Author
Listed:
- Isabel Socias
(Healthcare Centre Manacor, Balearic Health Service IbSalut, 07500 Manacor, Spain
Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain)
- Alfonso Leiva
(Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain
Reseach Unit Mallorca, Balearic Health Service IbSalut, 07003 Palma, Spain)
- Haizea Pombo-Ramos
(Primary Care Research Unit of Biscaia, Basque HealthCare Service Osakidetza, BioCruces Health Research Institute, 48903 Bizkaia, Spain)
- Ferran Bejarano
(Catalunya Health Services-CatSalut, DAP Camp de Tarragona, 43002 Tarragona, Spain)
- Ermengol Sempere-Verdú
(Paterna Healthcare Centre, Conselleria de Sanitat Universal i Salut Pública, 46980 Valencia, Spain)
- Raquel María Rodríguez-Rincón
(Pharmacy Department, Hospital Universitari Son Espases, Balearic Health Service IbSalut, 07120 Palma, Spain)
- Francisca Fiol
(Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain
Son Serra-La Vileta Healthcare Centre, Balearic Health Service IbSalut, 07013 Palma, Spain)
- Marta Mengual
(Catalunya Health Services-CatSalut, DAP Camp de Tarragona, 43002 Tarragona, Spain)
- Asunción Ajenjo-Navarro
(Paterna Healthcare Centre, Conselleria de Sanitat Universal i Salut Pública, 46980 Valencia, Spain)
- Fernando Do Pazo
(Pharmacy Department, Hospital Universitari Son Espases, Balearic Health Service IbSalut, 07120 Palma, Spain)
- Catalina Mateu
(Son Serra-La Vileta Healthcare Centre, Balearic Health Service IbSalut, 07013 Palma, Spain)
- Silvia Folch
(Catalunya Health Services-CatSalut, DAP Camp de Tarragona, 43002 Tarragona, Spain)
- Santiago Alegret
(Son Serra-La Vileta Healthcare Centre, Balearic Health Service IbSalut, 07013 Palma, Spain)
- Jose Maria Coll
(Menorca Primary Care Management, Balearic Health Service IbSalut, 07701 Maó, Spain)
- María Martín-Rabadán
(Can Misses Healthcare Centre Ibiza, Balearic Health Service IbSalut, 07800 Ibiza, Spain)
- Caterina Vicens
(Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain
Son Serra-La Vileta Healthcare Centre, Balearic Health Service IbSalut, 07013 Palma, Spain)
Abstract
Background: General practitioners (GPs) in developed countries widely prescribe benzodiazepines (BZDs) for their anxiolytic, hypnotic, and muscle-relaxant effects. Treatment duration, however, is rarely limited, and this results in a significant number of chronic users. Long-term BZD use is associated with cognitive impairment, falls with hip fractures, traffic accidents, and increased mortality. The BENZORED IV trial was a hybrid type-1 trial conducted to evaluate the effectiveness and implementation of an intervention to reduce BZD prescription in primary care. The purpose of this qualitative study was to analyze the facilitators and barriers regarding the implementation of the intervention in primary care settings. Methods: A qualitative interview study with 40 GPs from three Spanish health districts. Focus group meetings with GPs from the intervention arm of the BENZORED IV trial were held at primary healthcare centers in the three districts. For sampling purposes, the GPs were classified as high or low implementers according to the success of the intervention measured at 12 months. The Consolidated Framework for Implementation Research (CFIR) was used to conduct the meetings and to code, rate, and analyze the data. Results: Three of the 41 CFIR constructs strongly distinguished between high and low implementers: the complexity of the intervention, the individual Stage of Change, and the key stakeholder’s engagement. Seven constructs weakly discriminated between the two groups: adaptability in the intervention, external policy and incentives, implementation climate, relative priority, self-efficacy, compatibility, and engaging a formally appointed implementation leader. Fourteen constructs did not discriminate between the two groups, six had insufficient data for evaluation, and eleven had no data for evaluation. Conclusions: We identified constructs that could explain differences in the efficacy in implementation of the intervention. This information is relevant for the design of successful strategies for implementation of the intervention.
Suggested Citation
Isabel Socias & Alfonso Leiva & Haizea Pombo-Ramos & Ferran Bejarano & Ermengol Sempere-Verdú & Raquel María Rodríguez-Rincón & Francisca Fiol & Marta Mengual & Asunción Ajenjo-Navarro & Fernando Do P, 2021.
"Evaluating the Implementation of a Multicomponent Intervention Consisting of Education and Feedback on Reducing Benzodiazepine Prescriptions by General Practitioners: BENZORED Hybrid Type I Cluster Ra,"
IJERPH, MDPI, vol. 18(15), pages 1-13, July.
Handle:
RePEc:gam:jijerp:v:18:y:2021:i:15:p:7964-:d:603141
Download full text from publisher
Most related items
These are the items that most often cite the same works as this one and are cited by the same works as this one.
- Hae-Young Park & Ji-Won Park & Hong Ji Song & Hyun Soon Sohn & Jin-Won Kwon, 2017.
"The Association between Polypharmacy and Dementia: A Nested Case-Control Study Based on a 12-Year Longitudinal Cohort Database in South Korea,"
PLOS ONE, Public Library of Science, vol. 12(1), pages 1-17, January.
- Clément Mathieu & Pierre Joly & Hélène Jacqmin-Gadda & Mathilde Wanneveich & Bernard Bégaud & Antoine Pariente, 2021.
"Patterns of Benzodiazepine Use and Excess Risk of All-Cause Mortality in the Elderly: A Nationwide Cohort Study,"
Drug Safety, Springer, vol. 44(1), pages 53-62, January.
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7964-:d:603141. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.