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Health Research Policy and Systems

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https://www.readbyqxmd.com/read/29334972/community-readiness-assessment-for-obesity-research-pilot-implementation-of-the-healthier-families-programme
#1
Leah A Teeters, William J Heerman, David Schlundt, Dawn Harris, Shari L Barkin
BACKGROUND: This article reports on the development of a systematic approach to assess for community readiness prior to implementation of a behavioural intervention for childhood obesity. Using the Consolidated Framework for Implementation Research (CFIR), we developed research tools to evaluate local community centres' organisational readiness and their capacity to implement the intervention. METHODS: Four community Parks and Recreation centres from different states expressed interest in piloting an approach for dissemination and implementation of an evidence-based obesity prevention program for families with young children (Healthier Families)...
January 15, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29316935/estimating-the-returns-to-united-kingdom-publicly-funded-musculoskeletal-disease-research-in-terms-of-net-value-of-improved-health-outcomes
#2
Matthew Glover, Erin Montague, Alexandra Pollitt, Susan Guthrie, Stephen Hanney, Martin Buxton, Jonathan Grant
BACKGROUND: Building on an approach applied to cardiovascular and cancer research, we estimated the economic returns from United Kingdom public- and charitable-funded musculoskeletal disease (MSD) research that arise from the net value of the improved health outcomes in the United Kingdom. METHODS: To calculate the economic returns from MSD-related research in the United Kingdom, we estimated (1) the public and charitable expenditure on MSD-related research in the United Kingdom between 1970 and 2013; (2) the net monetary benefit (NMB), derived from the health benefit in quality adjusted life years (QALYs) valued in monetary terms (using a base-case value of a QALY of £25,000) minus the cost of delivering that benefit, for a prioritised list of interventions from 1994 to 2013; (3) the proportion of NMB attributable to United Kingdom research; and (4) the elapsed time between research funding and health gain...
January 10, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297410/participatory-monitoring-and-evaluation-approaches-that-influence-decision-making-lessons-from-a-maternal-and-newborn-study-in-eastern-uganda
#3
Rornald Muhumuza Kananura, Elizabeth Ekirapa-Kiracho, Ligia Paina, Ahmed Bumba, Godfrey Mulekwa, Dinah Nakiganda-Busiku, Htet Nay Lin Oo, Suzanne Namusoke Kiwanuka, Asha George, David H Peters
BACKGROUND: The use of participatory monitoring and evaluation (M&E) approaches is important for guiding local decision-making, promoting the implementation of effective interventions and addressing emerging issues in the course of implementation. In this article, we explore how participatory M&E approaches helped to identify key design and implementation issues and how they influenced stakeholders' decision-making in eastern Uganda. METHOD: The data for this paper is drawn from a retrospective reflection of various M&E approaches used in a maternal and newborn health project that was implemented in three districts in eastern Uganda...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297406/engaging-stakeholders-in-implementation-research-lessons-from-the-future-health-systems-research-programme-experience
#4
David H Peters, Abbas Bhuiya, Abdul Ghaffar
No abstract text is available yet for this article.
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297374/using-theories-of-change-to-inform-implementation-of-health-systems-research-and-innovation-experiences-of-future-health-systems-consortium-partners-in-bangladesh-india-and-uganda
#5
Ligia Paina, Annie Wilkinson, Moses Tetui, Elizabeth Ekirapa-Kiracho, Debjani Barman, Tanvir Ahmed, Shehrin Shaila Mahmood, Gerry Bloom, Jeff Knezovich, Asha George, Sara Bennett
BACKGROUND: The Theory of Change (ToC) is a management and evaluation tool supporting critical thinking in the design, implementation and evaluation of development programmes. We document the experience of Future Health Systems (FHS) Consortium research teams in Bangladesh, India and Uganda with using ToC. We seek to understand how and why ToCs were applied and to clarify how they facilitate the implementation of iterative intervention designs and stakeholder engagement in health systems research and strengthening...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297361/learning-by-doing-in-practice-a-roundtable-discussion-about-stakeholder-engagement-in-implementation-research
#6
Said Habib Arwal, Bhupinder Kaur Aulakh, Ahmed Bumba, Akshita Siddula
BACKGROUND: Researchers and policy-makers alike increasingly recognise the importance of engaging diverse perspectives in implementation research. This roundtable discussion presents the experiences and perspectives of three decision-makers regarding the benefits and challenges of their engagement in implementation research. DISCUSSION: The first perspective comes from a rural district medical officer from Uganda and touches on the success of using data as evidence in a low-resource setting...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297353/strengthening-scaling-up-through-learning-from-implementation-comparing-experiences-from-afghanistan-bangladesh-and-uganda
#7
Sara Bennett, Shehrin Shaila Mahmood, Anbrasi Edward, Moses Tetui, Elizabeth Ekirapa-Kiracho
BACKGROUND: Many effective innovations and interventions are never effectively scaled up. Implementation research (IR) has the promise of supporting scale-up through enabling rapid learning about the intervention and its fit with the context in which it is implemented. We integrate conceptual frameworks addressing different dimensions of scaling up (specifically, the attributes of the service or innovation being scaled, the actors involved, the context, and the scale-up strategy) and questions commonly addressed by IR (concerning acceptability, appropriateness, adoption, feasibility, fidelity to original design, implementation costs, coverage and sustainability) to explore how IR can support scale-up...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297346/a-participatory-action-research-approach-to-strengthening-health-managers-capacity-at-district-level-in-eastern-uganda
#8
Moses Tetui, Anna-Britt Coe, Anna-Karin Hurtig, Sara Bennett, Suzanne N Kiwanuka, Asha George, Elizabeth Ekirapa Kiracho
BACKGROUND: Many approaches to improving health managers' capacity in poor countries, particularly those pursued by external agencies, employ non-participatory approaches and often seek to circumvent (rather than strengthen) weak public management structures. This limits opportunities for strengthening local health managers' capacity, improving resource utilisation and enhancing service delivery. This study explored the contribution of a participatory action research approach to strengthening health managers' capacity in Eastern Uganda...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297336/engaging-stakeholders-lessons-from-the-use-of-participatory-tools-for-improving-maternal-and-child-care-health-services
#9
Elizabeth Ekirapa-Kiracho, Upasona Ghosh, Rittika Brahmachari, Ligia Paina
BACKGROUND: Effective stakeholder engagement in research and implementation is important for improving the development and implementation of policies and programmes. A varied number of tools have been employed for stakeholder engagement. In this paper, we discuss two participatory methods for engaging with stakeholders - participatory social network analysis (PSNA) and participatory impact pathways analysis (PIPA). Based on our experience, we derive lessons about when and how to apply these tools...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29258512/measurement-of-the-translation-and-impact-from-a-childhood-obesity-trial-programme-rationale-and-protocol-for-a-research-impact-assessment
#10
Penny Reeves, Simon Deeming, Shanthi Ramanathan, John Wiggers, Luke Wolfenden, Andrew Searles
BACKGROUND: There is growing recognition amongst health and medical research funders and researchers that translation of research into policy and practice needs to increase and that more transparency is needed on how impacts are realised. Several approaches are advocated for achieving this, including co-production of research or academic-practitioner research. The Population Health Unit (PHU) within the Hunter New England Local Health District in regional Australia, as an early adopter of this model, has been working to increase the likelihood that its research is translated into community health benefits...
December 19, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29237463/the-researchers-role-in-knowledge-translation-a-realist-evaluation-of-the-development-and-implementation-of-diagnostic-pathways-for-cancer-in-two-united-kingdom-localities
#11
Jon Banks, Lesley Wye, Nicola Hall, James Rooney, Fiona M Walter, Willie Hamilton, Ardiana Gjini, Greg Rubin
BACKGROUND: In examining an initiative to develop and implement new cancer diagnostic pathways in two English localities, this paper evaluates 'what works' and examines the role of researchers in facilitating knowledge translation amongst teams of local clinicians and policy-makers. METHODS: Using realist evaluation with a mixed methods case study approach, we conducted documentary analysis of meeting minutes and pathway iterations to map pathway development. We interviewed 14 participants to identify the contexts, mechanisms and outcomes (CMOs) that led to successful pathway development and implementation...
December 13, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29216886/a-mixed-methods-study-of-system-level-sustainability-of-evidence-based-practices-in-12-large-scale-implementation-initiatives
#12
Ashley T Scudder, Sarah M Taber-Thomas, Kristen Schaffner, Joy R Pemberton, Leah Hunter, Amy D Herschell
BACKGROUND: In recent decades, evidence-based practices (EBPs) have been broadly promoted in community behavioural health systems in the United States of America, yet reported EBP penetration rates remain low. Determining how to systematically sustain EBPs in complex, multi-level service systems has important implications for public health. This study examined factors impacting the sustainability of parent-child interaction therapy (PCIT) in large-scale initiatives in order to identify potential predictors of sustainment...
December 7, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29208021/alliance-members-roles-in-collective-field-building-an-assessment-of-leadership-and-championship-within-the-population-health-intervention-research-initiative-for-canada
#13
Erica Di Ruggiero, Natalie Kishchuk, Sarah Viehbeck, Nancy Edwards, Kerry Robinson, Barbara Riley, Heather Smith Fowler
BACKGROUND: The Population Health Intervention Research Initiative for Canada (PHIRIC) is a multi-stakeholder alliance founded in 2006 to advance population health intervention research (PHIR). PHIRIC aimed to strengthen Canada's capacity to conduct and use such research to inform policy and practice to improve the public's health by building PHIR as a field of research. In 2014, an evaluative study of PHIRIC at organisational and system levels was conducted, guided by a field-building and collaborative action perspective...
December 6, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29169403/improving-health-promotion-through-central-rating-of-interventions-the-need-for-responsive-guidance
#14
Maarten Olivier Kok, Roland Bal, Caspar David Roelefs, Albertine Jantine Schuit
BACKGROUND: In several countries, attempts are made to improve health promotion by centrally rating the effectiveness of health promotion interventions. The Dutch Effectiveness Rating System (ERS) for health promotion interventions is an improvement-oriented approach in which multi-disciplinary expert committees rate available health promotion interventions as 'theoretically sound', 'probably effective' or 'proven effective'. The aim of this study is to explore the functioning of the ERS and the perspective of researchers, policy-makers and practitioners regarding its contribution to improvement...
November 23, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29169364/policymakers-experience-of-a-capacity-building-intervention-designed-to-increase-their-use-of-research-a-realist-process-evaluation
#15
Abby Haynes, Sue Brennan, Sally Redman, Anna Williamson, Steve R Makkar, Gisselle Gallego, Phyllis Butow
BACKGROUND: An intervention's success depends on how participants interact with it in local settings. Process evaluation examines these interactions, indicating why an intervention was or was not effective, and how it (and similar interventions) can be improved for better contextual fit. This is particularly important for innovative trials like Supporting Policy In health with Research: an Intervention Trial (SPIRIT), where causal mechanisms are poorly understood. SPIRIT was testing a multi-component intervention designed to increase the capacity of health policymakers to use research...
November 23, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29166917/collaborative-action-for-person-centred-coordinated-care-p3c-an-approach-to-support-the-development-of-a-comprehensive-system-wide-solution-to-fragmented-care
#16
Helen M Lloyd, Mark Pearson, Rod Sheaff, Sheena Asthana, Hannah Wheat, Thava Priya Sugavanam, Nicky Britten, Jose Valderas, Michael Bainbridge, Louise Witts, Debra Westlake, Jane Horrell, Richard Byng
BACKGROUND: Fragmented care results in poor outcomes for individuals with complexity of need. Person-centred coordinated care (P3C) is perceived to be a potential solution, but an absence of accessible evidence and the lack of a scalable 'blue print' mean that services are 'experimenting' with new models of care with little guidance and support. This paper presents an approach to the implementation of P3C using collaborative action, providing examples of early developments across this programme of work, the core aim of which is to accelerate the spread and adoption of P3C in United Kingdom primary care settings...
November 22, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29157288/development-of-a-framework-to-improve-the-utilisation-of-malaria-research-for-policy-development-in-malawi
#17
Chikondi Mwendera, Christiaan de Jager, Herbert Longwe, Charles Hongoro, Kamija Phiri, Clifford M Mutero
BACKGROUND: The existing gap between research evidence and public health practice has attributed to the unmet Millennium Development Goals in Africa and consequently, has stimulated the development of frameworks to enhance knowledge translation. These efforts aim at maximising health research utilisation in policy and practice to address the world's disease burdens, including malaria. This study aimed at developing a contextual framework to improve the utilisation of malaria research for policy development in Malawi...
November 21, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29132436/towards-fair-and-effective-north-south-collaboration-realising-a-programme-for-demand-driven-and-locally-led-research
#18
Maarten Olivier Kok, John Owusu Gyapong, Ivan Wolffers, David Ofori-Adjei, Elis Joost Ruitenberg
BACKGROUND: At the turn of the 90s, studies showed that health research contributed little to health and development in low- and middle-income countries because it was oriented towards international priorities and dominated by researchers from the North. A new approach to North-South collaboration was required that would support demand-driven and locally led research in the South. The aim of this study was to analyse the development and functioning of a programme for demand-driven and locally led research in Ghana that was supported by a North-South collaboration...
November 13, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29126423/the-many-meanings-of-evidence-a-comparative-analysis-of-the-forms-and-roles-of-evidence-within-three-health-policy-processes-in-cambodia
#19
Helen Walls, Marco Liverani, Kannarath Chheng, Justin Parkhurst
BACKGROUND: Discussions within the health community routinely emphasise the importance of evidence in informing policy formulation and implementation. Much of the support for the evidence-based policy movement draws from concern that policy decisions are often based on inadequate engagement with high-quality evidence. In many such discussions, evidence is treated as differing only in quality, and assumed to improve decisions if it can only be used more. In contrast, political science scholars have described this as an overly simplistic view of the policy-making process, noting that research 'use' can mean a variety of things and relies on nuanced aspects of political systems...
November 10, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29121959/why-european-and-united-states-drug-regulators-are-not-speaking-with-one-voice-on-anti-influenza-drugs-regulatory-review-methodologies-and-the-importance-of-deep-product-reviews
#20
Shai Mulinari, Courtney Davis
BACKGROUND: Relenza represents the first neuraminidase inhibitor (NI), a class of drugs that also includes the drug Tamiflu. Although heralded as breakthrough treatments in influenza, NI efficacy has remained highly controversial. A key unsettled question is why the United States Food and Drug Administration (FDA) has approved more cautious efficacy statements in labelling than European regulators for both drugs. METHODS: We conducted a qualitative analysis of United States and European Union regulatory appraisals for Relenza to investigate the reasons for divergent regulatory interpretations, pertaining to Relenza's capacity to alleviate symptoms and reduce frequency of complications of influenza...
November 9, 2017: Health Research Policy and Systems
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