D5.1. Best Practice situation analysis. WP5 - CARE4DIABETES

The objective of this deliverable is (1) to timely present main recommendations to support 
development and implementation of C4D practices based on in-depth understanding of the 
VL best practice, and (2) to provide baseline understanding of each C4D practice contexts 
including key stakeholders. This deliverable addresses cross-sectional elements that will be 
reflected upon on communication and dissemination activities (D2.3); country 
implementation plans (D5.2), train-the trainers actions (D6.1), sustainability oriented actions 
(D4.1) and the reports on the Phase I and Phase II activities (D6.2 and D7.1).

The intended audience are members from C4D teams from implementing countries, and 
other members from competent authorities and associated entities. In addition, main 
learnings are important to institutions, associations and other stakeholders outside the 
consortium of this Joint Action, interested in designing and implementing sustainable 
educational programmes for diabetes or other (chronic) diseases, or contemplate to apply the 
principle of good practice transfer in improving health and healthcare.

State-of-the-art methodological frameworks and approaches were used to analyse 
implementation process (Consolidated Framework for Implementation Research CFIR), 
context characteristics (SCIROCCO Maturity Model), and to provide situation analysis of 
national/regional and local context (SWOT) including stakeholders’ analysis.

Main results from in-depth analysis of VL best practice, relevant for the implementation
process, are: (1) Intervention characteristics: VL best practice was internally developed with 
strong support of a wide variety of outside stakeholders, was unique to the Dutch context, 
and addressed the multidimensional nature of type 2 diabetes management;(2) Outer setting: 
Patient needs and views are continuously considered and the practice has adapted to meet 
the needs, VL is continuously engaged with stakeholders, and practice is aligned with national 
policies and funding frameworks; (3) Inner setting: The organizational structure supports 
continuous information flow between VL teams, frontline professionals and participants of 
the program, goals are clearly communicated, acted upon, and aligned with the staff, 
continuous learning and improvement are encouraged;(4) Characteristics of individuals: self-reflection in achieving implementation goals is valued and supported; passionate 
commitment of individuals to the goals of the organization exists and there is a perception 
that they have an impact on practice development: (5) Process: clear protocols exist, including 
the training; continuous efforts to identify and empower champions within and outside of the 
VL to overcome indifference or resistance, and there is continuous quantitative and qualitative 
feedback about progress and experience.