Evidence map›Paper›PMID 37128667›Full record

ArticleBritish journal of health psychology2023

A qualitative process evaluation using the behaviour change wheel approach: Did a whole genome sequence report form (SRF) used to reduce nosocomial SARS-CoV-2 within UK hospitals operate as anticipated?

Paul Flowers, Ruth Leiser, Fiona Mapp, Julie McLeod, Oliver Stirrup, Christopher J R Illingworth, James Blackstone, Judith Breuer

Open access · hybridAbstract read
In one paragraph

Article in British journal of health psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Paul FlowersSchool of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.ORCID 0000-0001-6239-5616
Ruth LeiserSchool of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.ORCID 0000-0002-6493-2793
Fiona MappInstitute for Global Health, UCL, London, UK.ORCID 0000-0003-0733-6036
Julie McLeodSchool of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.ORCID 0000-0001-6787-1511
Oliver StirrupInstitute for Global Health, UCL, London, UK.ORCID 0000-0002-8705-3281
Christopher J R IllingworthMRC-University of Glasgow Centre for Virus Research, Glasgow, UK.ORCID 0000-0002-0030-2784
James BlackstoneComprehensive Clinical Trials Unit, UCL, London, UK.ORCID 0000-0003-4335-5269
Judith BreuerDepartment of Infection, Immunity and Inflammation, UCL Great Ormond Street Institute of Child Health, UCL, London, UK.ORCID 0000-0001-8246-0534
University of Strathclyde · GBUniversity College London · GBInstitute of Infection and Immunity · CAMRC Clinical Trials Unit at UCL · GBMRC University of Glasgow Centre for Virus Research · GB

Funding

Medical Research Council MC_PC_19026Medical Research Council MC_UU_00034/6Wellcome Trust
6 · The paper itself

Abstract

purposeThe aim of this study was to conduct a process evaluation of a whole-genome sequence report form (SRF) used to reduce nosocomial SARS-CoV-2 through changing infection prevention and control (IPC) behaviours within the COVID-19 pandemic.

methodsWe used a three-staged design. Firstly, we described and theorized the purported content of the SRF using the behaviour change wheel (BCW). Secondly, we used inductive thematic analysis of one-to-one interviews (n = 39) to explore contextual accounts of using the SRF. Thirdly, further deductive analysis gauged support for the intervention working as earlier anticipated.

resultsIt was possible to theorize the SRF using the BCW approach and visualize it within a simple logic model. Inductive thematic analyses identified the SRF's acceptability, ease of use and perceived effectiveness. However, major challenges to embedding it in routine practice during the unfolding COVID-19 crisis were reported. Notwithstanding this insight, deductive analysis showed support for the putative intervention functions 'Education', 'Persuasion' and 'Enablement'; behaviour change techniques '1.2 Problem solving', '2.6 Biofeedback', '2.7 Feedback on outcomes of behaviour' and '7.1 Prompts and cues'; and theoretical domains framework domains 'Knowledge' and 'Behavioural regulation'.

conclusionsOur process evaluation of the SRF, using the BCW approach to describe and theorize its content, provided granular support for the SRF working to change IPC behaviours as anticipated. However, our complementary inductive thematic analysis highlighted the importance of the local context in constraining its routine use. For SRFs to reach their full potential in reducing nosocomial infections, further implementation research is needed.

Indexed as

COVID-19Cross InfectionHumansPandemicsSARS-CoV-2United Kingdombehaviour changebehaviour change wheelCOVID-19hospitalinfection prevention and controlsequence report form

Identifiers

PMID37128667
PMCPMC11497355
OpenAlexW4367668470

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.