Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study

Böckmann M, Nohavova I, Dogar O, Kralikova E, Pankova A, Zvolska K, Huque R, Fatima R, Noor M, Elsey H, Sheikh A, et al. (2018)
BMJ Open 8(3): e019878.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Böckmann, MelanieUniBi ; Nohavova, Iveta; Dogar, Omara; Kralikova, Eva; Pankova, Alexandra; Zvolska, Kamila; Huque, Rumana; Fatima, Razia; Noor, Maryam; Elsey, Helen; Sheikh, Aziz; Siddiqi, Kamran
Alle
Einrichtung
Fakultät für Gesundheitswissenschaften > AG 7 Umwelt und Gesundheit
Abstract / Bemerkung
IntroductionTuberculosis (TB) remains a significant public health problem in South Asia. Tobacco use increases the risks of TB infection and TB progression. TheTB& Tobaccoplacebo-controlled randomised trial aims to (1) assess the effectiveness of the tobacco cessation medication cytisine versus placebo when combined with behavioural support and (2) implement tobacco cessation medication and behavioural support as part of general TB care in Bangladesh and Pakistan. This paper summarises the process and context evaluation protocol embedded in the effectiveness–implementation hybrid design.Methods and analysisWe are conducting a mixed-methods process and context evaluation informed by an intervention logic model that draws on the UK Medical Research Council’s Process Evaluation Guidance. Our approach includes quantitative and qualitative data collection on context, recruitment, reach, dose delivered, dose received and fidelity. Quantitative data include patient characteristics, reach of recruitment among eligible patients, routine trial data on dose delivered and dose received, and a COM-B (‘capability’, ‘opportunity’, ‘motivation’ and ‘behaviour’) questionnaire filled in by participating health workers. Qualitative data include semistructured interviews with TB health workers and patients, and with policy-makers at district and central levels in each country. Interviews will be analysed using the framework approach. The behavioural intervention delivery is audio recorded and assessed using a predefined fidelity coding index based on behavioural change technique taxonomy.Ethics and disseminationThe study complies with the guidelines of the Declaration of Helsinki. Ethics approval for the study and process evaluation was granted by the University of Leeds (qualitative components), University of York (trial data and fidelity assessment), Bangladesh Medical Research Council and Bangladesh Drug Administration (trial data and qualitative components) and Pakistan Medical Research Council (trial data and qualitative components). Results of this research will be disseminated through reports to stakeholders and peer-reviewed publications and conference presentations.Trial registration numberISRCTN43811467; Pre-results.
Stichworte
General Medicine
Erscheinungsjahr
2018
Zeitschriftentitel
BMJ Open
Band
8
Ausgabe
3
Art.-Nr.
e019878
eISSN
2044-6055
Page URI
https://pub.uni-bielefeld.de/record/2943865

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Böckmann M, Nohavova I, Dogar O, et al. Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study. BMJ Open. 2018;8(3): e019878.
Böckmann, M., Nohavova, I., Dogar, O., Kralikova, E., Pankova, A., Zvolska, K., Huque, R., et al. (2018). Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study. BMJ Open, 8(3), e019878. doi:10.1136/bmjopen-2017-019878
Böckmann, Melanie, Nohavova, Iveta, Dogar, Omara, Kralikova, Eva, Pankova, Alexandra, Zvolska, Kamila, Huque, Rumana, et al. 2018. “Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study”. BMJ Open 8 (3): e019878.
Böckmann, M., Nohavova, I., Dogar, O., Kralikova, E., Pankova, A., Zvolska, K., Huque, R., Fatima, R., Noor, M., Elsey, H., et al. (2018). Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study. BMJ Open 8:e019878.
Böckmann, M., et al., 2018. Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study. BMJ Open, 8(3): e019878.
M. Böckmann, et al., “Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study”, BMJ Open, vol. 8, 2018, : e019878.
Böckmann, M., Nohavova, I., Dogar, O., Kralikova, E., Pankova, A., Zvolska, K., Huque, R., Fatima, R., Noor, M., Elsey, H., Sheikh, A., Siddiqi, K., Kotz, D.: Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study. BMJ Open. 8, : e019878 (2018).
Böckmann, Melanie, Nohavova, Iveta, Dogar, Omara, Kralikova, Eva, Pankova, Alexandra, Zvolska, Kamila, Huque, Rumana, Fatima, Razia, Noor, Maryam, Elsey, Helen, Sheikh, Aziz, Siddiqi, Kamran, and Kotz, Daniel. “Protocol for the mixed-methods process and context evaluation of theTB & Tobaccorandomised controlled trial in Bangladesh and Pakistan: a hybrid effectiveness–implementation study”. BMJ Open 8.3 (2018): e019878.

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