasitological confirmation is now recommended for all cases of suspected malaria. The roll-out of rapid diagnostic tests (RDTs) is hoped to enable this goal in low resource settings through point of care testing. However, simply making RDTs available has not led to high uptake of the tests or adherence to results by clinicians, with malaria continuing to be overdiagnosed in many settings. We undertook to design an evidence-based intervention package that would be sufficient to support the introduction of RDTs at dispensaries in Tanzania, to be evaluated through the Targeting Artemisinin Combination Therapy (TACT) cluster randomised controlled trial.
doi10.1186/1748-5908-9-83
pmid24969367
issue1
oafree_for_read
date2014-06-26