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Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science

The evidence base for micronutrient powder (MNP) interventions predominantly consists of quantitative studies focused on measuring coverage, utilization, and/or biological outcomes. We need other types of studies to broaden the scope of our knowledge about determinants of MNP programme effectiveness...

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Autores principales: Schnefke, Courtney H., Tumilowicz, Alison, Pelto, Gretel H., Gebreyesus, Seifu Hagos, Gonzalez, Wendy, Hrabar, Mélanie, Mahmood, Shanzeh, Pedro, Catia, Picolo, Melanie, Possolo, Edna, Scarlatescu, Oana A., Tarlton, Dessie, Vettersand, Julia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856841/
https://www.ncbi.nlm.nih.gov/pubmed/31622039
http://dx.doi.org/10.1111/mcn.12804
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author Schnefke, Courtney H.
Tumilowicz, Alison
Pelto, Gretel H.
Gebreyesus, Seifu Hagos
Gonzalez, Wendy
Hrabar, Mélanie
Mahmood, Shanzeh
Pedro, Catia
Picolo, Melanie
Possolo, Edna
Scarlatescu, Oana A.
Tarlton, Dessie
Vettersand, Julia
author_facet Schnefke, Courtney H.
Tumilowicz, Alison
Pelto, Gretel H.
Gebreyesus, Seifu Hagos
Gonzalez, Wendy
Hrabar, Mélanie
Mahmood, Shanzeh
Pedro, Catia
Picolo, Melanie
Possolo, Edna
Scarlatescu, Oana A.
Tarlton, Dessie
Vettersand, Julia
author_sort Schnefke, Courtney H.
collection PubMed
description The evidence base for micronutrient powder (MNP) interventions predominantly consists of quantitative studies focused on measuring coverage, utilization, and/or biological outcomes. We need other types of studies to broaden the scope of our knowledge about determinants of MNP programme effectiveness. Addressing this knowledge gap, this paper focuses on the process of designing an ethnographic research protocol to obtain caregivers' perspectives on the factors that influenced their use of intervention delivery services and their adherence to MNP recommendations. The research was undertaken within the context of formative evaluations conducted in Mozambique and Ethiopia. Ethnography provides a means for acquiring and interpreting this knowledge and is an approach particularly well suited for formative evaluation to understand the response of a population to new interventions and programme delivery processes. We describe decisions made and challenges encountered in developing the protocol, and their implications for advancing methodology in implementation research science. In addition to a core team of three investigators, we added an “advisory group” of 10 experts to advise us as we developed the protocol. The advisory group reviewed multiple drafts of the interview protocol and participated in mock interviews. In the protocol development process, we faced the issues and made decisions about concerned gaps in content, cultural adaptations and comprehension, and interview guide structure and format. Differences between the core team and the advisory group in methodological approaches to the structure and content of questions call attention to the importance of establishing greater communication among implementation scientists working in nutrition interventions.
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spelling pubmed-68568412019-11-21 Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science Schnefke, Courtney H. Tumilowicz, Alison Pelto, Gretel H. Gebreyesus, Seifu Hagos Gonzalez, Wendy Hrabar, Mélanie Mahmood, Shanzeh Pedro, Catia Picolo, Melanie Possolo, Edna Scarlatescu, Oana A. Tarlton, Dessie Vettersand, Julia Matern Child Nutr Supplement Articles The evidence base for micronutrient powder (MNP) interventions predominantly consists of quantitative studies focused on measuring coverage, utilization, and/or biological outcomes. We need other types of studies to broaden the scope of our knowledge about determinants of MNP programme effectiveness. Addressing this knowledge gap, this paper focuses on the process of designing an ethnographic research protocol to obtain caregivers' perspectives on the factors that influenced their use of intervention delivery services and their adherence to MNP recommendations. The research was undertaken within the context of formative evaluations conducted in Mozambique and Ethiopia. Ethnography provides a means for acquiring and interpreting this knowledge and is an approach particularly well suited for formative evaluation to understand the response of a population to new interventions and programme delivery processes. We describe decisions made and challenges encountered in developing the protocol, and their implications for advancing methodology in implementation research science. In addition to a core team of three investigators, we added an “advisory group” of 10 experts to advise us as we developed the protocol. The advisory group reviewed multiple drafts of the interview protocol and participated in mock interviews. In the protocol development process, we faced the issues and made decisions about concerned gaps in content, cultural adaptations and comprehension, and interview guide structure and format. Differences between the core team and the advisory group in methodological approaches to the structure and content of questions call attention to the importance of establishing greater communication among implementation scientists working in nutrition interventions. John Wiley and Sons Inc. 2019-10-17 /pmc/articles/PMC6856841/ /pubmed/31622039 http://dx.doi.org/10.1111/mcn.12804 Text en © 2019 The Authors. Maternal & Child Nutrition Published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplement Articles
Schnefke, Courtney H.
Tumilowicz, Alison
Pelto, Gretel H.
Gebreyesus, Seifu Hagos
Gonzalez, Wendy
Hrabar, Mélanie
Mahmood, Shanzeh
Pedro, Catia
Picolo, Melanie
Possolo, Edna
Scarlatescu, Oana A.
Tarlton, Dessie
Vettersand, Julia
Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science
title Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science
title_full Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science
title_fullStr Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science
title_full_unstemmed Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science
title_short Designing an ethnographic interview for evaluation of micronutrient powder trial: Challenges and opportunities for implementation science
title_sort designing an ethnographic interview for evaluation of micronutrient powder trial: challenges and opportunities for implementation science
topic Supplement Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856841/
https://www.ncbi.nlm.nih.gov/pubmed/31622039
http://dx.doi.org/10.1111/mcn.12804
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