Challenges in evaluating implementation and effectiveness in real-world settings: evaluation proposal for school-based health-promoting intervention.

There are various research designs and approaches to investigate how health-promoting activities are implemented in complex, real-world systems, and to identify potential health effects that might occur following implementation. Although literature describes guidelines to perform and report about im...

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Publicado en:Health Promotion International Vol. 38; no. 1; pp. 1 - 8
Autores principales: Hahnraths, Marla T H, Willeboordse, Maartje, Schayck, Onno C P van
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2023
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      pub: Oxford University Press / USA
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        atl: Challenges in evaluating implementation and effectiveness in real-world settings: evaluation proposal for school-based health-promoting intervention.
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          Hahnraths, Marla T H
          Willeboordse, Maartje
          Schayck, Onno C P van
        affil: Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University , P.O. Box 616, 6200 MD Maastricht , The Netherlands
      sug:
        subj:
          Program Evaluation Methods
          Health Promotion
          School Health Services Organizations
          Implementation Science Methods
          Human
          Child
          Adolescence
          Case Studies
          Research Methodology
          Outcome Assessment
          Diffusion of Innovation
          Knowledge Bases
          Research Personnel
          Quasi-Experimental Studies
          Schools
          School Policies
          Physical Activity
          Descriptive Statistics
          Comparative Studies
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: There are various research designs and approaches to investigate how health-promoting activities are implemented in complex, real-world systems, and to identify potential health effects that might occur following implementation. Although literature describes guidelines to perform and report about implementation research and effect evaluations, no specific guidelines exist on analysing and reporting about the combination of effectiveness data and implementation data collected as part of intervention evaluation in complex and diverse settings. This paper describes the evaluation of primary school-based health-promoting activities in complex systems. Furthermore, an approach for data categorization inspired by Rogers' Diffusion of Innovations theory is presented that can facilitate structuring the study's results and relating the degree of implementation to any impact on effectiveness outcomes that might be observed. Researchers interested in using this approach for data categorization have to ensure that the following three conditions are met: (i) data on an intervention's efficacy in a controlled setting with optimal implementation is available; (ii) key points that define an intervention's optimal implementation are available and (iii) an evaluation study is performed, collecting both effectiveness data and implementation data in a real-world context. This data categorization approach can be useful to generate more insight into an intervention's effectiveness under varying circumstances, and optimal support and advice can be provided to stakeholders to achieve maximum impact of population-based health-promoting interventions in complex, real-world systems. However, the proposed approach is a first suggestion and further testing and adaptation is necessary to increase its usefulness. Knowledge and experience sharing among researchers performing comparable research can increase the knowledge base regarding this subject.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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