Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers

BACKGROUND: Decisions to scale up population health interventions from small projects to wider state or national implementation is fundamental to maximising population-wide health improvements. The objectives of this study were to examine: i) how decisions to scale up interventions are currently mad...

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Autores principales: Milat, Andrew J, King, Lesley, Newson, Robyn, Wolfenden, Luke, Rissel, Chris, Bauman, Adrian, Redman, Sally
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996855/
https://www.ncbi.nlm.nih.gov/pubmed/24735455
http://dx.doi.org/10.1186/1478-4505-12-18
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author Milat, Andrew J
King, Lesley
Newson, Robyn
Wolfenden, Luke
Rissel, Chris
Bauman, Adrian
Redman, Sally
author_facet Milat, Andrew J
King, Lesley
Newson, Robyn
Wolfenden, Luke
Rissel, Chris
Bauman, Adrian
Redman, Sally
author_sort Milat, Andrew J
collection PubMed
description BACKGROUND: Decisions to scale up population health interventions from small projects to wider state or national implementation is fundamental to maximising population-wide health improvements. The objectives of this study were to examine: i) how decisions to scale up interventions are currently made in practice; ii) the role that evidence plays in informing decisions to scale up interventions; and iii) the role policy makers, practitioners, and researchers play in this process. METHODS: Interviews with an expert panel of senior Australian and international public health policy-makers (n = 7), practitioners (n = 7), and researchers (n = 7) were conducted in May 2013 with a participation rate of 84%. RESULTS: Scaling up decisions were generally made through iterative processes and led by policy makers and/or practitioners, but ultimately approved by political leaders and/or senior executives of funding agencies. Research evidence formed a component of the overall set of information used in decision-making, but its contribution was limited by the paucity of relevant intervention effectiveness research, and data on costs and cost effectiveness. Policy makers, practitioners/service managers, and researchers had different, but complementary roles to play in the process of scaling up interventions. CONCLUSIONS: This analysis articulates the processes of how decisions to scale up interventions are made, the roles of evidence, and contribution of different professional groups. More intervention research that includes data on the effectiveness, reach, and costs of operating at scale and key service delivery issues (including acceptability and fit of interventions and delivery models) should be sought as this has the potential to substantially advance the relevance and ultimately usability of research evidence for scaling up population health action.
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spelling pubmed-39968552014-04-24 Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers Milat, Andrew J King, Lesley Newson, Robyn Wolfenden, Luke Rissel, Chris Bauman, Adrian Redman, Sally Health Res Policy Syst Research BACKGROUND: Decisions to scale up population health interventions from small projects to wider state or national implementation is fundamental to maximising population-wide health improvements. The objectives of this study were to examine: i) how decisions to scale up interventions are currently made in practice; ii) the role that evidence plays in informing decisions to scale up interventions; and iii) the role policy makers, practitioners, and researchers play in this process. METHODS: Interviews with an expert panel of senior Australian and international public health policy-makers (n = 7), practitioners (n = 7), and researchers (n = 7) were conducted in May 2013 with a participation rate of 84%. RESULTS: Scaling up decisions were generally made through iterative processes and led by policy makers and/or practitioners, but ultimately approved by political leaders and/or senior executives of funding agencies. Research evidence formed a component of the overall set of information used in decision-making, but its contribution was limited by the paucity of relevant intervention effectiveness research, and data on costs and cost effectiveness. Policy makers, practitioners/service managers, and researchers had different, but complementary roles to play in the process of scaling up interventions. CONCLUSIONS: This analysis articulates the processes of how decisions to scale up interventions are made, the roles of evidence, and contribution of different professional groups. More intervention research that includes data on the effectiveness, reach, and costs of operating at scale and key service delivery issues (including acceptability and fit of interventions and delivery models) should be sought as this has the potential to substantially advance the relevance and ultimately usability of research evidence for scaling up population health action. BioMed Central 2014-04-15 /pmc/articles/PMC3996855/ /pubmed/24735455 http://dx.doi.org/10.1186/1478-4505-12-18 Text en Copyright © 2014 Milat et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Milat, Andrew J
King, Lesley
Newson, Robyn
Wolfenden, Luke
Rissel, Chris
Bauman, Adrian
Redman, Sally
Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
title Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
title_full Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
title_fullStr Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
title_full_unstemmed Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
title_short Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
title_sort increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996855/
https://www.ncbi.nlm.nih.gov/pubmed/24735455
http://dx.doi.org/10.1186/1478-4505-12-18
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