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Abstract
Objectives To describe the development of a codesigned complex intervention intended to prevent the risks of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes.
Design A complex intervention development study. The development of the intervention was conducted in three phases. We established contact with stakeholders in the municipality, updated us of current status of the literature in this area and conducted studies in the local context (1). We codesigned the intervention in workshops together with end users (2). We codesigned the final outline of the intervention in an iterative process with stakeholders (3).
Setting: Nursing homes in the municipality in southern Sweden.
Participants End users (n=16) in nursing homes (n=4) codesigned the intervention together with the research group in workshops (n=4) in March–April 2022. Additionally, stakeholders (n=17) who were considered to play an important role in developing the intervention participated throughout this process. Data were analysed using reflexive thematic analysis.
Results Four workshops were conducted with end users (n=16) and 13 meetings with stakeholders (n=12) were held during the development process. The intervention aims to bridge the evidence-practice gap regarding the preventive care process of the risks of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes. The intervention is aimed at end users, lasts for 3 weeks and is divided into two parts. First, end users obtain knowledge on their own by following written instructions. Second, they meet, interact and discuss the knowledge acquired during part 1.
Conclusion The intervention is robustly developed and thoroughly described. The study highlights the extensive process that is necessary for developing tailored complex interventions. The description of the entire development process may enhance the replicability of this intervention. The intervention needs to be tested and evaluated in an upcoming feasibility study.
Trial registration number NCT05308862.
- PREVENTIVE MEDICINE
- Aging
- Nursing Care
Data availability statement
No data are available. All data relevant to the study are included in the article or uploaded as supplementary information. The data that support the development of the STAIR OF KNOWLEDGE intervention are not publicly available to ensure confidentiality. All data relevant to the development are included in the article. All figures and tables included in this article are original.
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
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Data availability statement
No data are available. All data relevant to the study are included in the article or uploaded as supplementary information. The data that support the development of the STAIR OF KNOWLEDGE intervention are not publicly available to ensure confidentiality. All data relevant to the development are included in the article. All figures and tables included in this article are original.
Supplementary materials
Supplementary Data
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Footnotes
Contributors MN: conceptualisation, methodology, investigation, writing—original draft, writing—review and editing, validation, formal analysis, visualisation, guaranter. MAx, CK and PH: conceptualisation, methodology, investigation, writing—review and editing, validation, supervision. MA: conceptualisation, methodology, investigation, writing—review and editing, validation, formal analysis, supervision. All the authors read and approved the final version of the manuscript.
Funding This research received finanical support with regard to conducting the workshops from the Derbrings and Stöltens research and development foundation. The funders had no role in the research manuscript's design, conduct, analysis, interpretation or drafting.
Competing interests None declared.
Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting or dissemination plans of this research. Refer to the Methods section for further details.
Provenance and peer review Not commissioned; externally peer reviewed.
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