What Influences Allied Health Clinician Participation in Research in the Public Hospital Setting: a Qualitative Theory-informed Approach

Overview

Journal BMJ Open

Specialty General Medicine

Date 2020 Aug 22

PMID 32819986

Citations 16

Authors

Rachel Wenke

Christy Noble

Kelly A Weir

Sharon Mickan

Affiliations

Soon will be listed here.

Abstract

Objectives: Using theoretical frameworks from implementation science, we aimed to systematically explore the barriers and enablers to research active allied health professionals (AHP) participating and leading research in the hospital setting.

Design: A qualitative interview study informed by behaviour change theory.

Setting: Single Australian tertiary hospital and health service.

Participants: We recruited a convenience sample of 21 AHPs working within a hospital who were seeking to actively participate in/or lead research within their workplace.

Data Collection: Semistructured interviews explored perceived barriers and enablers to research participation, informed by the 14 domains of the theoretical domains framework (TDF). Transcribed interviews were deductively coded and mapped to the TDF. A deeper level of inductive coding was used to identify emergent themes that influenced behaviour change, according to the three key constructs of: capability, opportunity and motivation (COM-B).

Results: Barriers and enablers to research participation were identified within nine predominant domains of the TDF. Most enablers to engaging in research related to the motivation or opportunity constructs of the COM-B. These enablers included positive beliefs about the consequences of research participation, enabling social influences, peer support and motivation for skill development and to inform practice. Predominant barriers related to environmental context and resources (eg, reduced funding or time), emotional responses of being overwhelmed and perceptions of reduced capability.

Conclusion: This study identified key barriers and enablers to behaviour change related to AHPs participating and/or leading research. Motivation and opportunities to participate in research may be enabled by maximising social influence opportunities, reiterating beliefs about positive consequences of research and considering AHP's emotional responses. Implementation science frameworks may provide a more systematic and holistic understanding of factors which influence research participation including enhancing knowledge, motivation and opportunity.

Citing Articles

Migliorini C, Turville M, McDowell C, Bevilacqua J, Harvey C Health Res Policy Syst. 2024; 22(1):92.

PMID: 39103820 PMC: 11299392. DOI: 10.1186/s12961-024-01195-7.

The health service perspective on determinants of success in allied health student research project collaborations: a qualitative study guided by the Consolidated Framework for Implementation Research.

Angus R, Hattingh H, Weir K BMC Health Serv Res. 2024; 24(1):143.

PMID: 38281012 PMC: 10821208. DOI: 10.1186/s12913-024-10599-8.

Pushing the Boundaries for Evidenced-Based Practice: Can Online Training Enhance Andrology Research Capacity Worldwide? An Exploration of the Barriers and Enablers - The Global Andrology Forum.

El Ansari W, Arafa M, Shah R, Harraz A, Shokeir A, Zohdy W World J Mens Health. 2023; 42(2):394-407.

PMID: 37635339 PMC: 10949034. DOI: 10.5534/wjmh.230084.

The Global Andrology Forum (GAF): Structure, Roles, Functioning and Outcomes: An Online Model for Collaborative Research.

El Ansari W, Savira M, Atmoko W, Shah R, Boitrelle F, Agarwal A World J Mens Health. 2023; 42(2):415-428.

PMID: 37635335 PMC: 10949020. DOI: 10.5534/wjmh.230101.

The value of allied health professional research engagement on healthcare performance: a systematic review.

Chalmers S, Hill J, Connell L, Ackerley S, Kulkarni A, Roddam H BMC Health Serv Res. 2023; 23(1):766.

PMID: 37464444 PMC: 10355072. DOI: 10.1186/s12913-023-09555-9.

References

Stewart D, Cunningham S, Strath A, MacLure A, Gibson-Smith K, Rushworth G . A theoretically informed survey of the views and experiences of practicing pharmacists on research conduct, dissemination and translation. Res Social Adm Pharm. 2018; 15(11):1298-1308. DOI: 10.1016/j.sapharm.2018.12.005. View

Williams C, Miyazaki K, Borkowski D, McKinstry C, Cotchet M, Haines T . Research capacity and culture of the Victorian public health allied health workforce is influenced by key research support staff and location. Aust Health Rev. 2015; 39(3):303-311. DOI: 10.1071/AH14209. View

Howard A, Ferguson M, Wilkinson P, Campbell K . Involvement in research activities and factors influencing research capacity among dietitians. J Hum Nutr Diet. 2013; 26 Suppl 1:180-7. DOI: 10.1111/jhn.12053. View

Noble C, Billett S, Phang D, Sharma S, Hashem F, Rogers G . Supporting Resident Research Learning in the Workplace: A Rapid Realist Review. Acad Med. 2018; 93(11):1732-1740. DOI: 10.1097/ACM.0000000000002416. View

Campbell L, Novak I, McIntyre S, Lord S . A KT intervention including the evidence alert system to improve clinician's evidence-based practice behavior--a cluster randomized controlled trial. Implement Sci. 2013; 8:132. PMC: 3831589. DOI: 10.1186/1748-5908-8-132. View

Wenke R, Mickan S, Bisset L . A cross sectional observational study of research activity of allied health teams: is there a link with self-reported success, motivators and barriers to undertaking research?. BMC Health Serv Res. 2017; 17(1):114. PMC: 5292806. DOI: 10.1186/s12913-017-1996-7. View

Atkins L, Francis J, Islam R, OConnor D, Patey A, Ivers N . A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci. 2017; 12(1):77. PMC: 5480145. DOI: 10.1186/s13012-017-0605-9. View

Bates I, Boyd A, Aslanyan G, Cole D . Tackling the tensions in evaluating capacity strengthening for health research in low- and middle-income countries. Health Policy Plan. 2014; 30(3):334-44. PMC: 4353897. DOI: 10.1093/heapol/czu016. View

Michie S, van Stralen M, West R . The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011; 6:42. PMC: 3096582. DOI: 10.1186/1748-5908-6-42. View

10.

Price D, Wagner D, Krane N, Rougas S, Lowitt N, Offodile R . What are the implications of implementation science for medical education?. Med Educ Online. 2015; 20:27003. PMC: 4409632. DOI: 10.3402/meo.v20.27003. View

11.

Artino Jr A, Holmboe E, Durning S . Control-value theory: using achievement emotions to improve understanding of motivation, learning, and performance in medical education: AMEE Guide No. 64. Med Teach. 2012; 34(3):e148-60. DOI: 10.3109/0142159X.2012.651515. View

12.

Lizarondo L, Grimmer-Somers K, Kumar S . A systematic review of the individual determinants of research evidence use in allied health. J Multidiscip Healthc. 2011; 4:261-72. PMC: 3155856. DOI: 10.2147/JMDH.S23144. View

13.

Ledford C, Seehusen D, Villagran M, Cafferty L, Childress M . Resident scholarship expectations and experiences: sources of uncertainty as barriers to success. J Grad Med Educ. 2014; 5(4):564-9. PMC: 3886452. DOI: 10.4300/JGME-D-12-00280.1. View

14.

Thomas D, Berry A, Djuricich A, Kitto S, Kreutzer K, Van Hoof T . What Is Implementation Science and What Forces Are Driving a Change in Medical Education?. Am J Med Qual. 2016; 32(4):438-444. DOI: 10.1177/1062860616662523. View

15.

Pager S, Holden L, Golenko X . Motivators, enablers, and barriers to building allied health research capacity. J Multidiscip Healthc. 2012; 5:53-9. PMC: 3292402. DOI: 10.2147/JMDH.S27638. View

16.

Nancarrow S, Young G, OCallaghan K, Jenkins M, Philip K, Barlow K . Shape of allied health: an environmental scan of 27 allied health professions in Victoria. Aust Health Rev. 2016; 41(3):327-335. DOI: 10.1071/AH16026. View

17.

Borkowski D, McKinstry C, Cotchett M, Williams C, Haines T . Research culture in allied health: a systematic review. Aust J Prim Health. 2016; 22(4):294-303. DOI: 10.1071/PY15122. View

18.

Ajjawi R, Crampton P, Rees C . What really matters for successful research environments? A realist synthesis. Med Educ. 2018; . PMC: 6120529. DOI: 10.1111/medu.13643. View

19.

Hulcombe J, Sturgess J, Souvlis T, Fitzgerald C . An approach to building research capacity for health practitioners in a public health environment: an organisational perspective. Aust Health Rev. 2014; 38(3):252-8. DOI: 10.1071/AH13066. View

20.

Ward E, Hargrave C, Brown E, Halkett G, Hogg P . Achieving success in clinically based research: the importance of mentoring. J Med Radiat Sci. 2017; 64(4):315-320. PMC: 5715317. DOI: 10.1002/jmrs.234. View