Table 1 Summary of methods and findings of the OPTI-SCRIPT process evaluation
Domain | Research focus | Data source | Main findings |
|---|---|---|---|
Recruitment of practices | How were practices sampled and recruited? Reasons for non-participation? | Study team recruitment logs | Practices recruited from the HRB primary care research network by email with follow-up call. Recruitment modest, main reason for declining was practice being too busy. |
Delivery to practices | What intervention is delivered for each practice? Is it the one intended by the researchers? | Semi-structured interviews | Academic detailing delivered to intervention practices as planned. Letters sent to control practices as planned. |
Response of practices | How is the intervention adopted by clusters? | Website activity, semi-structured interviews | Medication reviews conducted as planned by eight (73Â %) intervention practices, two (18Â %) conducted reviews without patients present. Two (20Â %) control practices made changes to patients. |
Recruitment and reach in individuals | Who actually receives the intervention in each setting? Are they representative? | Study team recruitment logs, patient questionnaire data | Patients recruited broadly similar to national population demographically. |
Delivery to individuals | Who received medication reviews? | Semi-structured interviews, website activity | Eighty-six patients had reviews, one practice conducted no reviews. |
How were reviews conducted? | Semi-structured interviews | Eight intervention practices conducted reviews with patients, two practices conducted reviews without patients present. | |
What were the outcomes of the reviews? | Website activity | Most common outcome – dose reduction. | |
Responses of individuals | How does the target population respond? | Semi-structured interviews | Patients happy to participate and valued the opportunity to review unnecessary medication. |