TY - JOUR
T1 - Guidelines and training initiatives that support communication in cross-cultural primary-care settings
T2 - Appraising their implementability using normalization process theory
AU - de Brún, Tomas
AU - de-Brún, Mary O.Reilly
AU - van Weel-Baumgarten, Evelyn
AU - van Weel, Chris
AU - Dowrick, Christopher
AU - Lionis, Christos
AU - O'Donnell, Catherine A.
AU - Burns, Nicola
AU - Mair, Frances S.
AU - Saridaki, Aristoula
AU - Papadakaki, Maria
AU - Princz, Christine
AU - van den Muijsenbergh, Maria
AU - MacFarlane, Anne
N1 - Publisher Copyright:
© The Author 2015.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Background: Guidelines and training initiatives (G/TIs) available to support communication in cross-cultural primary health care consultations are not routinely used. We need to understand more about levers and barriers to their implementation and identify G/TIs likely to be successfully implemented in practice. Objective: To report a mapping process used to identify G/TIs and to prospectively appraise their implementability, using Normalization Process Theory (NPT). Methods: RESTORE is a 4-year EU FP-7 project. We used purposeful and network sampling to identify experts in statutory and non-statutory agencies across Austria, England, Greece, Ireland, Scotland and the Netherlands who recommended G/TI data from the grey literature. In addition, a peer review of literature was conducted in each country. Resulting data were collated using a standardized Protocol Mapping Document. G/TIs were identified for inclusion by (i) initial elimination of incomplete G/TI material; (ii) application of filtering criteria; and (iii) application of NPT. Results: 20 G/TIs met selection criteria: 8 guidelines and 12 training initiatives. Most G/TIs were identified in the Netherlands (n = 7), followed by Ireland (n = 6) and England (n = 5). Fewer were identified in Scotland (n = 2), and none in Greece or Austria. The majority (n = 13) were generated without the inclusion of migrant service users. All 20 were prospectively appraised for potential implementability by applying NPT. Conclusions: NPT is useful as a means of prospectively testing G/TIs for implementability. Results indicate a need to initiate meaningful engagement of migrants in the development of G/ TIs. A European-based professional standard for development and assessment of cross-cultural communication resources is advised.
AB - Background: Guidelines and training initiatives (G/TIs) available to support communication in cross-cultural primary health care consultations are not routinely used. We need to understand more about levers and barriers to their implementation and identify G/TIs likely to be successfully implemented in practice. Objective: To report a mapping process used to identify G/TIs and to prospectively appraise their implementability, using Normalization Process Theory (NPT). Methods: RESTORE is a 4-year EU FP-7 project. We used purposeful and network sampling to identify experts in statutory and non-statutory agencies across Austria, England, Greece, Ireland, Scotland and the Netherlands who recommended G/TI data from the grey literature. In addition, a peer review of literature was conducted in each country. Resulting data were collated using a standardized Protocol Mapping Document. G/TIs were identified for inclusion by (i) initial elimination of incomplete G/TI material; (ii) application of filtering criteria; and (iii) application of NPT. Results: 20 G/TIs met selection criteria: 8 guidelines and 12 training initiatives. Most G/TIs were identified in the Netherlands (n = 7), followed by Ireland (n = 6) and England (n = 5). Fewer were identified in Scotland (n = 2), and none in Greece or Austria. The majority (n = 13) were generated without the inclusion of migrant service users. All 20 were prospectively appraised for potential implementability by applying NPT. Conclusions: NPT is useful as a means of prospectively testing G/TIs for implementability. Results indicate a need to initiate meaningful engagement of migrants in the development of G/ TIs. A European-based professional standard for development and assessment of cross-cultural communication resources is advised.
KW - Community involvement
KW - Migrant health
KW - Normalization process theory
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=84939535794&partnerID=8YFLogxK
U2 - 10.1093/fampra/cmv022
DO - 10.1093/fampra/cmv022
M3 - Article
C2 - 25917169
AN - SCOPUS:84939535794
SN - 0263-2136
VL - 32
SP - 420
EP - 425
JO - Family Practice
JF - Family Practice
IS - 4
ER -