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Allison A. Lewinski, Matthew J. Crowley, Christopher J. Miller, Hayden Barry Bosworth, George L. Jackson, Karen E. Steinhauser, Courtney White‐Clark, Felicia McCant, Leah L. Zullig
BACKGROUND: Rapid approaches to collecting and analyzing qualitative interview data can accelerate discovery timelines and intervention development while maintaining scientific rigor. We describe the application of these methods to a program designed to improve care coordination between the Veterans Health Administration (VHA) and community providers. METHODS: Care coordination between VHA and community providers can be challenging in rural areas. The Telehealth-based Coordination of Non-VHA Care (TECNO Care) intervention was designed to improve care coordination among VHA and community providers. To ensure contextually appropriate implementation of TECNO Care, we conducted preimplementation interviews with veterans, VHA administrators, and VHA and community providers involved in community care. Using both a rapid approach and qualitative analysis, an interviewer and 1-2 note-taker(s) conducted interviews. RESULTS: Over 5 months, 18 stakeholders were interviewed and we analyzed these data to identify how best to deliver TECNO Care. Responses relevant to improving care coordination include health system characteristics; target population; metrics and outcomes; challenges with the current system; and core components. Veterans who frequently visit VHA or community providers and are referred for additional services are at risk for poor outcomes and may benefit from additional care coordination. Using these data, we designed TECNO Care to include information on VHA services and processes, assist in the timely completion of referrals, and facilitate record sharing. CONCLUSION: Rapid qualitative analysis can inform near real-time intervention development and ensure relevant content creation while setting the stage for stakeholder buy-in. Rigorous and timely analyses support the delivery of contextually appropriate, efficient, high-value patient care.
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Lewinski, A. A., Crowley, M. J., Miller, C. J., Bosworth, H. B., Jackson, G. L., Steinhauser, K. E., White‐Clark, C., McCant, F., & Zullig, L. L. (2021). Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake. Medical Care, 59(Suppl 3), S242–S251. https://doi.org/10.1097/mlr.0000000000001553
Lewinski, Allison A., et al. "Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake." Medical Care, vol. 59, no. Suppl 3, 2021, pp. S242–S251, https://doi.org/10.1097/mlr.0000000000001553.
Lewinski, Allison A., Matthew J. Crowley, Christopher J. Miller, Hayden Barry Bosworth, George L. Jackson, Karen E. Steinhauser, Courtney White‐Clark, Felicia McCant, and Leah L. Zullig. "Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake." Medical Care 59, no. Suppl 3 (2021): S242–S251. https://doi.org/10.1097/mlr.0000000000001553.
Lewinski A. A., Crowley M. J., Miller C. J. [и др.] Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake // Medical Care. — 2021. — Vol. 59, № Suppl 3. — P. S242–S251. — URL: https://doi.org/10.1097/mlr.0000000000001553
@article{lewinski2021applied,
title = {{Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake}},
author = {Allison A. Lewinski and Matthew J. Crowley and Christopher J. Miller and Hayden Barry Bosworth and George L. Jackson and Karen E. Steinhauser and Courtney White‐Clark and Felicia McCant and Leah L. Zullig},
journal = {Medical Care},
year = {2021},
volume = {59},
number = {Suppl 3},
pages = {S242--S251},
doi = {10.1097/mlr.0000000000001553},
url = {https://doi.org/10.1097/mlr.0000000000001553}
}TY - JOUR AU - Lewinski, Allison A. AU - Crowley, Matthew J. AU - Miller, Christopher J. AU - Bosworth, Hayden Barry AU - Jackson, George L. AU - Steinhauser, Karen E. AU - White‐Clark, Courtney AU - McCant, Felicia AU - Zullig, Leah L. TI - Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake JO - Medical Care VL - 59 IS - Suppl 3 SP - S242 EP - S251 PY - 2021 DA - 2021/05/12 DO - 10.1097/mlr.0000000000001553 UR - https://doi.org/10.1097/mlr.0000000000001553 ER -
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