Cargando…
Supporting successful implementation of public health interventions: protocol for a realist synthesis
BACKGROUND: There is a growing emphasis in public health on the importance of evidence-based interventions to improve population health and reduce health inequities. Equally important is the need for knowledge about how to implement these interventions successfully. Yet, a gap remains between the de...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823871/ https://www.ncbi.nlm.nih.gov/pubmed/27055820 http://dx.doi.org/10.1186/s13643-016-0229-1 |
_version_ | 1782425999018819584 |
---|---|
author | MacDonald, Marjorie Pauly, Bernadette Wong, Geoff Schick-Makaroff, Kara van Roode, Thea Strosher, Heather Wilson Kothari, Anita Valaitis, Ruta Manson, Heather O’Briain, Warren Carroll, Simon Lee, Victoria Tong, Samantha Smith, Karen Dickenson Ward, Megan |
author_facet | MacDonald, Marjorie Pauly, Bernadette Wong, Geoff Schick-Makaroff, Kara van Roode, Thea Strosher, Heather Wilson Kothari, Anita Valaitis, Ruta Manson, Heather O’Briain, Warren Carroll, Simon Lee, Victoria Tong, Samantha Smith, Karen Dickenson Ward, Megan |
author_sort | MacDonald, Marjorie |
collection | PubMed |
description | BACKGROUND: There is a growing emphasis in public health on the importance of evidence-based interventions to improve population health and reduce health inequities. Equally important is the need for knowledge about how to implement these interventions successfully. Yet, a gap remains between the development of evidence-based public health interventions and their successful implementation. Conventional systematic reviews have been conducted on effective implementation in health care, but few in public health, so their relevance to public health is unclear. In most reviews, stringent inclusion criteria have excluded entire bodies of evidence that may be relevant for policy makers, program planners, and practitioners to understand implementation in the unique public health context. Realist synthesis is a theory-driven methodology that draws on diverse data from different study designs to explain how and why observed outcomes occur in different contexts and thus may be more appropriate for public health. METHODS: This paper presents a realist review protocol to answer the research question: Why are some public health interventions successfully implemented and others not? Based on a review of implementation theories and frameworks, we developed an initial program theory, adapted for public health from the Consolidated Framework for Implementation Research, to explain the implementation outcomes of public health interventions within particular contexts. This will guide us through the review process, which comprises eight iterative steps based on established realist review guidelines and quality standards. We aim to refine this initial theory into a ‘final’ realist program theory that explains important context-mechanism-outcome configurations in the successful implementation of public health interventions. DISCUSSION: Developing new public health interventions is costly and policy windows that support their implementation can be short lived. Ineffective implementation wastes scarce resources and is neither affordable nor sustainable. Public health interventions that are not implemented will not have their intended effects on improving population health and promoting health equity. This synthesis will provide evidence to support effective implementation of public health interventions taking into account the variable context of interventions. A series of knowledge translation products specific to the needs of knowledge users will be developed to provide implementation support. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015030052 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13643-016-0229-1) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4823871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-48238712016-04-08 Supporting successful implementation of public health interventions: protocol for a realist synthesis MacDonald, Marjorie Pauly, Bernadette Wong, Geoff Schick-Makaroff, Kara van Roode, Thea Strosher, Heather Wilson Kothari, Anita Valaitis, Ruta Manson, Heather O’Briain, Warren Carroll, Simon Lee, Victoria Tong, Samantha Smith, Karen Dickenson Ward, Megan Syst Rev Protocol BACKGROUND: There is a growing emphasis in public health on the importance of evidence-based interventions to improve population health and reduce health inequities. Equally important is the need for knowledge about how to implement these interventions successfully. Yet, a gap remains between the development of evidence-based public health interventions and their successful implementation. Conventional systematic reviews have been conducted on effective implementation in health care, but few in public health, so their relevance to public health is unclear. In most reviews, stringent inclusion criteria have excluded entire bodies of evidence that may be relevant for policy makers, program planners, and practitioners to understand implementation in the unique public health context. Realist synthesis is a theory-driven methodology that draws on diverse data from different study designs to explain how and why observed outcomes occur in different contexts and thus may be more appropriate for public health. METHODS: This paper presents a realist review protocol to answer the research question: Why are some public health interventions successfully implemented and others not? Based on a review of implementation theories and frameworks, we developed an initial program theory, adapted for public health from the Consolidated Framework for Implementation Research, to explain the implementation outcomes of public health interventions within particular contexts. This will guide us through the review process, which comprises eight iterative steps based on established realist review guidelines and quality standards. We aim to refine this initial theory into a ‘final’ realist program theory that explains important context-mechanism-outcome configurations in the successful implementation of public health interventions. DISCUSSION: Developing new public health interventions is costly and policy windows that support their implementation can be short lived. Ineffective implementation wastes scarce resources and is neither affordable nor sustainable. Public health interventions that are not implemented will not have their intended effects on improving population health and promoting health equity. This synthesis will provide evidence to support effective implementation of public health interventions taking into account the variable context of interventions. A series of knowledge translation products specific to the needs of knowledge users will be developed to provide implementation support. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015030052 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13643-016-0229-1) contains supplementary material, which is available to authorized users. BioMed Central 2016-04-07 /pmc/articles/PMC4823871/ /pubmed/27055820 http://dx.doi.org/10.1186/s13643-016-0229-1 Text en © MacDonald et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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 | Protocol MacDonald, Marjorie Pauly, Bernadette Wong, Geoff Schick-Makaroff, Kara van Roode, Thea Strosher, Heather Wilson Kothari, Anita Valaitis, Ruta Manson, Heather O’Briain, Warren Carroll, Simon Lee, Victoria Tong, Samantha Smith, Karen Dickenson Ward, Megan Supporting successful implementation of public health interventions: protocol for a realist synthesis |
title | Supporting successful implementation of public health interventions: protocol for a realist synthesis |
title_full | Supporting successful implementation of public health interventions: protocol for a realist synthesis |
title_fullStr | Supporting successful implementation of public health interventions: protocol for a realist synthesis |
title_full_unstemmed | Supporting successful implementation of public health interventions: protocol for a realist synthesis |
title_short | Supporting successful implementation of public health interventions: protocol for a realist synthesis |
title_sort | supporting successful implementation of public health interventions: protocol for a realist synthesis |
topic | Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823871/ https://www.ncbi.nlm.nih.gov/pubmed/27055820 http://dx.doi.org/10.1186/s13643-016-0229-1 |
work_keys_str_mv | AT macdonaldmarjorie supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT paulybernadette supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT wonggeoff supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT schickmakaroffkara supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT vanroodethea supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT strosherheatherwilson supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT kotharianita supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT valaitisruta supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT mansonheather supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT obriainwarren supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT carrollsimon supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT leevictoria supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT tongsamantha supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT smithkarendickenson supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis AT wardmegan supportingsuccessfulimplementationofpublichealthinterventionsprotocolforarealistsynthesis |