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Methods for exploring implementation variation and local context within a cluster tandomised community intervention trial

Hawe, Penelope, Shiell, Alan, Riley, Therese and Gold, Lisa 2004, Methods for exploring implementation variation and local context within a cluster tandomised community intervention trial, Journal of epidemiology and community health, vol. 58, no. 9, pp. 788-793.

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Title Methods for exploring implementation variation and local context within a cluster tandomised community intervention trial
Author(s) Hawe, Penelope
Shiell, Alan
Riley, Therese
Gold, Lisa
Journal name Journal of epidemiology and community health
Volume number 58
Issue number 9
Start page 788
End page 793
Publisher B M J Publishing Group
Place of publication London, England
Publication date 2004-09
ISSN 0143-005X
Keyword(s) community intervention trial
context evaluation
complex interventions
implementation evaluation
Summary Insignificant or modest findings in intervention trials may be attributable to poorly designed or theorised interventions, poorly implemented interventions, or inadequate evaluation methods. The pre-existing context may also account for the effects observed. A combination of qualitative and quantitative methods is outlined that will permit the determination of how context level factors might modify intervention effectiveness, within a cluster randomised community intervention trial to promote the health of mothers with new babies. The methods include written and oral narratives, key informant interviews, impact logs, and inter-organisational network analyses. Context level factors, which may affect intervention uptake, success, and sustainability are the density of inter-organisational ties within communities at the start of the intervention, the centrality of the primary care agencies expected to take a lead with the intervention, the extent of context-level adaptation of the intervention, and the amount of local resources contributed by the participating agencies. Investigation of how intervention effects are modified by context is a new methodological frontier in community intervention trial research.
Notes This article has been accepted for publication in of Epidemiology and Community Health (JECH). The definitive copyedited, typeset version : Hawe, Penelope, Shiell, Alan, Riley, Therese and Gold, Lisa 2004-09, Methods for exploring implementation variation and local context within a cluster tandomised community intervention trial, Journal of epidemiology and community health, vol. 58, no. 9, pp. 788-793, is available online at : http://jech.bmj.com
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2004, BMJ Publishing Group Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30006569

Document type: Journal Article
Collections: School of Health and Social Development
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