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Nayiga S, DiLiberto D, Taaka L, et al. Strengthening patient-centred communication in rural Ugandan health centres: A theory-driven evaluation within a cluster randomized trial. Evaluation (Lond). 2014;20(4):471-491doi: 10.1177/1356389014551484.
Nayiga, S., DiLiberto, D., Taaka, L., Nabirye, C., Haaland, A., Staedke, S. G., & Chandler, C. I. (2014). Strengthening patient-centred communication in rural Ugandan health centres: A theory-driven evaluation within a cluster randomized trial. Evaluation (London, England : 1995), 20(4), 471-491. https://doi.org/10.1177/1356389014551484
Nayiga, Susan, et al. "Strengthening patient-centred communication in rural Ugandan health centres: A theory-driven evaluation within a cluster randomized trial." Evaluation (London, England : 1995) vol. 20,4 (2014): 471-491. doi: https://doi.org/10.1177/1356389014551484
Nayiga S, DiLiberto D, Taaka L, Nabirye C, Haaland A, Staedke SG, Chandler CI. Strengthening patient-centred communication in rural Ugandan health centres: A theory-driven evaluation within a cluster randomized trial. Evaluation (Lond). 2014 Oct;20(4):471-491. doi: 10.1177/1356389014551484. PMID: 25983612; PMCID: PMC4425297.
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Evaluation (Lond). 2014 Oct;20(4):471-491. doi: 10.1177/1356389014551484.

Strengthening patient-centred communication in rural Ugandan health centres: A theory-driven evaluation within a cluster randomized trial.

Evaluation (London, England : 1995)

Susan Nayiga, Deborah DiLiberto, Lilian Taaka, Christine Nabirye, Ane Haaland, Sarah G Staedke, Clare I R Chandler

Affiliations

  1. Infectious Disease Research Collaboration, Uganda.
  2. London School of Hygiene & Tropical Medicine, UK.
  3. University of Oslo, Norway.

PMID: 25983612 PMCID: PMC4425297 DOI: 10.1177/1356389014551484

Abstract

This article describes a theory-driven evaluation of one component of an intervention to improve the quality of health care at Ugandan public health centres. Patient-centred services have been advocated widely, but such approaches have received little attention in Africa. A cluster randomized trial is evaluating population-level outcomes of an intervention with multiple components, including 'patient-centred services.' A process evaluation was designed within this trial to articulate and evaluate the implementation and programme theories of the intervention. This article evaluates one hypothesized mechanism of change within the programme theory: the impact of the Patient Centred Services component on health-worker communication. The theory-driven approach extended to evaluation of the outcome measures. The study found that the proximal outcome of patient-centred communication was rated 10 percent higher (

Keywords: Africa; complex intervention; patient centred communication; quality of health care; theory-driven evaluation

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