Exploring pathways to optimise care in malignant bowel obstruction (EPOC): Protocol for a three-phase critical realist approach to theory-led intervention development for shared decision-making.
Alison BravingtonJason W BolandSarah GreenleyMichael LindFliss E M MurtaghMichael PattersonMark PearsonMiriam J JohnsonPublished in: PloS one (2024)
Exploring Pathways to Optimise Care (EPOC) is a three-phase study set within a critical realist framework: (i) realist review, to develop explanatory theory describing collaborative decision-making in the management of malignant bowel obstruction; (ii) an in-depth interview study using modified grounded theory to explore the active ingredients of this collaboration in practice settings; and (iii) the presentation to stakeholders (practitioners, patients and caregivers) of integrated results from Phase I (theory developed from the literature) and Phase II (theory developed from current practice) as a basis for intervention mapping. We aim to produce recommendations to address the challenges, and to develop a set of tools to (i) aid interaction around shared decision-making and (ii) aid interprofessional interaction around the management of this condition. Registration details: The realist review is registered with PROSPERO (CRD42022308251).
Keyphrases
- healthcare
- quality improvement
- randomized controlled trial
- palliative care
- phase ii
- primary care
- clinical trial
- end stage renal disease
- open label
- systematic review
- patient safety
- chronic kidney disease
- high resolution
- prognostic factors
- optical coherence tomography
- mass spectrometry
- peritoneal dialysis
- patient reported outcomes
- affordable care act
- placebo controlled
- high density