Table 3 Intervention design processes
Argentina | Brazil | Chile | Colombia | Mexico | Uruguay | |
|---|---|---|---|---|---|---|
Return of results | ||||||
Time | After baseline | After baseline | After baseline | After baseline | After baseline | After selection |
Size (nº centres and sessions) | 5 sessions in each PC centre, 1 session in SC | 3 sessions | 24 sessions in each PC and SC centre | 24 sessions in each PC and SC centre | 11 sessions in each PC and SC centre | 4 sessions |
Participants (nº and profile) | 83 participants Doctors, other health professionals, administrators, managers | 59 participants Doctors, other health professionals, managers and users | 479 participants Doctors, other health professionals, administrators, managers, users | 200 participants Doctors, other health professionals, managers | 280 participants Doctors, other health professionals, administrators, managers | 65 participants Doctors, other health professionals and users |
Dissemination method | -Presentation of results, followed by discussion – Results reports | – Presentation of results and preliminary selection – Reports and leaflets for managers, professionals, users | – Presentation of results and preliminary selection – Graphic materials and summary booklet | – Presentation of results and preliminary selection – Reports, leaflets and videos for professionals and patients | – Presentation of results, followed by discussion | – Presentation of results, followed by discussion – Summary booklet |
Selection of problems and interventions | ||||||
Time | During return of results | During return of results | During return of results | During return of results | After return of results | Before return of results |
Phases, nº participants* and sessions | Selection with PP (lead) and LSC – 18 participants, 2 sessions | 1º) Preliminary selection: 28 participants, 3 sessions 2º) Selection with LSC (lead) and PP: 37 Participants, 4 sessions | 1º) Preliminary selection: 479 participants, 24 sessions 2º) Selection with PP (lead) and LSC: 34 Participants, 5 sessions | 1º) Preliminary selection: 200 participants, 24 sessions 2º) Selection with LSC (lead) and PP: 21 participants, 4 sessions | Selection with PP (lead) and LSC: 31 participants, 4 sessions | 1º) Preliminary selection LSC:5 participants, 3 sessions 2º) Selection with LSC (lead) and PP: 20 participants, 10 sessions |
Methods | – Guided group discussions | – Individual prioritization criteria and nominal group | – Guided group discussions | – Individual prioritization criteria and nominal group | – Prioritization criteria | – Individual prioritization criteria and nominal group |
Design and planning of interventions | ||||||
Type of design and phases | – Open-ended design in phases, to be defined as phases are implemented (18 months) – Not all phases are implemented | – Design in 2 PAR cycles 1º) Initial design and planning (2 months) 2º) Adjustment following first implementation phase (5 months) – Some interventions and adjustments designed by the MHD | – Design in multiple PAR cycles (10 months) 1º) Formation of roundtables and work groups for design 2º) Pilot of main components 3º) Evaluation and adjustment | – Design in 2 PAR cycles 1º) Initial design and planning (2 months) 2º) Adjustment following first implementation phase (5 months) | – Design in 2 PAR cycles 1º) Initial design and planning (2 months) 2º) Adjustment following first implementation phase (5 months) | – Open-ended design, to be specified over the course of the intervention (7 months) – RT takes on activities assigned to PP |
Method | Initial proposal of RT, discussed with PP, LSC and network managers | Proposal discussed with LSC | – PAR method: systematization of experience – collective reflection – action | – Initial proposal of RT, discussed with PP, LSC and managers | Proposal discussed with LSC and PP, and SHD (1º PAR cycle) | – Initial proposal of RT, discussed with PP and LSC |
Participants (nº and profile)* and nº sessions | – PP and LSC – 31 participants, 34 sessions | – LSC – 22 participants, 7 sessions | – LSC (11 participants, 12 sessions) – Roundtables and groups: middle management and professionals of network (33 participants, 31 sessions) – Pilot tests: network professionals (90 participants, 4 sessions) | – PP and LSC – 26 participants, 5 sessions | – LSC and PP – 46 participants, 24 sessions | – PP and LSC - 20 participants, 4 sessions |