Challenges in evaluating implementation and effectiveness in real-world settings
Evaluation proposal for school-based health-promoting intervention
Bibliographic Data
| ID | 22944167 |
|---|---|
| Authors | Marla T H Hahnraths (0000-0002-8049-448X, Maastricht University, corresponding author), Maartje Willeboordse (0000-0002-9695-9755, Mulier Institute , P.O. Box 85445, 3508 AK Utrecht , The Netherlands), Onno C P Van Schayck (0000-0002-3016-1476, Maastricht University) |
| Year | 2023 |
| Volume | 38 |
| Issue | 1 |
| Publication date | 2023-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Promotion International (JOURNAL) |
| Journal identifiers | ISSN: 0957-4824 • E-ISSN: 1460-2245 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/heapro/daac185 |
| PMID | 36617287 |
| OpenAlex | W4313729786 |
| Language | EN |
| Citations received | 1 |
| References cited | 29 |
There are various research designs and approaches to investigate how health-promoting activities are implemented in complex, real-world systems, and to identify potential health effects that might occur following implementation. Although literature describes guidelines to perform and report about implementation research and effect evaluations, no specific guidelines exist on analysing and reporting about the combination of effectiveness data and implementation data collected as part of intervention evaluation in complex and diverse settings. This paper describes the evaluation of primary school-based health-promoting activities in complex systems. Furthermore, an approach for data categorization inspired by Rogers’ Diffusion of Innovations theory is presented that can facilitate structuring the study’s results and relating the degree of implementation to any impact on effectiveness outcomes that might be observed. Researchers interested in using this approach for data categorization have to ensure that the following three conditions are met: (i) data on an intervention’s efficacy in a controlled setting with optimal implementation is available; (ii) key points that define an intervention’s optimal implementation are available and (iii) an evaluation study is performed, collecting both effectiveness data and implementation data in a real-world context. This data categorization approach can be useful to generate more insight into an intervention’s effectiveness under varying circumstances, and optimal support and advice can be provided to stakeholders to achieve maximum impact of population-based health-promoting interventions in complex, real-world systems. However, the proposed approach is a first suggestion and further testing and adaptation is necessary to increase its usefulness. Knowledge and experience sharing among researchers performing comparable research can increase the knowledge base regarding this subject.
Categorization · Context (archaeology) · Data science · Intervention (counseling) · Knowledge management · Management science · Process management · Psychological intervention · Artificial Intelligence · Community Health and Development · Computer Science · Engineering · Health Policy Implementation Science · Medicine · Nursing · School Health and Nursing Education
An Introduction to Scientific Realist Evaluation
The need for a complex systems model of evidence for public health
The PRECIS-2 tool
Process evaluation of complex interventions
Health Promoting Schools—a complex approach and a major means to health improvement
The Healthy Primary School of the Future
Implementation of health promotion programmes in schools
The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach
Using case studies to explore the external validity of ‘complex’ development interventions
From complex social interventions to interventions in complex social systems
A Framework for Enhancing the Value of Research for Dissemination and Implementation
Effectiveness-implementation Hybrid Designs
Schools as social complex adaptive systems
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |