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Attending to design when developing complex health interventions: A qualitative interview study with intervention

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Summary

Health intervention design approaches vary significantly among developers and present unique challenges. Future guidance should support diverse knowledge integration and enhance creativity for smoother intervention development.

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Area of Science:

  • Health Services Research
  • Intervention Design
  • Behavioral Science

Background:

  • Existing health intervention development guidance often lacks detail on the 'design' phase, which involves idea generation and decision-making for intervention content, format, and delivery.
  • The study addresses the need to understand how design is conceptualized and executed by developers and stakeholders in health intervention development.

Purpose of the Study:

  • To describe and understand the views and experiences of health intervention developers and stakeholders regarding the design process.
  • To identify different approaches to intervention design and the challenges encountered.

Main Methods:

  • Conducted semi-structured interviews with 21 purposively sampled individuals involved in complex health intervention development or as stakeholders.
  • Employed a thematic inductive analysis to analyze interview data on views, experiences, and approaches to intervention design.

Main Results:

  • Intervention design approaches varied substantially among developers, unlike more consistent activities like literature reviews.
  • Six distinct 'modes' of design were identified: informed, negotiated, structured, delegated, 'my baby,' and creative partnership.
  • Key themes emerged: enabling creativity, integrating different knowledge types, and 'stabilizing' the development process for design.

Conclusions:

  • Intervention design is often challenging and less understood than other development phases, rarely aligning with a purely rational, knowledge-driven ideal.
  • Future guidance for health intervention development should better support developers in managing diverse knowledge, fostering creativity, and streamlining the design process.