Grant: Knowledge Synthesis Grant

University of Victoria (British Columbia)

$100,000.00

Supporting Successful Implementation of Public Health Interventions: A Realist Synthesis

EF 2014-15

Résumé

This proposal is a re-submission of a knowledge synthesis grant from the Fall 2013 competition, which funded 11 projects; our proposal was ranked 12. We have addressed reviewers’ main concerns including: adding team members from beyond BC, focusing the scope of the project to make it more feasible, and clarifying the knowledge translation (KT) plan. There is a well-known gap between development of evidence-based public health (PH) interventions and their successful implementation. Although there has been research on effective strategies to support intervention implementation across disciplines, their relevance to PH is unclear. Several systematic reviews have been conducted on effective implementation in health care, but few in PH. In these, stringent inclusion criteria excluded most studies from the syntheses so much of the policy-relevant information was not considered, making it unavailable to policy makers and practitioners. Realist synthesis is a relatively new approach to knowledge synthesis that may be more relevant to policy makers than traditional systematic reviews. Realist synthesis identifies the generative mechanisms by which interventions have their effects in interaction with particular contexts. This approach allows for a wider range of research designs and diverse data types to be considered. The need for this synthesis was identified by PH knowledge users (KUs) based on recommendations from an earlier implementation study of PH policy interventions in BC and Ontario, in which early implementation was limited in BC, and variable between provinces. There were gaps in the implementation process.1 With the recent release of a new Guiding framework for PH in BC24, and a Strategic Plan for the Public Health Sector in Ontario,34 our KU partners want to support implementation of provincial and national PH interventions. The purpose of this project is to use an integrated KT approach to conduct a realist synthesis of the research on effective mechanisms to support implementation of complex PH interventions aimed at improving population health and reducing health inequities. Our research question is: Why are some public health interventions successfully implemented and others not? We will develop a realist program theory on the implementation of PH interventions. The objectives include: to identify steps needed to increase successful implementation; to use implementation theories to explain the relationships among context, mechanisms and outcomes in the interventions; and to develop a set of KT products that will help KUs support implementation of PH interventions. We will follow the methodological guidelines on conducting a realist synthesis provided by recently released quality standards21 and will be supported on the team by an international expert in realist synthesis. Our team comprises researchers with knowledge synthesis expertise and KUs with high level responsibility for implementing PH interventions in BC, Ontario, and nationally. We will be advised by an international panel of content experts in implementation, and other advisory groups of PH leaders in the province who understand the context of implementation. The results of this review will be relevant across the country and disseminated widely through the team’s extensive connections in Canada and beyond. We will use a KT plan developed by researchers and KUs together. Publications will be guided by recently released realist synthesis publication standards.33

Ministère

Canadian Institutes of Health Research

Programme

Knowledge Synthesis Grant

Bénéficiaire

University of Victoria (British Columbia)

Emplacement

British Columbia, Canada

Type

Grant

Source

CIHR Funding Decisions Database

Tel que publié

308892

Name

MacDonald Marjorie A

Region

British Columbia

Country

Canada

Orgtype

Institution Paid; Research Institution

Instname2

Population and Public Health

Theme2

Health systems / services

Prcname2

Knowledge Synthesis Grant

Projecttitle

Supporting Successful Implementation of Public Health Interventions: A Realist Synthesis

Programtype2

Operating Grants

Orgnameinp2

University of Victoria (British Columbia)

Cihramount2

$100,000

Cihrequipment2

Programname2

Knowledge Synthesis Grant

Keyworddelim

Evaluation; Implementation; Knowledge Translation; Knowledge-To-Action; Participatory Action Research; Policy Research; Population And Public Health; Population Health Interventions; Realist Synthesis

Competitiondate

201404

Approvedterm2

1 yr 0 mth

Pinamesdelim

MacDonald, Marjorie A; Paton, Arlene; Pauly, Bernadette M

Approvedterm

1 an 0 mois

Cihrcontribution2

~ $100,000~ $0~

Abstract

<html> <body> This proposal is a re-submission of a knowledge synthesis grant from the Fall 2013 competition, which funded 11 projects; our proposal was ranked 12. We have addressed reviewers’ main concerns including: adding team members from beyond BC, focusing the scope of the project to make it more feasible, and clarifying the knowledge translation (KT) plan. There is a well-known gap between development of evidence-based public health (PH) interventions and their successful implementation. Although there has been research on effective strategies to support intervention implementation across disciplines, their relevance to PH is unclear. Several systematic reviews have been conducted on effective implementation in health care, but few in PH. In these, stringent inclusion criteria excluded most studies from the syntheses so much of the policy-relevant information was not considered, making it unavailable to policy makers and practitioners. Realist synthesis is a relatively new approach to knowledge synthesis that may be more relevant to policy makers than traditional systematic reviews. Realist synthesis identifies the generative mechanisms by which interventions have their effects in interaction with particular contexts. This approach allows for a wider range of research designs and diverse data types to be considered. The need for this synthesis was identified by PH knowledge users (KUs) based on recommendations from an earlier implementation study of PH policy interventions in BC and Ontario, in which early implementation was limited in BC, and variable between provinces. There were gaps in the implementation process.1 With the recent release of a new Guiding framework for PH in BC24, and a Strategic Plan for the Public Health Sector in Ontario,34 our KU partners want to support implementation of provincial and national PH interventions. The purpose of this project is to use an integrated KT approach to conduct a realist synthesis of the research on effective mechanisms to support implementation of complex PH interventions aimed at improving population health and reducing health inequities. Our research question is: Why are some public health interventions successfully implemented and others not? We will develop a realist program theory on the implementation of PH interventions. The objectives include: to identify steps needed to increase successful implementation; to use implementation theories to explain the relationships among context, mechanisms and outcomes in the interventions; and to develop a set of KT products that will help KUs support implementation of PH interventions. We will follow the methodological guidelines on conducting a realist synthesis provided by recently released quality standards21 and will be supported on the team by an international expert in realist synthesis. Our team comprises researchers with knowledge synthesis expertise and KUs with high level responsibility for implementing PH interventions in BC, Ontario, and nationally. We will be advised by an international panel of content experts in implementation, and other advisory groups of PH leaders in the province who understand the context of implementation. The results of this review will be relevant across the country and disseminated widely through the team’s extensive connections in Canada and beyond. We will use a KT plan developed by researchers and KUs together. Publications will be guided by recently released realist synthesis publication standards.33    </body> </html>

Voir les données sources CIHR Funding Decisions Database (Canadian Institutes of Health Research)