ArticleQuality & safety in health care2003
Process evaluation on quality improvement interventions.
Article in Quality & safety in health care, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
148 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Effectiveness and mechanisms of interventions to reduce low-value thyroid function tests: a systematic review.Systematic reviews · 2026Pooled it
- Effectiveness of quality improvement interventions in improving cardiovascular disease-related outcomes in primary and tertiary care: A systematic review and meta-analyses.BMC primary care · 2025Pooled it
- What do we want to get out of this? a critical interpretive synthesis of the value of process evaluations, with a practical planning framework.BMC medical research methodology · 2022Pooled it
- Effects of de-implementation strategies aimed at reducing low-value nursing procedures: a systematic review and meta-analysis.Implementation science : IS · 2020Pooled it
- Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis.Primary health care research & development · 2019Pooled it
- Process evaluations in neurological rehabilitation: a mixed-evidence systematic review and recommendations for future research.BMJ open · 2016Pooled it
- The impact of redesigning care processes on quality of care: a systematic review.BMC health services research · 2016Pooled it
- Cognitive reframing for carers of people with dementia.The Cochrane database of systematic reviews · 2011Pooled it
- Optimising 24-Hour movement behaviours in preschoolers through parenting practices: an evidence-based intervention study.The international journal of behavioral nutrition and physical activity · 2025Trial
- A mixed methods process evaluation of the implementation of a peer coaching intervention to improve the execution of preventive tasks by occupational physicians.BMC health services research · 2025Trial
- Online remote behavioural intervention for tics in 9- to 17-year-olds: the ORBIT RCT with embedded process and economic evaluation.Health technology assessment (Winchester, England) · 2023Trial
- Trial
- Development and delivery of an allied health team intervention for older adults in the emergency department: A process evaluation.PloS one · 2022Trial
- A multicentre cluster-randomized clinical trial to improve antibiotic use and reduce length of stay in hospitals: comparison of three measurement and feedback methods.The Journal of antimicrobial chemotherapy · 2021Trial
- Trial
- Lessons learnt from a process evaluation of an exercise intervention in patients treated with autologous stem cell transplantation.European journal of cancer care · 2018Trial
- The effectiveness of a de-implementation strategy to reduce low-value blood management techniques in primary hip and knee arthroplasty: a pragmatic cluster-randomized controlled trial.Implementation science : IS · 2017Trial
- Trial
- Process Evaluation of a Workplace Integrated Care Intervention for Workers with Rheumatoid Arthritis.Journal of occupational rehabilitation · 2016Trial
- Use and Appreciation of a Tailored Self-Management eHealth Intervention for Early Cancer Survivors: Process Evaluation of a Randomized Controlled Trial.Journal of medical Internet research · 2016Trial
88 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To design potentially successful quality improvement (QI) interventions, it is crucial to make use of detailed breakdowns of the implementation processes of successful and unsuccessful interventions. Process evaluation can throw light on the mechanisms responsible for the result obtained in the intervention group. It enables researchers and implementers to (1). describe the intervention in detail, (2). check actual exposure to the intervention, and (3). describe the experience of those exposed. This paper presents a framework containing features of QI interventions that might influence success. Attention is paid to features of the target group, the implementers or change agents, the frequency of intervention activities, and features of the information imparted. The framework can be used as a starting point to address all three aspects of process evaluation mentioned above. Process evaluation can be applied to small scale improvement projects, controlled QI studies, and large scale QI programmes; in each case it plays a different role.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.