How Can the Results of a Qualitative Process Evaluation Be Applied in Management, Improvement and Modification of a Preventive Community Trial? the Ihhp Study Publisher



Sarrafzadegan N¹ ; Rabiei K^{1, 2} ; Alavi M³ ; Abedi H⁴ ; Zarfeshani S⁵
Source: Archives of Public Health Published:2011

Abstract

Background: This study reports the results of the qualitative process evaluation (PE) of the Isfahan Healthy Heart Program (IHHP), an integrated community-based trial for prevention and control of non-communicable diseases in Iran. Methods: The study explored the overall quality of program implementation. The participants, including designers of IHHP, stakeholders and community members (n = 60) were purposefully recruited from the intervention areas. Data collected from semi-structured interviews and field notes were analyzed using a modified thematic analysis. Results: Four main themes were identified. Our findings highlighted the key role of the resources as both facilitating and hindering factors. IHHP directors faced incompatibilities arising from negative perceptions/attitudes which resulted in decreased adherence to the program. Hence various strategies were used to motivate, strengthen and organize the human workforce implementing the program. Conclusion: Recommendations arising from evaluation of the program were used in subsequent stages of implementation. Qualitative research is an important component of community trials which can improve their implementation. © 2011 Sarrafzadegan et al.