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

@article{citeulike:1465134, abstract = {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. 10.1136/jech.2003.014415}, author = {Hawe, Penelope and Shiell, Alan and Riley, Therese and Gold, Lisa}, citeulike-article-id = {1465134}, citeulike-linkout-0 = {http://dx.doi.org/10.1136/jech.2003.014415}, citeulike-linkout-1 = {http://jech.bmj.com/cgi/content/abstract/58/9/788}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/15310806}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=15310806}, day = {1}, doi = {10.1136/jech.2003.014415}, journal = {J Epidemiol Community Health}, keywords = {evidence\_based\_practice}, month = {September}, number = {9}, pages = {788--793}, posted-at = {2007-07-18 16:18:50}, priority = {2}, title = {Methods for exploring implementation variation and local context within a cluster randomised community intervention trial}, url = {http://dx.doi.org/10.1136/jech.2003.014415}, volume = {58}, year = {2004} }

TY - JOUR ID - citeulike:1465134 L3 - citeulike-article-id:1465134 N2 - 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. 10.1136/jech.2003.014415 IS - 9 JF - J Epidemiol Community Health EP - 793 TI - Methods for exploring implementation variation and local context within a cluster randomised community intervention trial VL - 58 SP - 788 KW - evidence_based_practice AU - Hawe, Penelope AU - Shiell, Alan AU - Riley, Therese AU - Gold, Lisa PY - 2004/09/01/ UR - http://dx.doi.org/10.1136/jech.2003.014415 ER -