scholarly journals Development of A Nurse-Led Educational Intervention Program in Managing the Nutrition Impact Symptom Cluster in Patients with Nasopharyngeal Carcinoma following the Medical Research Council Framework

2021 ◽  
Vol 8 (6) ◽  
pp. 653
Author(s):  
CarmenWH Chan ◽  
Wenli Xiao ◽  
Jinnan Xiao ◽  
ChoLee Wong ◽  
KaMing Chow
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
Medical Research ◽  
Educational Intervention ◽  
Intervention Program ◽  
Research Council ◽  
Medical Research Council ◽  
Symptom Cluster ◽  
Medical Research Council Framework

scholarly journals Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Rajalakshmi Lakshman ◽  
Simon Griffin ◽  
Wendy Hardeman ◽  
Annie Schiff ◽  
Ann Louise Kinmonth ◽  
...  
Keyword(s):  
Medical Research ◽  
Infant Feeding ◽  
Early Life ◽  
Research Council ◽  
Medical Research Council ◽  
Complex Interventions ◽  
Evidence Base ◽  
Public Health Research ◽  
Behaviour Change Techniques ◽  
Medical Research Council Framework

Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours.Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients) and healthcare professionals (intervention deliverers) to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects.Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN:20814693Baby Milk Trial.

scholarly journals Using the Medical Research Council framework and public involvement in the development of a communication partner training intervention for people with primary progressive aphasia (PPA): Better Conversations with PPA

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Volkmer ◽  
Aimee Spector ◽  
Kate Swinburn ◽  
Jason D. Warren ◽  
Suzanne Beeke
Keyword(s):  
Medical Research ◽  
Research Council ◽  
Medical Research Council ◽  
Primary Progressive Aphasia ◽  
Speech And Language ◽  
Medical Research Council Framework ◽  
Progressive Aphasia ◽  
Primary Progressive ◽  
Communication Partner ◽  
Communication Partner Training

Abstract Background Primary progressive aphasia is a language-led dementia resulting in a gradual dissolution of language. Primary progressive aphasia has a significant psychosocial impact on both the person and their families. Speech and language therapy is one of the only available management options, and communication partner training interventions offer a practical approach to identify strategies to support conversation. The aim of this study was to define and refine a manual and an online training resource for speech and language therapists to deliver communication partner training to people with primary progressive aphasia and their communication partners called Better Conversations with primary progressive aphasia. Methods The Better Conversations with primary progressive aphasia manual and training program were developed using the Medical Research Council framework for developing complex interventions. The six-stage development process included 1. Exploratory review of existing literature including principles of applied Conversation Analysis, behaviour change theory and frameworks for chronic disease self-management, 2. Consultation and co-production over 12 meetings with the project steering group comprising representatives from key stakeholder groups, 3. Development of an initial draft, 4. Survey feedback followed by a consensus meeting using the Nominal Group Techniques with a group of speech and language therapists, 5. Two focus groups to gather opinions from people with PPA and their families were recorded, transcribed and Thematic Analysis used to examine the data, 6. Refinement. Results Co-production of the Better Conversations with primary progressive aphasia resulted in seven online training modules, and a manual describing four communication partner training intervention sessions with accompanying handouts. Eight important components of communication partner training were identified in the aggregation process of the Nominal Group Technique undertaken with 36 speech and language therapists, including use of video feedback to focus on strengths as well as areas of conversation breakdown. Analysis of the focus groups held with six people with primary progressive aphasia and seven family members identified three themes 1) Timing of intervention, 2) Speech and language therapists’ understanding of types of dementia, and 3) Knowing what helps. These data informed refinements to the manual including additional practice activities and useful strategies for the future. Conclusions Using the Medical Research Council framework to develop an intervention that is underpinned by a theoretical rationale of how communication partner training causes change allows for the key intervention components to be strengthened. Co-production of the manual and training materials ensures the intervention will meet the needs of people with primary progressive aphasia and their communication partners. Gathering further data from speech and language therapists and people living with primary progressive aphasia and their families to refine the manual and the training materials enhances the feasibility of delivering this in preparation for a phase II NHS-based randomised controlled pilot-feasibility study, currently underway.

Sign in / Sign up

Export Citation Format

Share Document