How have the Care Act 2014 ambitions to support carers translated into local practice? Findings from a process evaluation study of local stakeholders' perceptions of Care Act implementation

2021 ◽  
Author(s):  
Joanna Marczak ◽  
Jose‐Luis Fernandez ◽  
Jill Manthorpe ◽  
Nicola Brimblecombe ◽  
Jo Moriarty ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Evaluation Study ◽  
Local Practice ◽  
Local Stakeholders ◽  
Perceptions Of Care

scholarly journals Developing a whole-school mental health and wellbeing intervention through pragmatic formative process evaluation: a case-study of innovative local practice within The School Health Research network

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Gobat ◽  
Hannah Littlecott ◽  
Andy Williams ◽  
Kirsten McEwan ◽  
Helen Stanton ◽  
...  
Keyword(s):  
Mental Health ◽  
Process Evaluation ◽  
Evidence Base ◽  
Outcome Evaluation ◽  
Research Network ◽  
Programme Theory ◽  
Student Mental Health ◽  
Local Practice ◽  
Health And Wellbeing ◽  
Whole School

Abstract Background The evidence-base for whole school approaches aimed at improving student mental health and wellbeing remains limited. This may be due to a focus on developing and evaluating de-novo, research-led interventions, while neglecting the potential of local, contextually-relevant innovation that has demonstrated acceptability and feasibility. This study reports a novel approach to modelling and refining the programme theory of a whole-school restorative approach, alongside plans to scale up through a national educational infrastructure in order to support robust scientific evaluation. Methods A pragmatic formative process evaluation was conducted of a routinized whole-school restorative approach aimed at improving student mental health and wellbeing in Wales. Results The study reports the six phases of the pragmatic formative process evaluation. These are: 1) identification of innovative local practice; 2) scoping review of evidence-base to identify potential programme theory; outcomes; and contextual characteristics that influence implementation; 3) establishment of a Transdisciplinary Action Research (TDAR) group; 4) co-production and confirmation of an initial programme theory with stakeholders; 5) planning to optimise intervention delivery in local contexts; and 6) planning for feasibility and outcome evaluation. The phases of this model may be iterative and not necessarily sequential. Conclusions Formative, pragmatic process evaluations can support researchers, policy-makers and practitioners in developing robust scientific evidence-bases for acceptable and feasible local innovations that do not already have a clear evidence base. The case of a whole-school restorative approach provides a case example of how such an evaluation may be undertaken.

scholarly journals Process Evaluation of Internet-Based Cognitive Behavioral Therapy Intervention for Informal Caregivers

2021 ◽  
Vol 8 ◽  
Author(s):  
Ieva Biliunaite ◽  
Evaldas Kazlauskas ◽  
Robbert Sanderman ◽  
Gerhard Andersson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Process Evaluation ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Group Discussion ◽  
Informal Caregivers ◽  
Target Population ◽  
Evaluation Study ◽  
Cognitive Behavioral ◽  
Delivery Mode

Background: Informal caregivers are individuals who provide care for ill, frail, or otherwise dependent family members, siblings, or friends. Due to the caregiving demands, informal caregivers are known to experience negative mental health symptoms, such as stress or anxiety. Interventions based on Internet-based Cognitive Behavioral Therapy (ICBT) principles have been previously found to be effective for different populations and could also be considered as a plausible support option for informal caregivers. However, findings regarding effectiveness alone might not be sufficient for informing about the overall feasibility of the intervention.Objective: The aim of this process evaluation study was to evaluate the feasibility of a previously developed ICBT intervention for informal caregivers in Lithuania. More specifically, we evaluated the suitability of the intervention in relation to its content and delivery mode.Methods: Two studies were conducted. Study 1 consisted of participant evaluations of an 8-week, 8-module long therapist supported ICBT intervention. Evaluations for the Study 1 were retrieved from previously unused data, obtained from pilot testing of the intervention in which 63 informal caregivers took part. The evaluations contained of qualitative data (participant comments), as well as quantitative data (evaluations of each of the sessions). The Study 2 was an online stakeholder focus-group discussion conducted via Zoom. Eight stakeholders took part in the discussion, among whom there were social workers, medical professionals as well as individuals with caregiving experience themselves. Data were analyzed using descriptive statistics, thematic analysis, and data coding.Results: Results of the Study 1 showed that most of the pilot randomized controlled trial participants evaluated content and format of the intervention positively. These results were complemented by the findings in the Study 2, in which stakeholders evaluated the intervention as suitable and promising. In addition, stakeholders made certain suggestions for improving the intervention's usability for the informal caregivers. This included improving the instructions, providing with more guidance, and considering personalization options.Conclusion: The process evaluation helped to evaluate the feasibility of the ICBT intervention for informal caregivers in Lithuania from the two perspectives: users and stakeholders. Our findings suggest that the intervention is suitable for the target population.

scholarly journals THE EFFECTIVENESS OF THE BOARDING TEACHER PROFESSIONAL DEVELOPMENT PROGRAM: AN APPROACH OF PROCESS EVALUATION

2018 ◽  
Author(s):  
Friyatmi
Keyword(s):  
Professional Development ◽  
Teacher Professional Development ◽  
Process Evaluation ◽  
Program Implementation ◽  
Development Program ◽  
Evaluation Study ◽  
Professional Development Program ◽  
State University ◽  
Teacher Professional ◽  
Research Questions

This study aimed to evaluate the effectiveness of the implementation of the boarding Teacher Professional Development Program (PPG SM-3T) in State University of Padang (SUP). This research was an evaluation study using a part of the CIPP model, namely the process evaluation. The research questions for this study were 1) how is the effectiveness of the implementation of PPG SM-3T boarding program? 2) what are the weaknesses in implementing the PPG SM-3T boarding program in SUP? Data in this study were collecting using questionnaires and interview techniques. Informants of this study were the participants of the PPG SM-3T PSU and managers program. The data were analyzed using descriptive statistic techniques. The results of this study revealed that all over management of program implementation was considered less effective by the participants. The weaknesses of the program implementation are as follows. 1) The boarding education programs was less-organized, causing some programs were not function properly and often the schedule were not followed strictly; (2) Lack of coordination between the management and weakness supervision/controlling manager on the boarding activities resulted in less well executed program. (3) Meals service agent were less professional, resulting in the low quality and less variation food being served to the participants.

A Process Evaluation Study of Peer Leaders in Health Education

1986 ◽  
Vol 56 (2) ◽  
pp. 62-67 ◽  
Author(s):  
Cheryl L. Perry ◽  
Knut-Inge Klepp ◽  
Andrew Halper ◽  
Ken G. Hawkins ◽  
David M. Murray
Keyword(s):  
Health Education ◽  
Process Evaluation ◽  
Evaluation Study ◽  
Peer Leaders

scholarly journals Does dialogue improve the sustainable employability of low-educated employees? A study protocol

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Hazelzet ◽  
H Bosma ◽  
A de Rijk ◽  
I Houkes
Keyword(s):  
Process Evaluation ◽  
Study Protocol ◽  
Implementation Process ◽  
Evaluation Study ◽  
Job Control ◽  
Secondary Outcome ◽  
Effect Evaluation ◽  
Sustainable Employability ◽  
Low Educated ◽  
Insight Into

Abstract Background There is a need to develop sustainable employability (SE) interventions that are better aligned to the needs of low-educated employees. This group needs to get a voice in intervention development and implementation. In this study, a dialogue-based approach is proposed consisting of an online step-by-step support toolkit for employers, 'Healthy Human Resources' (HHR). When intervening, this toolkit enables and stimulates employers to have a continuous dialogue with their low-educated employees. By improving the employees' job control, HHR is aimed at cost-beneficially improving SE. This paper describes the protocol of the evaluation study to evaluate the effectiveness and implementation process of HHR on the SE of low-educated employees. Methods The protocol of the evaluation study consists of: 1) an effect evaluation with a pretest-posttest design with a one-year follow-up in five work organizations deploying low-educated employees and with SE as the primary outcome and job control as the secondary outcome. The effect evaluation is expanded with a budget impact analysis; 2) a mixed-method process evaluation at six and twelve months after the start of HHR to evaluate the whole implementation process of HHR. This includes the experiences with HHR of various stakeholders, such as employees, human resource managers, and line managers. Results The upcoming effect evaluation, as described in this study protocol, will give insight into the effects of HHR on the SE of low-educated employees. The process evaluation, as described, will provide insight into the barriers and facilitators related to the (in) effectiveness of HHR. Conclusions By improving dialogue, we hypothesize that HHR, through enhancing job control, will strengthen the SE of low-educated employees. If HHR is proven effective, we also recommend the implementation of HHR on a wider scale, in order to tackle the socioeconomic health gap. Key messages This paper describes a protocol for the evaluation of a dialogue-based approach (Healthy HR) to improve the sustainable employability of low-educated employees. Healthy HR is expected to facilitate employers in the development of effective SE interventions in a true dialogue with their low-educated employees.

scholarly journals Process evaluation of a national elderly nutrition care program in Iran: Perspectives of clients and providers

2020 ◽  
Author(s):  
Sorayya Kheirouri ◽  
Mohammad Alizadeh ◽  
Elaheh Foroumandi ◽  
Rahim Khodayari-zarnaq
Keyword(s):  
Health Care ◽  
Process Evaluation ◽  
Group Process ◽  
Implementation Process ◽  
Care Program ◽  
Monitoring And Evaluation ◽  
Evaluation Study ◽  
Nutrition Care ◽  
East Azerbaijan ◽  
Health Care Centers

Abstract Background The rapid growth of Iran elderly population highlights the importance of more attention to nutritional needs of this age group. Process evaluation study on the nutritional part of the national Elderly-Integrated Care Program was conducted to examine degree of exposure and satisfaction of the targets with the program components, and assess the reach, delivery, fidelity, and external contexts of the program.Methods To evaluate perspectives of clients on elderly integrated nutrition care program (EINCP) implementation process, a self-administrated questionnaire was constructed, validated, and applied to 256 individuals with the age of above 60 years attending the program at 57 health care centers of Tabriz metropolitan area of East Azerbaijan province in Iran using convenience sampling method. Another valid questionnaire was also applied to investigate viewpoint of the perceptions of 76 staffs of these health care centers as the program providers around the EINCP.Results The reach rate of the clients was reported 20.0%. Delivery of the educational components to entire program providers was accomplished (100.0%); however, the delivery of some parts of the program to the clients had some main weaknesses. The fidelity of the program tools was considered inadequate from perspectives of both clients and providers. 77.5% of the clients had exposure to the program. Clients’ satisfaction rate was varied from 4.2 to 34.7% with various available services, but 42.8% of the clients had high satisfaction with overall parts of the EINCP. The program also suffered from some external contexts such as the lack of financial support of program providers.Conclusion The format of the EINCP and strategies related to recruitment of the clients should be improved in order to minimize the barriers highlighted in this study. The providers should focus on raising the compliance of clients to receive a higher reach rate. It is suggested that program planners add periodic monitoring and evaluation of the program.

scholarly journals What factors promote or inhibit implementation of a new procedure for screening and treatment of malnutrition in community settings? A prospective process evaluation of theImplementing Nutrition Screening in Community Care for Older People(INSCCOPe) project (UK)

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e023362 ◽  
Author(s):  
Mike Bracher ◽  
Jane Murphy ◽  
Katherine Steward ◽  
Kathy Wallis ◽  
Carl R May
Keyword(s):  
Older People ◽  
Process Evaluation ◽  
Community Care ◽  
Evaluation Study ◽  
Routine Care ◽  
Ethical Review ◽  
Nutrition Screening ◽  
Ethical Approval ◽  
The Uk ◽  
Care For Older People

IntroductionMalnutrition remains underdetected, undertreated and often overlooked by those working with older people in primary care in the UK. A new procedure for screening and treatment of malnutrition is currently being implemented by a large National Health Service (NHS) trust in England, incorporating a programme of training for staff working within Integrated Community Teams and Older People’s Mental Health teams. Running in parallel, the Implementing Nutrition Screening in Community Care for Older People process evaluation study explores factors that may promote or inhibit its implementation and longer term embedding in routine care, with the aim of optimising sustainability and scalability.Methods and analysisImplementation will be assessed through observation of staff within a single area of the trust, in addition to the procedure development and delivery group (PDDG). Data collection will occur at three observation points: prior to implementation of training, baseline (T0); 2 months following training (T1); and 8 months following training (T2). Observation points will consist of a survey and follow-up semistructured telephone interview with staff. Investigation of the PDDG will involve: observations of discussions around development of the procedure; semistructured telephone interviews prior to implementation, and at 6 months following implementation. Quantitative data will be described using frequency tables reporting by team type, healthcare provider role group, and total study sample (Wilcoxon rank-sum and Wilcoxon signed-rank tests may also be conducted if appropriate. Audio and transcription data will be analysed using Nomarlization Process Theory as a framework for deductive thematic analysis (using the NVIVO CAQDAS software package).Ethics and disseminationEthical approval for the study has been granted through institutional ethical review (Bournemouth University); NHS Research Ethics committee approval was not required. Dissemination will occur through presentations to academic and practitioner audiences and publication results in peer-reviewed academic journals.

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