scholarly journals IMPLEMENTATION OF A COMMUNITY-BASED FAMILY-CENTERED PROGRAM IN PORTUGAL: A MULTIPLE CASE STUDY EVALUATION

2012 ◽  
Vol 40 (6) ◽  
pp. 665-680 ◽  
Author(s):  
Ana Teixeira de Melo ◽  
Madalena Alarcão
Keyword(s):  
Multiple Case Study ◽  
Community Based ◽  
Study Evaluation ◽  
Multiple Case ◽  
Family Centered

scholarly journals The transition process from center-based programmes to family-centered practices in Spain: a multiple case study

2019 ◽  
Vol 190 (14) ◽  
pp. 2192-2204 ◽  
Author(s):  
Marta Gràcia ◽  
Cecilia Simón ◽  
Francesc Salvador-Beltran ◽  
Ana Luisa Adam Alcocer ◽  
Joana Maria Mas ◽  
...  
Keyword(s):  
Multiple Case Study ◽  
Transition Process ◽  
Multiple Case ◽  
Family Centered

scholarly journals Towards community-based integrated care: A qualitative multiple case-study of Dutch primary care centres

2014 ◽  
Vol 14 (6) ◽  
Author(s):  
Karen Schelleman-Offermans ◽  
Maike Tietschert ◽  
Maria Jansen ◽  
Mieke Derickx ◽  
Mieke Steenbakkers ◽  
...  
Keyword(s):  
Primary Care ◽  
Integrated Care ◽  
Multiple Case Study ◽  
Community Based ◽  
Multiple Case ◽  
Qualitative Multiple Case Study

Implementation of Policy, Systems, and Environmental Community-Based Interventions for Cardiovascular Health Through a National Not-for-Profit: A Multiple Case Study

2018 ◽  
Vol 45 (6) ◽  
pp. 855-864 ◽  
Author(s):  
Whitney R. Garney ◽  
Leigh E. Szucs ◽  
Kristin Primm ◽  
Laura King Hahn ◽  
Kristen M. Garcia ◽  
...  
Keyword(s):  
Capacity Building ◽  
Large Scale ◽  
American Heart ◽  
Multiple Case Study ◽  
Heart Association ◽  
Community Based Interventions ◽  
Community Based ◽  
Multiple Case ◽  
Policy Systems

Introduction. In 2014, the Centers for Disease Control and Prevention funded the American Heart Association to implement policy, systems, and environment-focused strategies targeting access to healthy food and beverages, physical activity, and smoke-free environments. Method. To understand factors affecting implementation and variations in success across sites, evaluators conducted a multiple case study. Based on past literature, community sites were categorized as capacity-building or implementation-ready, for comparison. A sample of six communities were selected using a systematic selection tool. Through site visits, evaluators conducted interviews with program staff and community partners and assessed action plans. Results. Evaluators identified important implications for nationally coordinated community-based prevention programming. Differences in implementation varied by the communities’ readiness, with the most notable differences in how they planned activities and defined success. Existing partner relationships (or lack thereof) played a significant role, regardless of the American Heart Association’s existing presence within the communities, in the progression of initiatives and the differences observed among phases. Last, goals in capacity-building sites were tied to organizational goals while goals in implementation-ready sites were more incremental with increased community influence and buy-in. Discussion. Using national organizations as a mechanism to carry out large-scale community-based prevention work is a viable option that provides coordinated, wide-scale implementation without sacrificing a community’s priorities or input. In funding future initiatives, the presence of relationships and the time needed to cultivate such relationships should be accounted for in the planning and implementation processes, as well as both local and national expectations.

scholarly journals Reducing complexity of patient decision aids for community-based older adults with dementia and their caregivers: multiple case study of Decision Boxes

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027727 ◽  
Author(s):  
Gabriel Bilodeau ◽  
Holly Witteman ◽  
France Légaré ◽  
Juliette Lafontaine-Bruneau ◽  
Philippe Voyer ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Decision Aids ◽  
Multiple Case Study ◽  
Visual Design ◽  
Community Based ◽  
Patient Decision Aids ◽  
Personal Stories ◽  
Patient Decision ◽  
Multiple Case

ObjectivesTo identify patient decision aids’ features to limit their complexity for older adults with dementia and their family caregivers.DesignMixed method, multiple case study within a user-centred design (UCD) approach.SettingCommunity-based healthcare in the province of Quebec in Canada.Participants23 older persons (aged 65+ years) with dementia and their 27 family caregivers.ResultsDuring three UCD evaluation-modification rounds, participants identified strengths and weaknesses of the patient decision aids’ content and visual design that influenced their complexity. Weaknesses of content included a lack of understanding of the decision aids’ purpose and target audience, missing information, irrelevant content and issues with terminology and sentence structure. Weaknesses of visual design included critics about the decision aids’ general layout (density, length, navigation) and their lack of pictures. In response, the design team implemented a series of practical features and design strategies, comprising: a clear expression of the patient decision aids' purpose through simple text, picture and personal stories; systematic and frequent use of pictograms illustrating key points and helping structure patient decision aids' general layout; a glossary; removal of scientific references from the main document; personal stories to clarify more difficult concepts; a contact section to facilitate implementation of the selected option; GRADE ratings to convey the quality of the evidence; a values clarification exercise formatted as a checklist and presented at the beginning of the document to streamline navigation; involvement of a panel of patient/caregiver partners to guide expression of patient priorities; editing of the text to a sixth grade reading level; UCD process to optimise comprehensiveness and relevance of content and training of patients/caregivers in shared decision-making.ConclusionsThe revised template for patient decision aids is designed to meet the needs of adults living with dementia and their caregivers better, which may translate into fewer evaluation-modification rounds.

Sign in / Sign up

Export Citation Format

Share Document