Real-world public health interventions demonstrate how research evidence informs program scale-up.

Evidence-based population interventions rely on intervention testing (efficacy and effectiveness trials) to determine what works to improve public health. We investigated the characteristics of real-world public health interventions to address obesity and explored the extent to which research testin...

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Publicado en:Health Promotion International Vol. 39; no. 5; pp. 1 - 10
Autores principales: Crane, Melanie, Lee, Karen, Wolfenden, Luke, Phongsavan, Philayrath, Bauman, Adrian
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
      vid: 39
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      pub: Oxford University Press / USA
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        10.1093/heapro/daae111
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        atl: Real-world public health interventions demonstrate how research evidence informs program scale-up.
      aug:
        au:
          Crane, Melanie
          Lee, Karen
          Wolfenden, Luke
          Phongsavan, Philayrath
          Bauman, Adrian
        affil: Sydney School of Public Health, The University of Sydney , New South Wales 2006 , Australia
      sug:
        subj:
          Public Health Evaluation
          Obesity Prevention and Control
          Research, Medical
          Treatment Outcomes
          Human
          Population Health
          Health Behavior
          Nutrition
          Physical Activity
          Health Education
          North America
          Financing, Government
          Web Search Engines
          World Wide Web
          Program Evaluation
          Decision Making
          Data Analysis Software
          Chi Square Test
          T-Tests
          Univariate Statistics
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Funding Source
      ab: Evidence-based population interventions rely on intervention testing (efficacy and effectiveness trials) to determine what works to improve public health. We investigated the characteristics of real-world public health interventions to address obesity and explored the extent to which research testing was undertaken prior to scale-up. We identified 90 population health interventions targeting physical activity, nutrition or obesity-related health behaviours and collected publicly available information on their key characteristics and outcomes. We then assessed the differences between interventions that followed a research pathway and those that did not. Two-thirds (n  = 60) of the interventions were reported as having followed a research pathway. Univariate logistic regression analysis revealed that these interventions were more likely to be health education interventions [odds ratio (OR): 5.56; 95% confidence interval (CI): 1.38–22.38], developed by research institutes (OR: 12.81; 95% CI: 3.47–47.34), delivered in North America (OR: 4.13; 95% CI: 1.61–10.62), and less likely to be owned (OR: 0.35; 95% CI: 0.14–0.88) or funded by government organizations (OR: 0.37; 95% CI: 0.14–0.95). Interventions that followed a research pathway were nearly three times more likely to have a positive impact on population health (OR: 2.72; 95% CI: 1.04–7.14). Interventions that followed a research pathway to scale-up were no more likely to be sustained longer than those that did not. Differences exist across real-world interventions between those that follow a research pathway to population-scale delivery and those that do not, regarding organizational and environmental context. A key benefit of research pathway to scale-up is the impact it has on health outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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