• Login
    JavaScript is disabled for your browser. Some features of this site may not work without it.
    008 pp: beyond effectiveness: conducting qualitative research alongside a cluster randomised controlled trial of hiv testing in general practice. 
    •   QMRO Home
    • Blizard Institute
    • Centre for Primary Care and Public Health
    • 008 pp: beyond effectiveness: conducting qualitative research alongside a cluster randomised controlled trial of hiv testing in general practice.
    •   QMRO Home
    • Blizard Institute
    • Centre for Primary Care and Public Health
    • 008 pp: beyond effectiveness: conducting qualitative research alongside a cluster randomised controlled trial of hiv testing in general practice.
    ‌
    ‌

    Browse

    All of QMROCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    ‌
    ‌

    Administrators only

    Login
    ‌
    ‌

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    008 pp: beyond effectiveness: conducting qualitative research alongside a cluster randomised controlled trial of hiv testing in general practice.

    View/Open
    Accepted version (16.17Kb)
    Volume
    5
    Pagination
    UCLSymposiumAbstracts19 - ?
    DOI
    10.1136/bmjopen-2015-UCLSymposiumAbstracts.19
    Journal
    BMJ Open
    Issue
    4
    Metadata
    Show full item record
    Abstract
    I worked as a trial manager of a cluster randomized controlled trial of rapid HIV testing in primary care settings over a 2.5 year period. This left me with a number of questions that were unanswered by the trial design. I have since undertaken a PhD applying qualitative methodology to explore trial phenomena, including process evaluation, case study and qualitative interviews. We applied the Diffusion of Innovations in Healthcare Settings(a) model to process data from the trial to explore high and low performing practices. This provided a rich picture of the intervention implementation process, as intended; however this data also prompted the need to revisit some of the assumptions upon which the trial was based. The trial assumed rapid testing would detect undiagnosed HIV however the exploration of patient data revealed this was not always the case. For example, already knowing their status, one patient used the rapid test to manage a number of factors related to their identity and personal circumstances, demonstrating the way testing and treatment creates meaning for patients. It also echoes what Annemarie Mol suggests in the Logic of Care, that we pay attention not only to what technologies are supposed to do, but what they happen to do.(b) This example, among other unexpected findings, highlights the need for a greater theorisation of the data and the unravelling of trial assumptions. We explore the experience of conducting qualitative analysis alongside a cluster randomised controlled trial related to a stigmatised illness and discuss the challenges and insights gained in the process. (a)Greenhalgh T, Robert G, McFarlane F, et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Quarterly 2004;82:581-629. (b)Mol A. The logic of care: health and the problem of patient choice. London, United Kingdom: Routledge, 2008.
    Authors
    McMullen, H; Griffiths, C; Greenhalgh, T
    URI
    http://qmro.qmul.ac.uk/xmlui/handle/123456789/7287
    Collections
    • Centre for Primary Care and Public Health [1461]
    Language
    eng
    Twitter iconFollow QMUL on Twitter
    Twitter iconFollow QM Research
    Online on twitter
    Facebook iconLike us on Facebook
    • Site Map
    • Privacy and cookies
    • Disclaimer
    • Accessibility
    • Contacts
    • Intranet
    • Current students

    Modern Slavery Statement

    Queen Mary University of London
    Mile End Road
    London E1 4NS
    Tel: +44 (0)20 7882 5555

    © Queen Mary University of London.