Methods for exploring implementation variation and local context within a cluster randomised community intervention trial
Bibliographic Data
| ID | 11175947 |
|---|---|
| Authors | Penelope Hawe (0000-0003-2397-867X, University of Calgary), Alan Shiell (0000-0001-5914-1084, University of Calgary), Therese Riley (0000-0003-1444-6890, La Trobe University), Lisa Gold (0000-0002-2733-900X, La Trobe University) |
| Year | 2004 |
| Volume | 58 |
| Issue | 9 |
| Pages | 788-793 |
| Publication date | 2004-09-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Epidemiology and Community Health (JOURNAL) |
| Journal identifiers | ISSN: 0143-005X • E-ISSN: 1470-2738 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/jech.2003.014415 |
| PMID | 15310806 |
| PMCID | PMC1732876 |
| OpenAlex | W2143543192 |
| Language | EN |
| Citations received | 62 |
| References cited | 29 |
Insignificant or modest findings in intervention trials may be attributable to poorly designed or theorised interventions, poorly implemented interventions, or inadequate evaluation methods. The pre-existing context may also account for the effects observed. A combination of qualitative and quantitative methods is outlined that will permit the determination of how context level factors might modify intervention effectiveness, within a cluster randomised community intervention trial to promote the health of mothers with new babies. The methods include written and oral narratives, key informant interviews, impact logs, and inter-organisational network analyses. Context level factors, which may affect intervention uptake, success, and sustainability are the density of inter-organisational ties within communities at the start of the intervention, the centrality of the primary care agencies expected to take a lead with the intervention, the extent of context-level adaptation of the intervention, and the amount of local resources contributed by the participating agencies. Investigation of how intervention effects are modified by context is a new methodological frontier in community intervention trial research
Cluster randomised controlled trial · Context (archaeology) · Geography · Intervention (counseling) · Psychological intervention · Randomized controlled trial · Community Health and Development · Health disparities and outcomes · Health Policy Implementation Science · Medicine · Nursing
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| Unique citing works | 62 |
|---|---|
| Citations per year | 2,82 |
| Citation span | 2004 - 2026 (23) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 56 |