Open AccessThe Use of Qualitative Methods in Developing Implementation Strategies in Prevention Research for Stroke Survivors in Nigeria
Author(s) -
Hurst Samantha,
Arulogun Oyedunni,
Owolabi Mayowa O.,
Akinyemi Rufus O.,
Uvere Ezinne,
Warth Stephanie,
Fakunle Gregory,
Ovbiagele Bruce
Publication year - 2016
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12817
Subject(s) - medicine , psychological intervention , intervention (counseling) , qualitative research , stroke (engine) , focus group , action plan , nursing , health care , mechanical engineering , ecology , social science , marketing , sociology , economics , engineering , business , biology , economic growth
Implementing complex clinical interventions is a key challenge in many global regions. Local communities play a necessary role in enhancing feasibility and strengthening adaptive issues in the design and implementation of stroke interventions in developing countries. Drawing on the knowledge of physicians, patients, and caregivers, the authors employed qualitative methods as a phase 1 strategy to explore the challenges of stroke management and improve the adaptability and efficient delivery of a multimodal preventive intervention for secondary stroke disease in Nigeria. A total of 22 individual interviews were conducted with healthcare professionals, as well as 12 focus groups with patients and caregivers. Findings revealed four operational domains to improve strategies for phase 2 implementation and intervention: (1) barriers influencing optimal adherence in stroke survivors, (2) patient health beliefs and perceptions of patient health beliefs by others, (3) adoption of the “patient report card,” and (4) “medical action plan” and family management strategies.