The role of context in implementation research for non-communicable diseases: Answering the 'how-to' dilemma
| Autor: | Daivadanam, M, Ingram, M, Annerstedt, KS, Parker, G, Bobrow, K, Dolovich, L, Gould, G, Riddell, M, Vedanthan, R, Webster, J, Absetz, P, Alvesson, HM, Androutsos, O, Chavannes, N, Cortez, B, Devarasetty, P, Fottrell, E, Gonzalez-Salazar, F, Goudge, J, Herasme, O, Jennings, H, Kapoor, D, Kamano, J, Kasteleyn, MJ, Kyriakos, C, Manios, Y, Mogulluru, K, Owolabi, M, Lazo-Porras, M, Silva, W, Thrift, A, Uvere, E, Webster, R, Van der Kleij, R, Van Olmen, J, Vardavas, C, Zhang, P, Almeda-Valdes, P, Britton, J, Cristobal, F, Delobelle, P, Gonzalez, C, Guwatudde, D, Gyamfi, J, Johnson, C, Kirkham, R, Lopez-Jaramillo, P, Lucero, VP, Mills, K, Oldenburg, B, Patel, A, Saulson, R, Silva, N, Trieu, K |
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| Přispěvatelé: | GACD Concepts Contexts Working Grp, Public Health Sciences |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Lung Diseases
Male lung disease Knowledge management International Cooperation Health Care Providers Psychological intervention Stakeholder engagement Blood Pressure 030204 cardiovascular system & hematology Global Health Vascular Medicine medical research interpersonal communication 0302 clinical medicine Endocrinology Surveys and Questionnaires Health care Medicine and Health Sciences Public and Occupational Health 030212 general & internal medicine health service Qualitative Research Aged 80 and over Multidisciplinary quantitative analysis Geography Health services research methodology Public Health Global Health Social Medicine and Epidemiology SCIENCE Middle Aged Research Assessment health care planning health survey 3. Good health Multidisciplinary Sciences Treatment Outcome Research Design Hypertension Medicine Science & Technology - Other Topics Female Health Services Research Engineering sciences. Technology Research Article Adult Endocrine Disorders General Science & Technology Qualitative property Context (language use) Health Promotion Research and Analysis Methods Community Based Intervention Article 03 medical and health sciences purl.org/pe-repo/ocde/ford#3.03.02 [https] Stakeholder Participation Diabetes Mellitus cross-sectional study qualitative analysis Humans GACD Concepts and Contexts working group Noncommunicable Diseases Poverty Aged Internet Health Care Policy Science & Technology business.industry questionnaire stakeholder engagement non communicable disease MIXED METHODS Health Care Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Cross-Sectional Studies Metabolic Disorders Chronic Disease Implementation research business Delivery of Health Care Qualitative research |
| Zdroj: | PLoS ONE PLoS ONE, 14(4) PLoS ONE, Vol 14, Iss 4, p e0214454 (2019) PLOS ONE |
| ISSN: | 1932-6203 |
| Popis: | IntroductionUnderstanding context and how this can be systematically assessed and incorporated is crucial to successful implementation. We describe how context has been assessed (including exploration or evaluation) in Global Alliance for Chronic Diseases (GACD) implementation research projects focused on improving health in people with or at risk of chronic disease and how contextual lessons were incorporated into the intervention or the implementation process.MethodsUsing a web-based semi-structured questionnaire, we conducted a cross-sectional survey to collect quantitative and qualitative data across GACD projects (n = 20) focusing on hypertension, diabetes and lung diseases. The use of context-specific data from project planning to evaluation was analyzed using mixed methods and a multi-layered context framework across five levels; 1) individual and family, 2) community, 3) healthcare setting, 4) local or district level, and 5) state or national level.ResultsProject teams used both qualitative and mixed methods to assess multiple levels of context (avg. = 4). Methodological approaches to assess context were identified as formal and informal assessments, engagement of stakeholders, use of locally adapted resources and materials, and use of diverse data sources. Contextual lessons were incorporated directly into the intervention by informing or adapting the intervention, improving intervention participation or improving communication with participants/stakeholders. Provision of services, equipment or information, continuous engagement with stakeholders, feedback for personnel to address gaps, and promoting institutionalization were themes identified to describe how contextual lessons are incorporated into the implementation process.ConclusionsContext is regarded as critical and influenced the design and implementation of the GACD funded chronic disease interventions. There are different approaches to assess and incorporate context as demonstrated by this study and further research is required to systematically evaluate contextual approaches in terms of how they contribute to effectiveness or implementation outcomes. |
| Databáze: | OpenAIRE |
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