scholarly journals Evaluating a community-based public health intervention using a complex systems approach

2020 ◽  
Author(s):  
Anna Matheson ◽  
M Walton ◽  
Rebecca Gray ◽  
K Lindberg ◽  
M Shanthakumar ◽  
...  
Keyword(s):  
Public Health ◽  
Systems Approach ◽  
Social Systems ◽  
Qualitative Comparative Analysis ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Mixed Data ◽  
Community Based ◽  
Evaluation Approach ◽  
The Social

© The Author 2017. Background This article outlines the methods being used to evaluate a community-based public health intervention. This evaluation approach recognizes that not only is the intervention, Healthy Families NZ, complex, but the social systems within which it is being implemented are complex. Methods To address challenges related to complexity, we discuss three developing areas within evaluation theory and apply them to an evaluation case example. The example, Healthy Families NZ, aims to strengthen the prevention system in Aotearoa/New Zealand to prevent chronic disease in 10 different geographic areas. Central to the evaluation design is the comparative case method which recognizes that emergent outcomes are the result of 'configurations of causes'. 'Thick', mixed-data, case studies are developed, with each case considered a view of a complex system. Qualitative Comparative Analysis is the analytical approach used to systematically compare the cases over time. Conclusions This article describes an approach to evaluating a community-based public health intervention that considers the social systems in which the initiative is being implemented to be complex. The evaluation case example provides a unique opportunity to operationalize and test these methods, while extending their more frequent use within other fields to the field of public health.

scholarly journals Evaluating a community-based public health intervention using a complex systems approach

2020 ◽  
Author(s):  
Anna Matheson ◽  
M Walton ◽  
Rebecca Gray ◽  
K Lindberg ◽  
M Shanthakumar ◽  
...  
Keyword(s):  
Public Health ◽  
Systems Approach ◽  
Social Systems ◽  
Qualitative Comparative Analysis ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Mixed Data ◽  
Community Based ◽  
Evaluation Approach ◽  
The Social

© The Author 2017. Background This article outlines the methods being used to evaluate a community-based public health intervention. This evaluation approach recognizes that not only is the intervention, Healthy Families NZ, complex, but the social systems within which it is being implemented are complex. Methods To address challenges related to complexity, we discuss three developing areas within evaluation theory and apply them to an evaluation case example. The example, Healthy Families NZ, aims to strengthen the prevention system in Aotearoa/New Zealand to prevent chronic disease in 10 different geographic areas. Central to the evaluation design is the comparative case method which recognizes that emergent outcomes are the result of 'configurations of causes'. 'Thick', mixed-data, case studies are developed, with each case considered a view of a complex system. Qualitative Comparative Analysis is the analytical approach used to systematically compare the cases over time. Conclusions This article describes an approach to evaluating a community-based public health intervention that considers the social systems in which the initiative is being implemented to be complex. The evaluation case example provides a unique opportunity to operationalize and test these methods, while extending their more frequent use within other fields to the field of public health.

scholarly journals Evaluating a community-based public health intervention using a complex systems approach

2017 ◽  
Vol 40 (3) ◽  
pp. 606-613 ◽  
Author(s):  
Anna Matheson ◽  
Mat Walton ◽  
Rebecca Gray ◽  
Kirstin Lindberg ◽  
Mathu Shanthakumar ◽  
...  
Keyword(s):  
Public Health ◽  
Complex Systems ◽  
Systems Approach ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Community Based

Measuring the Efficacy of a Pilot Public Health Intervention for Engaging Communities of Puerto Rico to Rapidly Write Hurricane Protection Plans

2020 ◽  
pp. 1-10
Author(s):  
Mark E. Keim ◽  
Laura A. Runnels ◽  
Alexander P. Lovallo ◽  
Margarita Pagan Medina ◽  
Eduardo Roman Rosa ◽  
...  
Keyword(s):  
Public Health ◽  
Puerto Rico ◽  
User Satisfaction ◽  
National Guard ◽  
Rapid Development ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Project Work ◽  
Community Members ◽  
Community Based

Abstract Objective: The efficacy is measured for a public health intervention related to community-based planning for population protection measures (PPMs; ie, shelter-in-place and evacuation). Design: This is a mixed (qualitative and quantitative) prospective study of intervention efficacy, measured in terms of usability related to effectiveness, efficiency, satisfaction, and degree of community engagement. Setting: Two municipalities in the Commonwealth of Puerto Rico are included. Participants: Community members consisting of individuals; traditional leaders; federal, territorial, and municipal emergency managers; municipal mayors; National Guard; territorial departments of education, health, housing, public works, and transportation; health care; police; Emergency Medical Services; faith-based organizations; nongovernmental organizations (NGOs); and the private sector. Intervention: The intervention included four community convenings: one for risk communication; two for plan-writing; and one tabletop exercise (TTX). This study analyzed data collected from the project work plan; participant rosters; participant surveys; workshop outputs; and focus group interviews. Main Outcome Measures: Efficacy was measured in terms of ISO 9241-11, an international standard for usability that includes effectiveness, efficiency, user satisfaction, and “freedom from risk” among users. Degree of engagement was considered an indicator of “freedom from risk,” measurable through workshop attendance. Results: Two separate communities drafted and exercised ~60-page-long population protection plans, each within 14.5 hours. Plan-writing workshops completed 100% of plan objectives and activities. Efficiency rates were nearly the same in both communities. Interviews and surveys indicated high degrees of community satisfaction. Engagement was consistent among community members and variable among governmental officials. Conclusions: Frontline communities have successfully demonstrated the ability to understand the environmental health hazards in their own community; rapidly write consensus-based plans for PPMs; participate in an objective-based TTX; and perform these activities in a bi-lingual setting. This intervention appears to be efficacious for public use in the rapid development of community-based PPMs.

scholarly journals Protocol for a systematic review of the use of qualitative comparative analysis for evaluative questions in public health research

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Benjamin Hanckel ◽  
Mark Petticrew ◽  
James Thomas ◽  
Judith Green
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Comparative Analysis ◽  
Health Research ◽  
Citation Index ◽  
Qualitative Comparative Analysis ◽  
Public Health Intervention ◽  
Public Health Research ◽  
Intervention Research ◽  
Health Intervention

Abstract Background There is an increasing recognition that health intervention research requires methods and approaches that can engage with the complexity of systems, interventions, and the relations between systems and interventions. One approach which shows promise to this end is qualitative comparative analysis (QCA), which examines casual complexity across a medium to large number of cases (between 10 and 60+), whilst also being able to generalise across those cases. Increasingly, QCA is being adopted in public health intervention research. However, there is a limited understanding of how it is being adopted. This systematic review will address this gap, examining how it is being used to understand complex causation; for what settings, populations and interventions; and with which datasets to describe cases. Methods We will include published and peer-reviewed studies of any public health intervention where the effects on population health, health equity, or intervention uptake are being evaluated. Electronic searches of PubMed, Scopus, Web of Science (incorporating Social Sciences Citation Index and Arts & Humanities Citation Index), Microsoft Academic, and Google Scholar will be performed. This will be supplemented with reference citation tracking and personal contact with experts to identify any additional published studies. Search results will be single screened, with machine learning used to check these results, acting as a ‘second screener’. Any disagreement will be resolved through discussion. Data will be extracted from full texts of eligible studies, which will be assessed against inclusion criteria, and synthesised narratively, using thematic synthesis methods. Discussion This systematic review will provide an important map of the increasing use of QCA in public health intervention literature. This review will identify the current scope of research in this area, as well as assessing claims about the utility of the method for addressing complex causation in public health research. We will identify implications for better reporting of QCA methods in public health research and for reporting of case studies such that they can be used in future QCA studies. Systematic review registration PROSPERO, CRD42019131910

Special Feature — Dengue

2005 ◽  
Vol 09 (22) ◽  
pp. 1185-1198
Keyword(s):  
Public Health ◽  
Scientific Progress ◽  
Public Health Intervention ◽  
Control Program ◽  
Health Intervention ◽  
Epidemic Modeling ◽  
Community Based ◽  
Dengue Control ◽  
Dengue Epidemic

Community-Based Dengue Control Program. Dengue: An Update. Dengue Epidemic Modeling: Stakes and Pitfalls. Dengue: Translating Scientific Progress into Public Health Intervention.

scholarly journals The Regeneration of Urban Blue Spaces: A Public Health Intervention? Reviewing the Evidence

2022 ◽  
Vol 9 ◽  
Author(s):  
Anna Brückner ◽  
Timo Falkenberg ◽  
Christine Heinzel ◽  
Thomas Kistemann
Keyword(s):  
Public Health ◽  
Environmental Sustainability ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Urban Environments ◽  
Community Based ◽  
Economic Interests ◽  
Beneficial Effects ◽  
Health And Wellbeing ◽  
Funding Sources

Research in recent years has demonstrated that urban surface waters (“urban blue spaces”) can provide beneficial effects on human health and wellbeing. Despite blue spaces prevailing on urban development agendas across the world, little investigation has been done whether and how the regeneration of such spaces is used as a (community-based) public health intervention. Therefore, a review was conducted to analyze urban blue space regeneration projects in terms of their significance for public health. Results show that the regeneration of urban blue spaces displays a diversity of intervention types and follows certain development trends seen in general urban regeneration: Similarities mainly arise in relation to objectives (multi-dimensional goals with increasing focus on environmental sustainability and economic interests), stakeholders (shift to multi-actor governance with a rise of partnerships and community participation), and funding (prevalence of mixed financial schemes and increasing reliance on external funding sources). Although threefold public health effects have been noted across the projects (i. behavioral changes toward healthier lifestyles, ii. healthier urban environments, iii. health policy changes), results of this review indicate that the potential to use urban blue regeneration as a community-based health intervention has yet to be realized.

The Affective Politics of Karma among Buddhist Cancer Charities in Vietnam

2020 ◽  
Vol 15 (4) ◽  
pp. 33-62
Author(s):  
Sara Swenson
Keyword(s):  
Public Health ◽  
Global Existence ◽  
Food Production ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Moral Failure ◽  
Cancer Rates ◽  
Charity Work

In this article, I explore how Buddhist charity workers in Vietnam interpret rising cancer rates through understandings of karma. Rather than framing cancer as a primarily physical or medical phenomenon, volunteers state that cancer is a product of collective moral failure. Corruption in public food production is both caused by and perpetuates bad karma, which negatively impacts global existence. Conversely, charity work creates merit, which can improve collective karma and benefit all living beings. I argue that through such interpretations of karma, Buddhist volunteers understand their charity at cancer hospitals as an affective and ethical form of public health intervention.

Cases of social innovations implemented in the public health sector

2020 ◽  
Vol 16 (9) ◽  
pp. 1600-1621
Author(s):  
E.V. Molchanova
Keyword(s):  
Public Health ◽  
Systems Approach ◽  
Health Sector ◽  
Demographic Challenges ◽  
Disability Adjusted Life ◽  
The Social ◽  
Social Innovations ◽  
Demographic Processes ◽  
Disease Study ◽  
Disability Adjusted Life Year

Subject. The article discusses medical and demographic processes in Russia and Finland. Objectives. I evaluate cases of social innovations implemented for the preservation and strengthening of public health in Finland under the auspices of The Global Burden of Disease Study. Methods. Methodologically, the study relies upon the ideology of the GDB Project, which rests on the DALY (the Disability Adjusted Life Year). Results. I analyzed the morbidity and mortality rates, DALY in Russia and Finland, determined what mainly triggers the risk (environmental, behavioral, metabolic) fueling some public health degradation. The article provides the insight into the efficiency of some social innovations implemented in Finland and suggests what should be done to outline medical and demographic programs in Russia. Conclusions and Relevance. The medical and demographic situation in Russia requires new tools to find innovative solutions for the social policy and, inter alia, the use of the GBD technique, which proved to be effective. Referring to evidence from Finland, demographic challenges in Russian can be handled through a systems approach, i.e. socio-economic actions, improvement of the healthcare and social security, wellness propaganda.

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