1
|
A stakeholder engagement strategy for an ongoing research program in rural dementia care: Stakeholder and researcher perspectives. PLoS One 2022; 17:e0274769. [PMID: 36137130 PMCID: PMC9499231 DOI: 10.1371/journal.pone.0274769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 09/04/2022] [Indexed: 11/21/2022] Open
Abstract
Participatory research approaches have developed in response to the growing emphasis on translation of research evidence into practice. However, there are few published examples of stakeholder engagement strategies, and little guidance specific to larger ongoing research programs or those with a rural focus. This paper describes the evolution, structure, and processes of an annual Rural Dementia Summit launched in 2008 as an engagement strategy for the Rural Dementia Action Research (RaDAR) program and ongoing for more than 10 years; and reports findings from a parallel mixed-methods study that includes stakeholder and researcher perspectives on the Summit’s value and impact. Twelve years of stakeholder evaluations were analyzed. Rating scale data were summarized with descriptive statistics; open-ended questions were analyzed using an inductive thematic analysis. A thematic analysis was also used to analyze interviews with RaDAR researchers. Rating scale data showed high stakeholder satisfaction with all aspects of the Summit. Five themes were identified in the qualitative data: hearing diverse perspectives, building connections, collaborating for change, developing research and practice capacity, and leaving recharged. Five themes were identified in the researcher data: impact on development as a researcher, understanding stakeholder needs, informing research design, deepening commitment to rural dementia research, and building a culture of engagement. These findings reflect the key principles and impacts of stakeholder engagement reported in the literature. Additional findings include the value stakeholders place on connecting with stakeholders from diverse backgrounds, how the Summit was revitalizing, and how it developed stakeholder capacity to support change in their communities. Findings indicate that the Summit has developed into a community of practice where people with a common interest come together to learn and collaborate to improve rural dementia care. The Summit’s success and sustainability are linked to RaDAR’s responsiveness to stakeholder needs, the trust that has been established, and the value that stakeholders and researchers find in their participation.
Collapse
|
2
|
Lessons Learned from an Intersectoral Collaboration between the Public Sector, NGOs, and Sports Clubs to Meet the Needs of Vulnerable Youths. SOCIETIES 2022. [DOI: 10.3390/soc12010013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The Norwegian Government emphasizes intersectoral collaboration to achieve health goals such as reducing social health differences. However, research shows that achieving fruitful collaboration between different organizations and the public sector is challenging. The sports sector is one potential partner for such collaboration. Although the Government calls for intersectoral collaboration that includes the sports sector, there are few concrete guidelines for how this may be implemented in practice. Guided by The Bergen Model of Collaborative Functioning, the purpose of this study was to explore factors that promote or inhibit collaboration in an intersectoral project involving the sports sector, NGOs, and public sector. The current project aimed to work towards creating health promoting activities aimed at vulnerable youths. Methods: A qualitative case study of the Sports Project with interviews of eleven collaborative partners. Results: Factors promoting collaboration amongst the different partners were having a common mission, an appreciation of the partners’ complementary skills and knowledge, and a consistent user perspective. Conclusions: By orienting the collaboration towards the users’ needs, the partners have succeeded in creating tailored health-promoting activities for vulnerable youths. However, a challenge remains in transforming the collaborative project into a sustainable structure.
Collapse
|
3
|
Popp J, Carl J, Grüne E, Pfeifer K. Introducing the Practice Dive Approach: an extension of co-creation in physical activity promotion and health promotion. Health Promot Int 2021; 36:ii53-ii64. [PMID: 34905611 PMCID: PMC8672929 DOI: 10.1093/heapro/daab160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Recently, there has been increasing interest in co-creation utilized for physical
activity (PA) promotion and health promotion. Co-creation involves researchers
and non-academic stakeholders conjointly developing and implementing
interventions. In addition to the frequently reported benefits of co-creation,
critical voices highlight the associated challenges (e.g. different interests
that inhibit interaction). So far, research has not identified concrete
solutions to these challenges and the limitations of co-creation. This article
aims to introduce the Practice Dive Approach as a potential way to strengthen
cooperation between researchers and non-academic stakeholders. We build on
real-life experiences from a German research project, in which researchers moved
into practice to familiarize themselves with the settings and end-users. After
conducting a literature search on related concepts in PA/health promotion, we
developed a comprehensive approach to fostering multi-sectoral cooperation. The
introduced Practice Dive Approach assumes that a significant contribution to
better cooperation among co-creators is the temporal immersion of researchers in
their setting of interest, which has the potential to improve the success of
co-creation in the PA/health promotion field. A four-level typology
characterizes the intensity of researcher interactions with the setting and the
non-academic stakeholders. Potential beneficial effects for both researchers and
non-academic stakeholders can be hypothesized (e.g. familiarity with the setting
structures and increased understanding of the end-users), while simultaneously,
some challenges need to be considered. Future research should aim to validate
the concept and its postulated effects. Collaboration among researchers and non-academic stakeholders is increasingly
used to promote physical activity and health. For example, people involved in
such collaborations jointly develop new interventions. Potential challenges
include different interests or work routines that can complicate cooperation.
This article aims to introduce the Practice Dive Approach as a potential way to
improve cooperation between researchers and non-academic stakeholders. We
developed the approach based on observations from a German research project and
a literature search on related concepts. This approach assumes that the temporal
involvement of researchers in their setting of interest can strengthen
research-practice cooperation and improve its success. We describe different
types of a Practice Dive and the requirements for conducting Practice Dive
activities. Furthermore, we present the potential effects of a Practice Dive for
the researchers and the non-academic stakeholders, such as increased familiarity
between both groups. However, some challenges need to be considered when
applying the Practice Dive Approach. Future research should test this approach
and its potential effects.
Collapse
Affiliation(s)
- Johanna Popp
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Gebbertstraße 123b, Erlangen 91058, Germany
| | - Johannes Carl
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Gebbertstraße 123b, Erlangen 91058, Germany
| | - Eva Grüne
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Gebbertstraße 123b, Erlangen 91058, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Gebbertstraße 123b, Erlangen 91058, Germany
| |
Collapse
|
4
|
Using an integrated knowledge translation approach to inform a pilot feasibility randomized controlled trial on peer support for individuals with traumatic brain injury: A qualitative descriptive study. PLoS One 2021; 16:e0256650. [PMID: 34428259 PMCID: PMC8384186 DOI: 10.1371/journal.pone.0256650] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Accepted: 08/11/2021] [Indexed: 01/02/2023] Open
Abstract
Introduction Traumatic brain injury (TBI) is estimated to affect 10 million people annually, making it a leading cause of morbidity and mortality worldwide. One cost-effective intervention that has been shown to minimize some of the negative sequelae after TBI is peer support. However, the evidence supporting the benefits of peer support for individuals with TBI is sparse and of low quality. Integrated knowledge translation (iKT) may be one approach to optimizing the evaluation of peer support programs among individuals with TBI. Therefore, the objectives are: (1) To understand key informants’ perspectives of the barriers and facilitators of participating in peer support research and programs among individuals with TBI; (2) to understand key informants’ perspectives on the perceived impacts of peer support programs on individuals with TBI; and, (3) to demonstrate how an iKT approach can inform the development and implementation of a pilot feasibility randomized controlled trial (RCT). Methods A qualitative descriptive approach using one-on-one semi-structured interviews was used. Purposive sampling of 22 key informants included 8 peer support mentors, 4 individuals with TBI who received peer support, 3 caregivers of individuals with TBI, 4 peer support program staff, and 3 academics in peer support and/or TBI. Results There were five main themes related to the barriers and facilitators to participating in peer support research and programs: knowledge, awareness, and communication; logistics of participating; readiness and motivation to participate; need for clear expectations; and matching. There were three main themes related to the perceived impact of peer support: acceptance, community, social experiences; vicarious experience/learning through others: shared experiences, role-modelling, encouragement; and “I feel better.” Discussions with our Research Partner led to several significant adaptations to our trial protocol, including removing the twice/week intervention arm, shortening of the length of trial, and changing the measure for the community integration outcome. Discussion/Conclusion This is the first study to use an iKT approach to inform a trial protocol and the first to assess the barriers and facilitators to participating in peer support research.
Collapse
|
5
|
Schultes MT, Aijaz M, Klug J, Fixsen DL. Competences for implementation science: what trainees need to learn and where they learn it. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2021; 26:19-35. [PMID: 32372393 PMCID: PMC7900055 DOI: 10.1007/s10459-020-09969-8] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 04/27/2020] [Indexed: 06/11/2023]
Abstract
Education in implementation science, which involves the training of health professionals in how to implement evidence-based findings into health practice systematically, has become a highly relevant topic in health sciences education. The present study advances education in implementation science by compiling a competence profile for implementation practice and research and by exploring implementation experts' sources of expertise. The competence profile is theoretically based on educational psychology, which implies the definition of improvable and teachable competences. In an online-survey, an international, multidisciplinary sample of 82 implementation experts named competences that they considered most helpful for conducting implementation practice and implementation research. For these competences, they also indicated whether they had acquired them in their professional education, additional training, or by self-study and on-the-job experience. Data were analyzed using a mixed-methods approach that combined qualitative content analyses with descriptive statistics. The participants deemed collaboration knowledge and skills most helpful for implementation practice. For implementation research, they named research methodology knowledge and skills as the most important ones. The participants had acquired most of the competences that they found helpful for implementation practice in self-study or by on-the-job experience. However, participants had learned most of their competences for implementation research in their professional education. The present results inform education and training activities in implementation science and serve as a starting point for a fluid set of interdisciplinary implementation science competences that will be updated continuously. Implications for curriculum development and the design of educational activities are discussed.
Collapse
Affiliation(s)
- Marie-Therese Schultes
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Vienna, Universitaetsstrasse 7, 1010 Vienna, Austria
- Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, CB #7445 Rosenau, Chapel Hill, NC 27599-7445 USA
| | - Monisa Aijaz
- Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, CB #7445 Rosenau, Chapel Hill, NC 27599-7445 USA
| | - Julia Klug
- Salzburg University of Education, Akademiestrasse 26, 5020 Salzburg, Austria
| | - Dean L. Fixsen
- AIRN Active Implementation Research Network, 6707 Glen Forest Drive, Chapel Hill, NC 27517-8647 USA
| |
Collapse
|
6
|
Pfadenhauer LM, Grath T, Delobelle P, Jessani N, Meerpohl JJ, Rohwer A, Schmidt BM, Toews I, Akiteng AR, Chapotera G, Kredo T, Levitt N, Ntawuyirushintege S, Sell K, Rehfuess EA. Mixed method evaluation of the CEBHA+ integrated knowledge translation approach: a protocol. Health Res Policy Syst 2021; 19:7. [PMID: 33461592 PMCID: PMC7813167 DOI: 10.1186/s12961-020-00675-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 12/21/2020] [Indexed: 11/26/2022] Open
Abstract
Background The Collaboration for Evidence-based Healthcare and Public Health in Africa (CEBHA+) is a research consortium concerned with the prevention, diagnosis and treatment of non-communicable diseases. CEBHA+ seeks to engage policymakers and practitioners throughout the research process in order to build lasting relationships, enhance evidence uptake, and create long-term capacity among partner institutions in Ethiopia, Malawi, Rwanda, South Africa and Uganda in collaboration with two German universities. This integrated knowledge translation (IKT) approach includes the formal development, implementation and evaluation of country specific IKT strategies. Methods We have conceptualised the CEBHA+ IKT approach as a complex intervention in a complex system. We will employ a comparative case study (CCS) design and mixed methods to facilitate an in-depth evaluation. We will use quantitative surveys, qualitative interviews, quarterly updates, and a policy document analysis to capture the process and outcomes of IKT across the African CEBHA+ partner sites. We will conduct an early stage (early 2020) and a late-stage evaluation (early 2022), triangulate the data collected with various methods at each site and subsequently compare our findings across the five sites. Discussion Evaluating a complex intervention such as the CEBHA+ IKT approach is complicated, even more so when undertaken across five diverse countries. Despite conceptual, methodological and practical challenges, our comparative case study addresses important evidence gaps: While involving decision-makers in the research process is gaining traction worldwide, we still know very little regarding (i) whether this approach really makes a difference to evidence uptake, (ii) the mechanisms that make IKT successful, and (iii) relevant differences across socio-cultural contexts. The evaluation described here is intended to provide relevant insights on all of these aspects, notably in countries in Sub-Saharan Africa, and is expected to contribute to the science of IKT overall.
Collapse
Affiliation(s)
- Lisa M Pfadenhauer
- Institute for Medical Information Processing, Biometry and Epidemiology, LMU Munich, Elisabeth-Winterhalter-Weg 6, 81377, Munich, Germany. .,Pettenkofer School of Public Health, Munich, Germany.
| | - Tanja Grath
- Institute for Medical Information Processing, Biometry and Epidemiology, LMU Munich, Elisabeth-Winterhalter-Weg 6, 81377, Munich, Germany.,Pettenkofer School of Public Health, Munich, Germany
| | - Peter Delobelle
- Chronic Disease Initiative for Africa (CDIA), University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa.,Department of Public Health, Vrije Universiteit Brussel, Laarbeeklaan 103, Jette, 1090, Brussels, Belgium
| | - Nasreen Jessani
- Centre for Evidence Based Health Care, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Parow, Cape Town, 7500, South Africa.,Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, 21205, USA
| | - Joerg J Meerpohl
- Institute for Evidence in Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 86, 79110, Freiburg Im Breigau, Germany.,Cochrane Germany, Cochrane Germany Foundation, Berliner Allee 2, 79110, Freiburg im Breisgau, Germany
| | - Anke Rohwer
- Centre for Evidence Based Health Care, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Parow, Cape Town, 7500, South Africa
| | - Bey-Marrié Schmidt
- Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, Tygerburg, 7500, South Africa
| | - Ingrid Toews
- Cochrane Germany, Cochrane Germany Foundation, Berliner Allee 2, 79110, Freiburg im Breisgau, Germany
| | - Ann R Akiteng
- College of Health Sciences, Makerere University, Plot 1 Upper Mulago Hill Road, Kampala, Uganda
| | - Gertrude Chapotera
- School of Public Health and Family Medicine, College of Medicine, University of Malawi, Mahatma Gandhi Road, Private Bag 360, Blantyre, Malawi
| | - Tamara Kredo
- Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, Tygerburg, 7500, South Africa.,Division of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Naomi Levitt
- Chronic Disease Initiative for Africa (CDIA), University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, 7925, South Africa
| | | | - Kerstin Sell
- Institute for Medical Information Processing, Biometry and Epidemiology, LMU Munich, Elisabeth-Winterhalter-Weg 6, 81377, Munich, Germany.,Pettenkofer School of Public Health, Munich, Germany
| | - Eva A Rehfuess
- Institute for Medical Information Processing, Biometry and Epidemiology, LMU Munich, Elisabeth-Winterhalter-Weg 6, 81377, Munich, Germany.,Pettenkofer School of Public Health, Munich, Germany
| |
Collapse
|
7
|
McIsaac JLD, Riley BL. Engaged scholarship and public policy decision-making: a scoping review. Health Res Policy Syst 2020; 18:96. [PMID: 32843063 PMCID: PMC7449077 DOI: 10.1186/s12961-020-00613-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Accepted: 08/03/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Engaged scholarship includes the coproduction and use of research by partnerships that blend research, policy and/or practice perspectives. This way of doing research attempts to bridge-the-gap between knowledge and its application. Recent reviews have described practices that support engagement and involve the community in research and patients in healthcare but there is less known about how to engage individuals working to inform public policy. AIMS AND OBJECTIVES The purpose of this research was to articulate the actions and context that support the coproduction and use of research to inform public policy decisions. The study focuses on partnerships between researchers and stakeholders working in public policy across different levels and sectors of government. METHODS A scoping review methodology was used. Relevant articles were identified from six electronic bibliographic databases of peer-reviewed literature. FINDINGS A total of 9904 articles were screened and 375 full-text articles were assessed for eligibility. The included 11 studies were from research partnerships internationally and described actions and contextual factors contributing to the coproduction and use of research to inform public policy. Key actions included facilitating frequent interactions with public policy stakeholders, joint planning for research, and collaboration to execute data collection and analysis. Contextual factors included clarity in responsibilities, prior relationships, and mutual respect for partner priorities and perspectives. CONCLUSIONS Key actions and contextual factors were identified in this review and warrant further study to strengthen research-policy partnerships and their outcomes.
Collapse
Affiliation(s)
- Jessie-Lee D McIsaac
- Faculty of Education and Department of Child and Youth Study, Mount Saint Vincent University, 166 Bedford Highway, Halifax, Nova Scotia, B3M 2J6, Canada.
- Healthy Populations Institute, Dalhousie University, Halifax, Nova Scotia, B3H 4R2, Canada.
| | - Barbara L Riley
- Faculty of Applied Health Sciences and Renison University College, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada
| |
Collapse
|
8
|
Cicognani E, Albanesi C, Valletta L, Prati G. Quality of collaboration within health promotion partnerships: Impact on sense of community, empowerment, and perceived projects' outcomes. JOURNAL OF COMMUNITY PSYCHOLOGY 2020; 48:323-336. [PMID: 31596969 DOI: 10.1002/jcop.22254] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 09/05/2019] [Accepted: 09/06/2019] [Indexed: 06/10/2023]
Abstract
Community coalitions or intersectoral partnerships have long been advocated for the promotion of population health. In the present study, we assessed the quality of the functioning of health promotion partnerships created within a large community health promotion program implemented by the Emilia-Romagna region located in the north-east of Italy (2014-2016). In particular, we aimed to test the effectiveness of partnership working in strengthening participants' empowerment, sense of community and ultimately, the outcomes of a well-functioning partnership, conceptualized as including perceived effectiveness of health promotion interventions developed by the partnership, trust in their implementation and personal commitment in health promotion in the future. Participants were 238 stakeholders (e.g., health professionals, representatives of local administrations, teachers, representative of community and volunteer organizations, and citizens) formally included in six partnerships lead by six major local health services. Using Bayesian structural equation modeling, we found that a higher perceived quality of collaboration within the partnership enhances the outcomes of a well-functioning partnership, by strengthening their sense of a health-promoting community and empowerment. Sense of community responsibility did not predict future commitment in health promotion. The study findings suggest that community members' ownership and feeling of responsibility, as well as empowerment constitute positive partnership processes.
Collapse
Affiliation(s)
- Elvira Cicognani
- Department of Psychology, University of Bologna, Cesena, Forlì-Cesena, Italy
| | - Cinzia Albanesi
- Department of Psychology, University of Bologna, Cesena, Forlì-Cesena, Italy
| | - Luana Valletta
- Department of Psychology, University of Bologna, Cesena, Forlì-Cesena, Italy
| | - Gabriele Prati
- Department of Psychology, University of Bologna, Cesena, Forlì-Cesena, Italy
| |
Collapse
|
9
|
Hoekstra F, Martin Ginis KA, Allan V, Kothari A, Gainforth HL. Evaluating the impact of a network of research partnerships: a longitudinal multiple case study protocol. Health Res Policy Syst 2018; 16:107. [PMID: 30419902 PMCID: PMC6233573 DOI: 10.1186/s12961-018-0377-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Accepted: 10/07/2018] [Indexed: 11/10/2022] Open
Abstract
Background Conducting and/or disseminating research together with community stakeholders (e.g. policy-makers, practitioners, community organisations, patients) is a promising approach to generating relevant and impactful research. However, creating strong and successful partnerships between researchers and stakeholders is complex. Thus far, an in-depth understanding of how, when and why these research partnerships are successful is lacking. The aim of this study is to evaluate and explain the outcomes and impacts of a national network of researchers and community stakeholders over time in order to gain a better understanding of how, when and why research partnerships are successful (or not). Methods This longitudinal multiple case study will use data from the Canadian Disability Participation Project, a large national network of researchers and community stakeholders working together to enhance community participation among people with physical disabilities. To maximise the impact of research conducted within the Canadian Disability Participation Project network, researchers are supported in developing and implementing knowledge translation plans. The components of the RE-AIM framework (reach, effectiveness, adoption, implementation and maintenance) will guide this study. Data will be collected from different perspectives (researchers, stakeholders) using different methods (logs, surveys, timeline interviews) at different time points during the years 2018–2021. A combination of data analysis methods, including network analysis and cluster analysis, will be used to study the RE-AIM components. Qualitative data will be used to supplement the findings and further understand the variation in the RE-AIM components over time and across groups. Discussion The outcomes, impacts and processes of conducting and disseminating research together with community stakeholders will be extensively studied. The longitudinal design of this study will provide a unique opportunity to examine research partnerships over time and understand the underlying processes using a variety of innovative research methods (e.g. network analyses, timeline interviews). This study will contribute to opening the ‘black box’ of doing successful and impactful health research in partnership with community stakeholders. Trial registration Open Science Framework: https://osf.io/kj5xa/.
Collapse
Affiliation(s)
- Femke Hoekstra
- School of Health and Exercise Sciences, University of British Columbia Okanagan, Kelowna, BC, Canada. .,International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
| | - Kathleen A Martin Ginis
- School of Health and Exercise Sciences, University of British Columbia Okanagan, Kelowna, BC, Canada.,International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.,Department of Medicine, University of British Columbia Okanagan, Kelowna, BC, Canada
| | - Veronica Allan
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada
| | - Anita Kothari
- School of Health Studies, Western University, London, ON, Canada
| | - Heather L Gainforth
- School of Health and Exercise Sciences, University of British Columbia Okanagan, Kelowna, BC, Canada.,International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada
| |
Collapse
|
10
|
Franco M, Díez J, Gullón P, Margolles M, Cofiño R, Pasarín M, Borrell C. Towards a policy relevant neighborhoods and health agenda: engaging citizens, researchers, policy makers and public health professionals. SESPAS Report 2018. GACETA SANITARIA 2018; 32 Suppl 1:69-73. [DOI: 10.1016/j.gaceta.2018.07.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 07/26/2018] [Accepted: 07/26/2018] [Indexed: 10/28/2022]
|
11
|
Cygan HR, McNaughton D, Reising V, Reid B. An academic practice partnership: Building capacity to meet sexual health education policy requirements of a public school system. Public Health Nurs 2018; 35:414-419. [DOI: 10.1111/phn.12527] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 05/09/2018] [Accepted: 05/11/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Heide R. Cygan
- Community, Systems and Mental Health Nursing; Rush University College of Nursing; Chicago Illinois
| | - Diane McNaughton
- Community, Systems and Mental Health Nursing; Rush University College of Nursing; Chicago Illinois
| | - Virginia Reising
- Community, Systems and Mental Health Nursing; Rush University College of Nursing; Chicago Illinois
| | - Bianca Reid
- Office of Student Health and Wellness; Chicago Public Schools; Chicago Illinois
| |
Collapse
|
12
|
Woodall J, Warwick-Booth L, South J, Cross R. What makes health promotion research distinct? Scand J Public Health 2018; 46:118-122. [DOI: 10.1177/1403494817744130] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There have been concerns about the decline of health promotion as a practice and discipline and, alongside this, calls for a clearer articulation of health promotion research and what, if anything, makes it distinct. This discussion paper, based on a review of the literature, the authors’ own experiences in the field, and a workshop delivered by two of the authors at the 8th Nordic Health Promotion Conference, seeks to state the reasons why health promotion research is distinctive. While by no means exhaustive, the paper suggests four distinctive features. The paper hopes to be a catalyst to enable health promotion researchers to be explicit in their practice and to begin the process of developing an agreed set of research principles.
Collapse
Affiliation(s)
- James Woodall
- Centre for Health Promotion Research, Leeds Beckett
University, Leeds, UK
| | | | - Jane South
- Centre for Health Promotion Research, Leeds Beckett
University, Leeds, UK
| | - Ruth Cross
- Centre for Health Promotion Research, Leeds Beckett
University, Leeds, UK
| |
Collapse
|
13
|
Estacio EV, Oliver M, Downing B, Kurth J, Protheroe J. Effective Partnership in Community-Based Health Promotion: Lessons from the Health Literacy Partnership. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14121550. [PMID: 29232877 PMCID: PMC5750968 DOI: 10.3390/ijerph14121550] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Revised: 11/14/2017] [Accepted: 11/30/2017] [Indexed: 11/16/2022]
Abstract
This paper aims to explore key elements needed to successfully develop healthy partnerships and collaborative working in community-based health promotion. It draws upon the lessons learned from a case study with the Health Literacy Partnership in Stoke-on-Trent, UK in developing the health literacy strategy in the area. The process was underpinned by respect for diverse yet complementary perspectives and skills from the grassroots up. This involved engagement with key stakeholders, development and support for community projects, and sharing of good practice with other national and local organizations. Stakeholders involved in developing the strategy also had a keen interest in health literacy and a strong commitment to promoting health and well-being in the area. Through patience, perseverance, and continuous open communication and learning, the health literacy strategy in Stoke-on-Trent, UK is beginning to have a ripple effect into local practice, and will potentially influence policy in the future.
Collapse
Affiliation(s)
| | - Mike Oliver
- Stoke-on-Trent City Council, Public Health, Staffordshire ST4 1HH, UK.
| | - Beth Downing
- Stoke-on-Trent City Council, Public Health, Staffordshire ST4 1HH, UK.
| | - Judy Kurth
- Centre for Health and Development (CHAD), Staffordshire University, Staffordshire ST4 2DF, UK.
| | - Joanne Protheroe
- Research Institute for Primary Care & Health Sciences, Keele University, Staffordshire ST5 5BG, UK.
| |
Collapse
|
14
|
Wong G, Westhorp G, Greenhalgh J, Manzano A, Jagosh J, Greenhalgh T. Quality and reporting standards, resources, training materials and information for realist evaluation: the RAMESES II project. HEALTH SERVICES AND DELIVERY RESEARCH 2017. [DOI: 10.3310/hsdr05280] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BackgroundMany of the problems confronting policy- and decision-makers, evaluators and researchers today are complex, as are the interventions designed to tackle them. Their success depends both on individuals’ responses and on the wider context of people’s lives. Realist evaluation tries to make sense of these complex interventions. It is a form of theory-driven evaluation, based on realist philosophy, that aims to understand why these complex interventions work, how, for whom, in what context and to what extent.ObjectivesOur objectives were to develop (a) quality standards, (b) reporting standards, (c) resources and training materials, (d) information and resources for patients and other lay participants and (e) to build research capacity among those interested in realist evaluation.MethodsTo develop the quality and reporting standards, we undertook a thematic review of the literature, supplemented by our content expertise and feedback from presentations and workshops. We synthesised findings into briefing materials for realist evaluations for the Delphi panel (a structured method using experts to develop consensus). To develop our resources and training materials, we drew on our experience in developing and delivering education materials, feedback from the Delphi panel, the RAMESES JISCMail e-mail list, training workshops and feedback from training sessions. To develop information and resources for patients and other lay participants in realist evaluation, we convened a group consisting of patients and the public. We built research capacity by running workshops and training sessions.ResultsOur literature review identified 152 realist evaluations, and when 37 of these had been analysed we were able to develop our briefing materials for the Delphi panel. The Delphi panel comprised 35 members from 27 organisations across six countries and five disciplines. Within three rounds, the panels had reached a consensus on 20 key reporting standards. The quality standards consist of eight criteria for realist evaluations. We developed resources and training materials for 15 theoretical and methodological topics. All resources are available online (www.ramesesproject.org). We provided methodological support to 17 projects and presentations or workshops to help build research capacity in realist evaluations to 29 organisations. Finally, we produced a generic patient information leaflet for lay participants in realist evaluations.LimitationsOur project had ambitious goals that created a substantial workload, leading to the need to prioritise objectives. For example, we truncated the literature review and focused on standards and training material development.ConclusionsAlthough realist evaluation holds much promise, misunderstandings and misapplications of it are common. We hope that our project’s outputs and activities will help to address these problems. Our resources are the start of an iterative journey of refinement and development of better resources for realist evaluations. The RAMESES II project seeks not to produce the last word on these issues, but to capture current expertise and establish an agreed state of the science. Much methodological development is needed in realist evaluation but this can take place only if there is a sufficient pool of highly skilled realist evaluators. Capacity building is the next key step in realist evaluation.FundingThe National Institute for Health Research Health Services and Delivery Research programme.
Collapse
Affiliation(s)
- Geoff Wong
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Gill Westhorp
- Realist Research Evaluation and Learning Initiative, Charles Darwin University, Darwin, NT, Australia
| | | | - Ana Manzano
- Sociology and Social Policy, University of Leeds, Leeds, UK
| | - Justin Jagosh
- Centre for Advancement in Realist Evaluation and Syntheses (CARES), University of Liverpool, Liverpool, UK
| | - Trisha Greenhalgh
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| |
Collapse
|
15
|
Seaton CL, Holm N, Bottorff JL, Jones-Bricker M, Errey S, Caperchione CM, Lamont S, Johnson ST, Healy T. Factors That Impact the Success of Interorganizational Health Promotion Collaborations: A Scoping Review. Am J Health Promot 2017; 32:1095-1109. [PMID: 28587471 DOI: 10.1177/0890117117710875] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE To explore published empirical literature in order to identify factors that facilitate or inhibit collaborative approaches for health promotion using a scoping review methodology. DATA SOURCE A comprehensive search of MEDLINE, CINAHL, ScienceDirect, PsycINFO, and Academic Search Complete for articles published between January 2001 and October 2015 was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. STUDY INCLUSION AND EXCLUSION CRITERIA To be included studies had to: be an original research article, published in English, involve at least 2 organizations in a health promotion partnership, and identify factors contributing to or constraining the success of an established (or prior) partnership. Studies were excluded if they focused on primary care collaboration or organizations jointly lobbying for a cause. DATA EXTRACTION Data extraction was completed by 2 members of the author team using a summary chart to extract information relevant to the factors that facilitated or constrained collaboration success. DATA SYNTHESIS NVivo 10 was used to code article content into the thematic categories identified in the data extraction. RESULTS Twenty-five studies across 8 countries were identified. Several key factors contributed to collaborative effectiveness, including a shared vision, leadership, member characteristics, organizational commitment, available resources, clear roles/responsibilities, trust/clear communication, and engagement of the target population. CONCLUSION In general, the findings were consistent with previous reviews; however, additional novel themes did emerge.
Collapse
Affiliation(s)
- Cherisse L Seaton
- 1 School of Nursing, Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, British Columbia, Canada
| | - Nikolai Holm
- 1 School of Nursing, Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, British Columbia, Canada
| | - Joan L Bottorff
- 1 School of Nursing, Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, British Columbia, Canada
| | | | - Sally Errey
- 3 Prevention Programs, BC Cancer Agency, British Columbia, Canada
| | - Cristina M Caperchione
- 1 School of Nursing, Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, British Columbia, Canada.,4 School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada
| | - Sonia Lamont
- 3 Prevention Programs, BC Cancer Agency, British Columbia, Canada
| | - Steven T Johnson
- 5 Centre for Nursing and Health Studies, Athabasca University, Athabasca, Alberta, Canada
| | - Theresa Healy
- 6 Population Health Department, Northern Health, Prince George, Canada
| |
Collapse
|
16
|
Beckman L, Svensson M, Geidne S, Eriksson C. Effects on alcohol use of a Swedish school-based prevention program for early adolescents: a longitudinal study. BMC Public Health 2017; 17:2. [PMID: 28049504 PMCID: PMC5209812 DOI: 10.1186/s12889-016-3947-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Accepted: 12/15/2016] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND The aim of the study was to address the lack of evaluations of school-based substance use prevention programs and to conduct a quasi-experimental evaluation of the alcohol use part of the Triad intervention. METHODS Eleven Swedish intervention schools (285 pupils) and three control schools (159 pupils) participated in the evaluation. Baseline measurements were conducted in 2011 before the alcohol part in the prevention program was implemented in the intervention schools (school year 6, ages 12-13). We estimated an Intention-To-Treat (ITT) Difference-in-Difference (DD) model to analyze the effectiveness of the intervention on subsequent alcohol use measured in grades 7, 8 and 9. RESULTS The main results show no effect on the likelihood of drinking alcohol or drinking to intoxication. CONCLUSIONS The lack of positive effects highlights the need for policy-makers and public health officials need to carefully consider and evaluate prevention programs in order to ensure that they are worthwhile from school, health, and societal perspectives.
Collapse
Affiliation(s)
- Linda Beckman
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, 70182, Örebro, Sweden.
- Department of Public Health, Karlstad University, Universitetsgatan 2, 65188, Karlstad, Sweden.
| | - Mikael Svensson
- Health Metrics, The Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 18G, 41390, Gothenburg, Sweden
| | - Susanna Geidne
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, 70182, Örebro, Sweden
| | - Charli Eriksson
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, 70182, Örebro, Sweden
| |
Collapse
|
17
|
Bortes C, Geidne S, Eriksson C. Evaluating the effectiveness of the SMART contract-signing strategy in reducing the growth of Swedish Adolescents' substance use and problem behaviors. BMC Public Health 2016; 16:519. [PMID: 27333865 PMCID: PMC4918040 DOI: 10.1186/s12889-016-3131-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Accepted: 05/18/2016] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND In 2013, around 40 % of the schools in Sweden had structured programs to prevent tobacco and alcohol debut in compulsory school. There has unfortunately been a lack of scientific evidence to support most of the prevention methods focusing on primary prevention in schools in Sweden. The aim and purpose of the present study is to evaluate the effectiveness of the Non-Governmental Organization SMART contract-signing strategy in reducing the growth of youth substance use and other problem behaviors amongst Swedish adolescents. METHODS Students from five schools in a medium-sized Swedish municipality were surveyed in three waves from 7(th) to 9(th) grade of compulsory school. We used General Linear Model (GLM) repeated-measures ANOVA to test if the outcome measures smoking, use of snus and alcohol, drunkenness, delinquency, and bullying significantly changed different amounts over time in groups that had participated in the SMART program for long time, a short time, sporadically- or not at all. Groups were compared on demographic background variables, and outcome measures were assessed on all measurement occasions by a one-way ANOVA. The magnitude of group differences at the end of the study was estimated according to Cohen's d. RESULTS Number of years with a contract has an effect on the levels of self-reported youth problems in 9(th) grade. We found small to medium-sized differences in measured outcomes between students who participated in the program for the longest period of time, 5 years, and who participated for the shortest time, 0-2 years. CONCLUSION Findings suggests that the SMART program has preventive effects on adolescent substance use.
Collapse
Affiliation(s)
- Cristian Bortes
- School of Health and Medical Sciences Örebro University, SE-701 82, Örebro, Sweden.
| | - Susanna Geidne
- School of Health and Medical Sciences Örebro University, SE-701 82, Örebro, Sweden
| | - Charli Eriksson
- School of Health and Medical Sciences Örebro University, SE-701 82, Örebro, Sweden
| |
Collapse
|
18
|
Gagliardi AR, Berta W, Kothari A, Boyko J, Urquhart R. Integrated knowledge translation (IKT) in health care: a scoping review. Implement Sci 2016; 11:38. [PMID: 26988000 PMCID: PMC4797171 DOI: 10.1186/s13012-016-0399-1] [Citation(s) in RCA: 302] [Impact Index Per Article: 37.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Accepted: 03/05/2016] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Integrated knowledge translation (IKT) refers to collaboration between researchers and decision-makers. While advocated as an approach for enhancing the relevance and use of research, IKT is challenging and inconsistently applied. This study sought to inform future IKT practice and research by synthesizing studies that empirically evaluated IKT and identifying knowledge gaps. METHODS We performed a scoping review. We searched MEDLINE, EMBASE, and the Cochrane Library from 2005 to 2014 for English language studies that evaluated IKT interventions involving researchers and organizational or policy-level decision-makers. Data were extracted on study characteristics, IKT intervention (theory, content, mode, duration, frequency, personnel, participants, timing from initiation, initiator, source of funding, decision-maker involvement), and enablers, barriers, and outcomes reported by studies. We performed content analysis and reported summary statistics. RESULTS Thirteen studies were eligible after screening 14,754 titles and reviewing 106 full-text studies. Details about IKT activities were poorly reported, and none were formally based on theory. Studies varied in the number and type of interactions between researchers and decision-makers; meetings were the most common format. All studies reported barriers and facilitators. Studies reported a range of positive and sub-optimal outcomes. Outcomes did not appear to be associated with initiator of the partnership, dedicated funding, partnership maturity, nature of decision-maker involvement, presence or absence of enablers or barriers, or the number of different IKT activities. CONCLUSIONS The IKT strategies that achieve beneficial outcomes remain unknown. We generated a summary of IKT approaches, enablers, barriers, conditions, and outcomes that can serve as the basis for a future review or for planning ongoing primary research. Future research can contribute to three identified knowledge gaps by examining (1) how different IKT strategies influence outcomes, (2) the relationship between the logic or theory underlying IKT interventions and beneficial outcomes, and (3) when and how decision-makers should be involved in the research process. Future IKT initiatives should more systematically plan and document their design and implementation, and evaluations should report the findings with sufficient detail to reveal how IKT was associated with outcomes.
Collapse
|
19
|
Weiss D, Lillefjell M, Magnus E. Facilitators for the development and implementation of health promoting policy and programs - a scoping review at the local community level. BMC Public Health 2016; 16:140. [PMID: 26869177 PMCID: PMC4751684 DOI: 10.1186/s12889-016-2811-9] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2015] [Accepted: 02/02/2016] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Health promotion, with a focus on multidimensional upstream factors and an ecological, life-course approach, is establishing itself as the guiding philosophy for addressing public health. Action at the political and programmatic level on the Social Determinants of Health has proven effective for promoting and building public health at all levels but has been particularly evident at the national and international levels - due in large part to available documents and guidelines. Although research and experience establish that health promotion is most effective when settings-based, the development of health promoting policies and programs at the local level is still difficult. This study intended to investigate available knowledge on the development and implementation of health promoting policies and programs at the local level and identify factors most important for facilitating capacity building and outcome achievement. METHODS We used a scoping review in order to review the current literature on local policy development and program implementation. Keywords were chosen based on results of a previous literature review. A total of 53 articles were divided into two categories: policy and implementation. Critical analysis was conducted for each article and a summary assembled. Data was charted with specific focus on the aims of the study, data acquisition, key theories/concepts/frameworks used, outcome measures, results, and conclusions. RESULTS The articles included in this study primarily focused on discussing factors that facilitate the development of health promoting policy and the implementation of health promotion programs. Most significant facilitators included: collaborative decision-making, agreement of objectives and goals, local planning and action, effective leadership, building and maintaining trust, availability of resources, a dynamic approach, a realistic time-frame, and trained and knowledgeable staff. Within each of these important facilitating factors, various elements supporting implementation were discussed and highlighted in this study. CONCLUSION Our results indicate that clear and consistent facilitators exist for supporting health promoting policy development and program implementation at the local level. These results offer a starting point for local action on the Social Determinants of Health and have the potential to contribute to the development of a framework for improving action at the local level.
Collapse
Affiliation(s)
- Daniel Weiss
- Department of Occupational Therapy, Norwegian University of Science and Technology, Faculty of Health and Social Science, NO-7491, Trondheim, Norway.
| | - Monica Lillefjell
- Department of Occupational Therapy, Norwegian University of Science and Technology, Faculty of Health and Social Science, NO-7491, Trondheim, Norway.
| | - Eva Magnus
- Department of Occupational Therapy, Norwegian University of Science and Technology, Faculty of Health and Social Science, NO-7491, Trondheim, Norway.
| |
Collapse
|