作者
Peter Craig, Erica Di Ruggiero, Katherine L Frohlich, Eric Mykhalovskiy, Martin White, Rona Campbell, Steven Cummins, Nancy Edwards, Kate Hunt, Frank Kee, Charlotte Loppie, Laurence Moore, David Ogilvie, Mark Petticrew, Blake Poland, Valéry Ridde, Jeannie Shoveller, Sarah Viehbeck, Daniel Wight
发表日期
2018/8/9
出版商
National Institute for Health and Care Research (NIHR)
简介
Population health intervention research (PHIR) seeks to develop and evaluate policies, programmes and other types of interventions that may affect population health and health equity. Such interventions are strongly influenced by context – taken to refer to any feature of the circumstances in which an intervention is conceived, developed, implemented and evaluated. Understanding how interventions relate to context is critical to understanding how they work; why they sometimes fail; whether they can be successfully adapted, scaled up or translated from one context to another; why their impacts vary; and how far effects observed in one context can be generalised to others.  Concerns that context has been neglected in research to develop and evaluate population health interventions have been expressed for at least 20 years. Over this period, an increasingly comprehensive body of guidance has been developed to help with the design, conduct, reporting and appraisal of PHIR. References to context have become more frequent in recent years, as interest has grown in complex and upstream interventions, systems thinking and realist approaches to evaluation, but there remains a lack of systematic guidance for producers, users and funders of PHIR on how context should be taken into account.  This document draws together recent thinking and practical experience of addressing context within PHIR. It provides a broad, working definition of context and explains why and how context is important to PHIR. It identifies the dimensions of context that are likely to shape how interventions are conceptualised, the impacts that they have and how they can …
引用总数
20182019202020212022202320246284661414022