scholarly journals Promoting physical activity and health literacy: study protocol for a longitudinal, mixed methods evaluation of a cross-provider workplace-related intervention in Germany (The AtRisk study)

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Andrea Schaller ◽  
Lea Dejonghe ◽  
Adrienne Alayli-Goebbels ◽  
Bianca Biallas ◽  
Ingo Froboese
BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e027086
Author(s):  
Cecilia Vindrola-Padros ◽  
Estela Capelas Barbosa ◽  
Angus I G Ramsay ◽  
Simon Turner ◽  
Stephen Morris ◽  
...  

IntroductionHospital group models represent an organisational form that aims to bring together multiple provider organisations with a central headquarters and unified leadership responsible for locally managed operating units, standardised systems and a value-set shared across the group. These models seek to improve outcomes by reducing unwarranted variations in care provision and reducing costs through economies of scale. There is limited evidence on the impact and processes of implementing these models, so this study aims to evaluate one case study of a hospital group model.Methods and analysisWe will conduct a formative, mixed-methods evaluation using an embedded research approach to analyse the implementation of the model and its impact on outcomes and costs. We will carry out a multisited ethnography to analyse the programme theory for model design and implementation, the barriers and facilitators in the implementation; and wider contextual issues that influence implementation using semi-structured interviews (n=80), non-participant observations (n=80 hours), ‘shadowing’ (n=20 hours) and documentary analysis. We will also carry out an economic evaluation composed of a cost-consequence analysis and a return on investment analysis to evaluate the costs of creating and running the model and balance these against the potential cost-savings.Ethics and disseminationThe study protocol was reviewed by the local R&D Office and University College London Ethics Committee and classified as a service evaluation, not requiring approval by a research ethics committee. We will follow guidelines for informed consent, confidentiality and information governance, and address issues of critical distance prevalent in embedded research. Findings will be shared at regular time points to inform the implementation of the model. The evaluation will also generate: an evaluation framework to evaluate future changes; recommendations for meaningful baseline data and measuring improvement; identification of implementation costs and potential cost-savings; and lessons for the National Health Service on implementing these models.


2016 ◽  
Vol 76 (1) ◽  
pp. 89-101 ◽  
Author(s):  
Bernice R Garnett ◽  
Kelly Becker ◽  
Danielle Vierling ◽  
Cara Gleason ◽  
Danielle DiCenzo ◽  
...  

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Elizabeth Whittaker ◽  
Wendy Swift ◽  
Paul Flatau ◽  
Timothy Dobbins ◽  
Olivia Schollar-Root ◽  
...  

Author(s):  
Andrea Schaller ◽  
Carina Hoffmann

There is great potential for the implementation of physical-activity measures at the workplace, especially in smaller companies. The present paper describes the study protocol for evaluating an impact-model-based multicomponent intervention promoting physical activity at the workplace within a cross-company network. The evaluation is based on a logic model focusing on outputs and short-term outcomes for the purpose of physical-activity promotion, physical-activity-related health competence, and knowledge about physical activity. A mixed-methods approach is applied. The quantitative evaluation is conducted as a natural design, and combines a retrospective evaluation of the acceptance, usage, and satisfaction (output) at the end of the measures, and two surveys that capture physical activity, knowledge about physical activity, and physical-activity-related health competence (outcome) of the employees in the form of a trend study. The qualitative evaluation comprises semistructured interviews to investigate knowledge of the existence of and attitude towards the content of the multicomponent intervention and the study. The challenges evaluating complex interventions are widely debated. Through an impact-model-based approach, the study will provide a promising framework for the systematic evaluation of a multicomponent intervention promoting physical activity.


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