A systematic grounded approach to the development of complex interventions : The Australian WorkHealth Program – Arthritis as a case study

Reavley, Nicola, Livingston, Jenni, Buchbinder, Rachelle, Bennell, Kim, Stecki, Chris and Osborne, Richard Harry 2010, A systematic grounded approach to the development of complex interventions : The Australian WorkHealth Program – Arthritis as a case study, Social science & medicine, vol. 70, no. 3, pp. 342-350.

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Title A systematic grounded approach to the development of complex interventions : The Australian WorkHealth Program – Arthritis as a case study
Author(s) Reavley, Nicola
Livingston, Jenni
Buchbinder, Rachelle
Bennell, Kim
Stecki, Chris
Osborne, Richard Harry
Journal name Social science & medicine
Volume number 70
Issue number 3
Start page 342
End page 350
Total pages 9
Publisher Elsevier
Place of publication New York, NY.
Publication date 2010-02
ISSN 0277-9536
1873-5347
Keyword(s) arthritis
health education
complex interventions
evidence-based practice
knowledge exchange
self-management
Australia
Summary Despite demands for evidence-based research and practice, little attention has been given to systematic approaches to the development of complex interventions to tackle workplace health problems. This paper outlines an approach to the initial stages of a workplace program development which integrates health promotion and disease management. The approach commences with systematic and genuine processes of obtaining information from key stakeholders with broad experience of these interventions. This information is constructed into a program framework in which practice-based and research-informed elements are both valued. We used this approach to develop a workplace education program to reduce the onset and impact of a common chronic disease – osteoarthritis.

To gain information systematically at a national level, a structured concept mapping workshop with 47 participants from across Australia was undertaken. Participants were selected to maximise the whole-of-workplace perspective and included health education providers, academics, clinicians and policymakers. Participants generated statements in response to a seeding statement: Thinking as broadly as possible, what changes in education and support should occur in the workplace to help in the prevention and management of arthritis? Participants grouped the resulting statements into conceptually coherent groups and a computer program was used to generate a ‘cluster map’ along with a list of statements sorted according to cluster membership.

In combination with research-based evidence, the concept map informed the development of a program logic model incorporating the program's guiding principles, possible service providers, services, training modes, program elements and the causal processes by which participants might benefit. The program logic model components were further validated through research findings from diverse fields, including health education, coaching, organisational learning, workplace interventions, workforce development and osteoarthritis disability prevention.

In summary, wide and genuine consultation, concept mapping, and evidence-based program logic development were integrated to develop a whole-of-system complex intervention in which potential effectiveness and assimilation into the workplace for which optimised.
Language eng
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920505 Occupational Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2009, Elsevier Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30021337

Document type: Journal Article
Collection: Public Health Research, Evaluation, and Policy Cluster
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