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Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake
Open accessAbstract
BACKGROUND: Rapid approaches to collecting and analyzing qualitative interview data can accelerate discovery timelines and intervention development while maintaining scientific rigor. We describe the application of these methods to a program designed to improve care coordination between the Veterans Health Administration (VHA) and community providers. METHODS: Care coordination between VHA and community providers can be challenging in rural areas. The Telehealth-based Coordination of Non-VHA Care (TECNO Care) intervention was designed to improve care coordination among VHA and community providers. To ensure contextually appropriate implementation of TECNO Care, we conducted preimplementation interviews with veterans, VHA administrators, and VHA and community providers involved in community care. Using both a rapid approach and qualitative analysis, an interviewer and 1-2 note-taker(s) conducted interviews. RESULTS: Over 5 months, 18 stakeholders were interviewed and we analyzed these data to identify how best to deliver TECNO Care. Responses relevant to improving care coordination include health system characteristics; target population; metrics and outcomes; challenges with the current system; and core components. Veterans who frequently visit VHA or community providers and are referred for additional services are at risk for poor outcomes and may benefit from additional care coordination. Using these data, we designed TECNO Care to include information on VHA services and processes, assist in the timely completion of referrals, and facilitate record sharing. CONCLUSION: Rapid qualitative analysis can inform near real-time intervention development and ensure relevant content creation while setting the stage for stakeholder buy-in. Rigorous and timely analyses support the delivery of contextually appropriate, efficient, high-value patient care.
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“Rapid qualitative analysis is useful to obtain targeted qualitative data and comparative results when data collection targets and processes are highly structured [65].”
From Synthetic Lies: Understanding AI-Generated Misinformation and Evaluating Algorithmic and Human Solutions (2023) · cites this paper as [65]
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Metadata
- Authors
- Lewinski, A. A., Crowley, M. J., Miller, C., Bosworth, H. B., Jackson, G. L., Steinhauser, K., White-Clark, C., McCant, F., & Zullig, L. L.
- Affiliations
- Duke University (US)
- Harvard University (US)
- Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System
- Durham VA Health Care System (US)
- Corresponding author
- Lewinski, Allison A.
- Crowley, Matthew J.
- Bosworth, Hayden B.
- Jackson, George L.
- Steinhauser, Karen
- McCant, Felicia
- Zullig, Leah L.
- ORCID
- Venue
- Medical Care
- Published
- 2021-05-13
- Volume
- 59
- Issue
- Suppl 3
- Pages
- S242-S251
- ISSN
- 0025-7079 (ISSN-L)
- PMC
- PMC8132894
- OpenAlex
- W3163088900
- Cited by
- 296
- References
- 32
- Citations by year
- 2026: 83 · 2025: 70 · 2024: 79 · 2023: 43 · 2022: 20 · 2021: 1
- FWCI
- 40.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Medical Care (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs (CIN 13–410, IK6 HX003161)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Education › Qualitative Research Methods and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- rapid qualitative analysis, intervention development, care coordination, Veterans Health Administration, community service providers, telemedicine, rural veterans, stakeholder engagement, referral completion, health record sharing, implementation readiness
- MeSH terms
- Stakeholder Participation, Veterans Health Services, Community Health Services, Health Plan Implementation, Humans, Patient Acceptance of Health Care, Patient Care Management, United States, United States Department of Veterans Affairs, Veterans, Telemedicine, Rural Health Services, Qualitative Research
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