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Acceptability of healthcare interventions:an overview of reviews and development of a theoretical framework
- Source :
- Sekhon, M, Cartwright, M & Francis, J J 2017, ' Acceptability of healthcare interventions : an overview of reviews and development of a theoretical framework ', BMC Health Services Research, vol. 17 . https://doi.org/10.1186/s12913-017-2031-8, BMC Health Services Research
- Publication Year :
- 2017
-
Abstract
- Background It is increasingly acknowledged that ‘acceptability’ should be considered when designing, evaluating and implementing healthcare interventions. However, the published literature offers little guidance on how to define or assess acceptability. The purpose of this study was to develop a multi-construct theoretical framework of acceptability of healthcare interventions that can be applied to assess prospective (i.e. anticipated) and retrospective (i.e. experienced) acceptability from the perspective of intervention delivers and recipients. Methods Two methods were used to select the component constructs of acceptability. 1) An overview of reviews was conducted to identify systematic reviews that claim to define, theorise or measure acceptability of healthcare interventions. 2) Principles of inductive and deductive reasoning were applied to theorise the concept of acceptability and develop a theoretical framework. Steps included (1) defining acceptability; (2) describing its properties and scope and (3) identifying component constructs and empirical indicators. Results From the 43 reviews included in the overview, none explicitly theorised or defined acceptability. Measures used to assess acceptability focused on behaviour (e.g. dropout rates) (23 reviews), affect (i.e. feelings) (5 reviews), cognition (i.e. perceptions) (7 reviews) or a combination of these (8 reviews). From the methods described above we propose a definition: Acceptability is a multi-faceted construct that reflects the extent to which people delivering or receiving a healthcare intervention consider it to be appropriate, based on anticipated or experienced cognitive and emotional responses to the intervention. The theoretical framework of acceptability (TFA) consists of seven component constructs: affective attitude, burden, perceived effectiveness, ethicality, intervention coherence, opportunity costs, and self-efficacy. Conclusion Despite frequent claims that healthcare interventions have assessed acceptability, it is evident that acceptability research could be more robust. The proposed definition of acceptability and the TFA can inform assessment tools and evaluations of the acceptability of new or existing interventions. Electronic supplementary material The online version of this article (doi:10.1186/s12913-017-2031-8) contains supplementary material, which is available to authorized users.
- Subjects :
- Consensus
Applied psychology
Psychological intervention
alliedhealth
Health informatics
Health administration
Acceptability, Defining constructs, Theory development, Complex intervention, Healthcare intervention
03 medical and health sciences
0302 clinical medicine
Acceptability
Complex intervention
Health care
Medicine
Humans
030212 general & internal medicine
Prospective Studies
Retrospective Studies
Self-efficacy
Theory development
business.industry
Nursing research
Health Policy
Defining constructs
Healthcare intervention
Models, Theoretical
Patient Acceptance of Health Care
Review Literature as Topic
Systematic review
business
Construct (philosophy)
RA
030217 neurology & neurosurgery
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Database :
- OpenAIRE
- Journal :
- Sekhon, M, Cartwright, M & Francis, J J 2017, ' Acceptability of healthcare interventions : an overview of reviews and development of a theoretical framework ', BMC Health Services Research, vol. 17 . https://doi.org/10.1186/s12913-017-2031-8, BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....e1b05170ebfad1c134ddbba79ec34e8f