Co-developed logic model for surgical prehabilitation in an acute care setting: a qualitative study of stakeholders' perspectives.

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Jade Corriveau, Michelle St-Jacques, Sophia Yeung, Francesco Carli, A Sender Liberman, Debbie Watson, Rona Fleming, Andre Guigui, Michel Picard, Julio F Fiore, Nancy Mayo, Stéphanie Chevalier, Chelsia Gillis
{"title":"Co-developed logic model for surgical prehabilitation in an acute care setting: a qualitative study of stakeholders' perspectives.","authors":"Jade Corriveau, Michelle St-Jacques, Sophia Yeung, Francesco Carli, A Sender Liberman, Debbie Watson, Rona Fleming, Andre Guigui, Michel Picard, Julio F Fiore, Nancy Mayo, Stéphanie Chevalier, Chelsia Gillis","doi":"10.1159/000546272","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Prehabilitation programs treat modifiable risk factors to improve surgical outcomes. However, translation of research into practice remains slow. Logic models, visual representations of how a program works, have the potential to bridge research-to-practice gaps. We aimed to develop a logic model for prehabilitation programs in tertiary care centers by interviewing stakeholders about what should be the mission, inputs, outputs (activities and participants), and targeted outcomes for prehabilitation implementation and evaluation?</p><p><strong>Methods: </strong>A multi-site qualitative study was conducted. Interviews were analyzed using manifest summative content analysis to determine logic model items. Focus groups for member checking were performed with stakeholders throughout the analysis process.</p><p><strong>Results: </strong>Sixty-one interviews were conducted with stakeholders: prehabilitation staff (n=12), patients (n=10), perioperative care physicians (n=10), nurses (n=9), dietitians (n=9), physiotherapists (n=5), and hospital administrators (n=6). Our findings underscored unanimous support for prehabilitation yet revealed challenges that hindered efficient and equitable resource utilization, which have been addressed in the logic model. To evaluate the success of prehabilitation, both clinician- (n=44) and patient-oriented outcomes (n=32) were valued by stakeholders; however, priority outcomes varied by stakeholder group: intervention adherence (prehabilitation staff), experience and satisfaction (patients), and facilitation of discharge (clinicians and hospital administrators).</p><p><strong>Conclusion: </strong>This co-developed logic model is designed to improve the efficiency, accessibility, and sustainability of acute care prehabilitation programs by offering a detailed blueprint. Researchers and clinicians can draw on the insights from this co-production process to develop, implement, and evaluate their own prehabilitation programs.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"1-30"},"PeriodicalIF":3.2000,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Nutrition and Metabolism","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000546272","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Prehabilitation programs treat modifiable risk factors to improve surgical outcomes. However, translation of research into practice remains slow. Logic models, visual representations of how a program works, have the potential to bridge research-to-practice gaps. We aimed to develop a logic model for prehabilitation programs in tertiary care centers by interviewing stakeholders about what should be the mission, inputs, outputs (activities and participants), and targeted outcomes for prehabilitation implementation and evaluation?

Methods: A multi-site qualitative study was conducted. Interviews were analyzed using manifest summative content analysis to determine logic model items. Focus groups for member checking were performed with stakeholders throughout the analysis process.

Results: Sixty-one interviews were conducted with stakeholders: prehabilitation staff (n=12), patients (n=10), perioperative care physicians (n=10), nurses (n=9), dietitians (n=9), physiotherapists (n=5), and hospital administrators (n=6). Our findings underscored unanimous support for prehabilitation yet revealed challenges that hindered efficient and equitable resource utilization, which have been addressed in the logic model. To evaluate the success of prehabilitation, both clinician- (n=44) and patient-oriented outcomes (n=32) were valued by stakeholders; however, priority outcomes varied by stakeholder group: intervention adherence (prehabilitation staff), experience and satisfaction (patients), and facilitation of discharge (clinicians and hospital administrators).

Conclusion: This co-developed logic model is designed to improve the efficiency, accessibility, and sustainability of acute care prehabilitation programs by offering a detailed blueprint. Researchers and clinicians can draw on the insights from this co-production process to develop, implement, and evaluate their own prehabilitation programs.

共同开发的逻辑模型手术康复在急症护理设置:利益相关者的观点的定性研究。
背景:康复计划治疗可改变的危险因素以改善手术结果。然而,将研究成果转化为实践仍然缓慢。逻辑模型,程序如何工作的可视化表示,有可能弥合从研究到实践的差距。我们的目标是通过采访利益相关者,了解康复实施和评估的使命、投入、产出(活动和参与者)以及目标结果,为三级保健中心的康复项目开发一个逻辑模型。方法:采用多地点定性研究。访谈采用清单总结性内容分析确定逻辑模型项目。在整个分析过程中,与利益相关者一起进行了成员检查的焦点小组。结果:对利益相关者进行了61次访谈:康复工作人员(n=12)、患者(n=10)、围手术期护理医师(n=10)、护士(n=9)、营养师(n=9)、物理治疗师(n=5)和医院管理人员(n=6)。我们的研究结果强调了对康复的一致支持,但也揭示了阻碍资源有效和公平利用的挑战,这些挑战已经在逻辑模型中得到了解决。为了评估康复的成功,利益相关者对临床医生(n=44)和患者(n=32)的结果进行了评估;然而,优先结果因利益相关者群体而异:干预依从性(康复人员),经验和满意度(患者),以及出院便利(临床医生和医院管理人员)。结论:这个共同开发的逻辑模型提供了一个详细的蓝图,旨在提高急性护理康复项目的效率、可及性和可持续性。研究人员和临床医生可以从这一合作过程中获得见解,以制定、实施和评估他们自己的康复计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Annals of Nutrition and Metabolism
Annals of Nutrition and Metabolism 医学-内分泌学与代谢
CiteScore
6.50
自引率
0.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信