Karen Lee
Biographic Data
| ID | 3855665 |
|---|---|
| NAME | Karen Lee |
| GIVEN NAMES | Karen |
| FAMILY NAME | Lee |
| SIGNATURE | LEE K |
| AFFILIATIONS | The University of Sydney |
| ORCID | 0000-0002-9640-221X |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
How is health equity considered in scale-up guidance? A scoping review of process models for scaling public health innovations
Scale-up guidance is valuable to guiding efforts to increase the reach and impact of public health innovations. Health equity, that is, ‘the absence of systematic disparities in health between groups’ is often a motivator for scale-up though it is unclear how ‘equity’ is considered within existing scale-up guidance. This scoping review aimed to identify the equity considerations articulated within existing scale-up models. Five databases and grey…
Reverse translating parkrun’s scale-up success
Introduction: The scale-up evaluation field has been limited by a conceptualisation of success dominated by quantitative spread and restriction to purposively and centrally disseminated initiatives. Empirical research shows, however, that working definitions of scale-up success are far more varied, nuanced, and context-dependent. Moreover, excluding examination of organically scaling initiatives has narrowed what may be learnt about sustainable d…
Taking stock
The complexity of research translation is well recognized. Efforts to accelerate the process have emerged through implementation science, scale-up, scalability, and sustainability. This area of research is now inundated with a plethora of new concepts, creating overlap and confusion for those working in public health, implementation science, and scale-up as well as those seeking to understand it. This perspective examines the commonly used proces…
Reaching Priority Populations When Scaling Up
Implementing evidence-based health promotion programmes at scale is important for achieving population-level health outcomes. However, achieving equitable reach can be challenging. An evidence-based early-life nutrition and movement intervention (INFANT) is currently being implemented at scale in Australia. This study explored practitioners' perceptions about reaching priority population groups through INFANT or similar universal preventive healt…
Promoting a Clinic-Based Approach to Behavioral Health Integration and Serious Mental Illness in Free and Charitable Clinics Through Project Echo
The Effects of Proactive Home Modifications for Aging in Place
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 testing was undertaken prior to scale-up. We identified 90 population health interventions targeting physical activity, nutrition or obesity-related health …
Sustaining health obesity prevention programs
Current understanding of what sustains public health programs is derived primarily from evaluations of programs delivered for only a few years. To improve program planning and knowledge on program sustainment, we examined real-world population programs that have been delivered for >2 years. Our focus was physical activity and nutrition programs for obesity prevention. We identified programs through published literature and searched through public…
Development and Application of the Scale-Up Reflection Guide (SRG)
Scaling up effective interventions in public health is complex and comprehensive, and published accounts of the scale-up process are scarce. Key aspects of the scale-up experience need to be more comprehensively captured. This study describes the development of a guide for reflecting on and documenting the scale-up of public health interventions, to increase the depth of practice-based information of scaling up. Reviews of relevant scale-up frame…
Capabilities, opportunities, motivations, and practices of different sector professionals working on community environments to improve health
Though motivators vary among different sector professionals, opportunities may be the most important driver of healthy BE practices and potentially a target to improve multi-sector professional practices in Canada. Future research should confirm findings of this first study of professional practice drivers guided by a theoretical behaviour change framework
Tensions and Paradoxes of Scaling Up
Achieving system-level, sustainable 'scale-up' of interventions is the epitome of successful translation of evidence-based approaches in population health. In physical activity promotion, few evidence-based interventions reach implementation at scale or become embedded within systems for sustainable health impact. This is despite the vast published literature describing efficacy studies of small-scale physical activity interventions. Research int…
The case for reviewing broadcasting co-regulation
This article applies principles from the Department of Communications’ policy review of telecommunications consumer protection to broadcasting co-regulation. The Consumer Safeguards Review establishes six principles for good regulation, including that rule-making processes should ‘enable a wide range of views to be considered’. It notes that processes for developing telecommunications codes of practice are likely to lead to ‘sub-optimal’ consumer…
How to Analyze the Cyber Threat from Drones
In this report, the authors explore approaches for understanding, inventorying, and modeling cybersecurity implications of the rapid growth in drone usage, focusing specifically on current vulnerabilities and future trends. The authors propose conceptual approaches meant to enable the enumeration and categorization of drone-related cyber threats and explore some of the potential benefits and challenges of modeling the commercial drone threat
Made in Greece
For over 50 years the private language school system in Greece, commonly known by the Greek name ‘frontisterion’, has pioneered the development of language studies making Greece one of the publishing market leaders in continental Europe in books and documents published in English. Stimulated by the demand for international trade, the ‘frontisteria’ arose to meet the need of families wishing to take advantage of the international trade opportuniti…
Potential of Geographic Information Systems for Refugee Crisis
Enhancing Primary Healthcare Delivery in the Inner City Through Interprofessional Team Work and Service Innovation / Mejorarando la entrega de Atención Primaria en el centro urbano a través de un equi…
The St. Michael's Hospital Academic Family Health Team (SMHAFHT) is a large, primary care teaching clinic, affiliated with the University of Toronto, and nestled within the downtown core of Toronto.The SMHAFHT provides services to the inner-city community of Toronto through 6 clinical sites located conveniently in these neighborhoods.We serve the poorest communities in Torontopeople who are significantly impacted by many social determinants of he…
Understanding Older Adults’ Usage of Community Green Spaces in Taipei, Taiwan
As the world's population ages, there is an increasing need for community environments to support physical activity and social connections for older adults. This exploratory study sought to better understand older adults' usage and perceptions of community green spaces in Taipei, Taiwan, through direct observations of seven green spaces and nineteen structured interviews. Descriptive statistics from observations using the System for Observing Pla…
Developing and Testing a Tool for Assessing Pharmacoeconomic Evaluations
Introduction Manufacturers seeking reimbursement from publicly funded drug plans submit a drug submission to the Common Drug Review (CDR). This includes clinical data and a pharmacoeconomic evaluation (PE) which is assessed by clinical and economic teams. Clinical and pharmacoeconomic reports are used by the Canadian Drug Expert Committee (CDEC) in their deliberations, which could result in a “do not list”, “list with criteria” or “list” formular…
Cardiovascular Health Perceptions in Multigenerational Korean Immigrants
Cardiovascular disease is prevalent in the Korean immigrants. Success of any health interventions depends heavily on our understanding of how health issues are perceived by the recipients. This study describes cardiovascular health perceptions using Photovoice, a qualitative methodology utilizing photography to initiate discussion, in multigenerational Korean immigrants (older adults, teenagers, children). Twenty Korean Americans (7 adults aged >…
Impact and the art of motivation maintenance
More Flexible Ways of Assessing
Emotional and Behavioural Responses of Children Placed for Adoption—What Should Medical Advisers Know
Emotional and Behavioural Responses of Children Placed for Adoption—What Should Medical Advisers Know
More Flexible Ways of Assessing
Impact and the art of motivation maintenance
Cardiovascular Health Perceptions in Multigenerational Korean Immigrants
Cardiovascular disease is prevalent in the Korean immigrants. Success of any health interventions depends heavily on our understanding of how health issues are perceived by the recipients. This study describes cardiovascular health perceptions using Photovoice, a qualitative methodology utilizing photography to initiate discussion, in multigenerational Korean immigrants (older adults, teenagers, children). Twenty Korean Americans (7 adults aged >…
Developing and Testing a Tool for Assessing Pharmacoeconomic Evaluations
Introduction Manufacturers seeking reimbursement from publicly funded drug plans submit a drug submission to the Common Drug Review (CDR). This includes clinical data and a pharmacoeconomic evaluation (PE) which is assessed by clinical and economic teams. Clinical and pharmacoeconomic reports are used by the Canadian Drug Expert Committee (CDEC) in their deliberations, which could result in a “do not list”, “list with criteria” or “list” formular…
Understanding Older Adults’ Usage of Community Green Spaces in Taipei, Taiwan
As the world's population ages, there is an increasing need for community environments to support physical activity and social connections for older adults. This exploratory study sought to better understand older adults' usage and perceptions of community green spaces in Taipei, Taiwan, through direct observations of seven green spaces and nineteen structured interviews. Descriptive statistics from observations using the System for Observing Pla…
Enhancing Primary Healthcare Delivery in the Inner City Through Interprofessional Team Work and Service Innovation / Mejorarando la entrega de Atención Primaria en el centro urbano a través de un equi…
The St. Michael's Hospital Academic Family Health Team (SMHAFHT) is a large, primary care teaching clinic, affiliated with the University of Toronto, and nestled within the downtown core of Toronto.The SMHAFHT provides services to the inner-city community of Toronto through 6 clinical sites located conveniently in these neighborhoods.We serve the poorest communities in Torontopeople who are significantly impacted by many social determinants of he…
Made in Greece
For over 50 years the private language school system in Greece, commonly known by the Greek name ‘frontisterion’, has pioneered the development of language studies making Greece one of the publishing market leaders in continental Europe in books and documents published in English. Stimulated by the demand for international trade, the ‘frontisteria’ arose to meet the need of families wishing to take advantage of the international trade opportuniti…
Potential of Geographic Information Systems for Refugee Crisis
How to Analyze the Cyber Threat from Drones
In this report, the authors explore approaches for understanding, inventorying, and modeling cybersecurity implications of the rapid growth in drone usage, focusing specifically on current vulnerabilities and future trends. The authors propose conceptual approaches meant to enable the enumeration and categorization of drone-related cyber threats and explore some of the potential benefits and challenges of modeling the commercial drone threat
Tensions and Paradoxes of Scaling Up
Achieving system-level, sustainable 'scale-up' of interventions is the epitome of successful translation of evidence-based approaches in population health. In physical activity promotion, few evidence-based interventions reach implementation at scale or become embedded within systems for sustainable health impact. This is despite the vast published literature describing efficacy studies of small-scale physical activity interventions. Research int…
The case for reviewing broadcasting co-regulation
This article applies principles from the Department of Communications’ policy review of telecommunications consumer protection to broadcasting co-regulation. The Consumer Safeguards Review establishes six principles for good regulation, including that rule-making processes should ‘enable a wide range of views to be considered’. It notes that processes for developing telecommunications codes of practice are likely to lead to ‘sub-optimal’ consumer…
Development and Application of the Scale-Up Reflection Guide (SRG)
Scaling up effective interventions in public health is complex and comprehensive, and published accounts of the scale-up process are scarce. Key aspects of the scale-up experience need to be more comprehensively captured. This study describes the development of a guide for reflecting on and documenting the scale-up of public health interventions, to increase the depth of practice-based information of scaling up. Reviews of relevant scale-up frame…
Capabilities, opportunities, motivations, and practices of different sector professionals working on community environments to improve health
Though motivators vary among different sector professionals, opportunities may be the most important driver of healthy BE practices and potentially a target to improve multi-sector professional practices in Canada. Future research should confirm findings of this first study of professional practice drivers guided by a theoretical behaviour change framework
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 testing was undertaken prior to scale-up. We identified 90 population health interventions targeting physical activity, nutrition or obesity-related health …
Sustaining health obesity prevention programs
Current understanding of what sustains public health programs is derived primarily from evaluations of programs delivered for only a few years. To improve program planning and knowledge on program sustainment, we examined real-world population programs that have been delivered for >2 years. Our focus was physical activity and nutrition programs for obesity prevention. We identified programs through published literature and searched through public…
Taking stock
The complexity of research translation is well recognized. Efforts to accelerate the process have emerged through implementation science, scale-up, scalability, and sustainability. This area of research is now inundated with a plethora of new concepts, creating overlap and confusion for those working in public health, implementation science, and scale-up as well as those seeking to understand it. This perspective examines the commonly used proces…
Reaching Priority Populations When Scaling Up
Implementing evidence-based health promotion programmes at scale is important for achieving population-level health outcomes. However, achieving equitable reach can be challenging. An evidence-based early-life nutrition and movement intervention (INFANT) is currently being implemented at scale in Australia. This study explored practitioners' perceptions about reaching priority population groups through INFANT or similar universal preventive healt…
Promoting a Clinic-Based Approach to Behavioral Health Integration and Serious Mental Illness in Free and Charitable Clinics Through Project Echo
The Effects of Proactive Home Modifications for Aging in Place
How is health equity considered in scale-up guidance? A scoping review of process models for scaling public health innovations
Scale-up guidance is valuable to guiding efforts to increase the reach and impact of public health innovations. Health equity, that is, ‘the absence of systematic disparities in health between groups’ is often a motivator for scale-up though it is unclear how ‘equity’ is considered within existing scale-up guidance. This scoping review aimed to identify the equity considerations articulated within existing scale-up models. Five databases and grey…
Reverse translating parkrun’s scale-up success
Introduction: The scale-up evaluation field has been limited by a conceptualisation of success dominated by quantitative spread and restriction to purposively and centrally disseminated initiatives. Empirical research shows, however, that working definitions of scale-up success are far more varied, nuanced, and context-dependent. Moreover, excluding examination of organically scaling initiatives has narrowed what may be learnt about sustainable d…
Medicine (12 works) · Psychology (11 works) · Business (10 works) · Nursing (9 works) · Political science (9 works) · Health Policy Implementation Science (8 works) · Public health (7 works) · Computer Science (6 works) · Psychological intervention (6 works) · Public relations (6 works)