Authors
Eirlys J Pijpers, Bart Bloemen, Wija J Oortwijn, Baziel G M van Engelen, Gert Jan van der Wilt, Jan T Groothuis, Edith H C Cup
Published in
Disability and rehabilitation. Pages 1-21. Aug 14, 2026. Epub Aug 14, 2026.
Abstract
Interest in the potential significance of the capability approach for healthcare has grown rapidly. In this study, we developed, implemented and evaluated a clinical intervention based on the capability approach. The aim of the process evaluation, described in this article, is to understand how capability care was delivered and how healthcare professionals experienced delivering capability care.
Participants with neuromuscular diseases received usual (n = 29) or capability care (n = 28). We used a mixed methods approach guided by the Medical Research Council framework for process evaluation of complex interventions, collecting and analysing data from electronic health records, audio recordings of consultations with healthcare professionals, and focus groups and interviews with healthcare professionals (n = 13).
Healthcare professionals found implementation of capability care challenging and they only partially implemented it. Results showed that especially underlying values were discussed more often in capability care. Although healthcare professionals had different views on the added value of capability care, some healthcare professionals found that using capability care did change the care they provided.
The capability approach seems to have potential in healthcare, although implementation challenges need to be addressed. Practical recommendations for future implementation and evaluation are provided.
PMID:
42598923
Bibliographic data and abstract were imported from PubMed on 14 Aug 2026.
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