scholarly journals The art and science of priority-setting: assessing the value of Public Health England’s Prioritization Framework

2020 ◽  
Author(s):  
G Maniatopoulos ◽  
D J Hunter ◽  
J Gray
Keyword(s):  
Public Health ◽  
Priority Setting ◽  
Local Authority ◽  
Participant Observation ◽  
Adoption Process ◽  
Early Adopter ◽  
Structured Interviews ◽  
Local Authorities ◽  
The Impact ◽  
Prioritization Framework

ABSTRACT Background Findings are presented from the evaluation of Public Health England’s (PHE) Prioritization Framework (PF) aimed to assist local authority commissioners with their public health investment and disinvestment decisions. The study explored the take up of the PF in three early adopter local authority settings. Methods Semi-structured interviews (n = 30) across three local authorities supplemented by participant observation of workshops. Results Participants acknowledged that the PF provided a systematic means of guiding priority-setting and one that encouraged transparency over investment and disinvestment decisions. The role performed by PHE and its regional teams in facilitating the process was especially welcomed and considered critical to the adoption process. However, uptake of the PF required a significant investment of time and commitment from public health teams at a time when resources were stretched. The impact of the political environment in the local government was a major factor determining the likely uptake of the PF. Ensuring committed leadership and engagement from senior politicians and officers was regarded as critical to success. Conclusions The study assessed the value and impact of PHE’s PF tool in three early adopter local authorities. Further research could explore the value of the tool in aiding investment and disinvestment decisions and its impact on spending.

scholarly journals Shifting the Gravity of Spending: Assessing the impact of PHE’s Prioritisation Framework

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Maniatopoulos ◽  
D J Hunter ◽  
J Gray
Keyword(s):  
Public Health ◽  
Local Authority ◽  
Participant Observation ◽  
Implementation Process ◽  
The Political ◽  
Political Environment ◽  
Adoption Process ◽  
Early Adopter ◽  
Structured Interviews ◽  
The Impact

Abstract Background Findings are presented from the evaluation of Public Health England’s (PHE) new Prioritisation Framework (PF) conducted between September 2017 and December 2018 aimed to help local authority commissioners with their public health investment and disinvestment decisions. The study explored the take up of the PF in three early adopter local authority settings. Methods Data collection was based on semi-structured interviews (n = 30) across three local authorities supplemented by participant observation of workshops and data concerning the implementation process as well as spend and outcomes both before and, where possible, after using the PF. Results Participants acknowledged that the PF provided a systematic way to guide prioritisation decisions and one that encouraged transparency over investment and disinvestment decisions. The role performed by PHE and its regional teams in facilitating the process was especially welcomed and considered to be critical to the adoption process. However, uptake of the PF required a significant investment of time and commitment from public health teams at a time when resources were stretched. The impact of the political environment in local government was a major factor determining the likely uptake of the PF. Ensuring committed leadership and engagement from senior politicians and officers was regarded as critical to success. Conclusions The study assessed the value of the PF and the processes surrounding its implementation and use. Further research could further explore the value of the tool in aiding investment and disinvestment decisions and its impact on spending. Key messages The PF provides a platform for engaged and informed deliberation about priorities and does so in an open, structured and transparent manner. Organisational and political context in which prioritisation occur shape the adoption of the PF tool.

scholarly journals From deliberative dialogue to impact: envisioning kmowledge translation

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
O Hobden ◽  
R A J Borst ◽  
A Al-Metleq ◽  
M O Kok
Keyword(s):  
Public Health ◽  
Health Research ◽  
Participant Observation ◽  
Research Impact ◽  
Public Health Research ◽  
Structured Interviews ◽  
Research Knowledge ◽  
Deliberative Dialogue ◽  
The Impact ◽  
Scenario Approach

Abstract Background The previous decades of research have contributed tremendously to the improvement of health. Nonetheless, problems remain regarding the use and relevance of public health research. Knowledge translation methods, such as deliberative dialogues, are believed to increase the use and relevance of such research. However, little is known about how they increase the impact of public health research. This study sought to trace the impact of deliberative dialogues through an actor-scenario approach. Actor-scenario mapping asks key actors to describe how and by whom research findings may potentially be used. This allows for constructing more concrete action plans. Methods This study used a qualitative case-study design with semi-structured interviews, participant observation, and a survey. The study focused on a Jordanian deliberative dialogue organised in April 2019. Interviews were conducted with 15 key stakeholders before and after the dialogue. Observations and surveys were collected during the dialogue. An abductive approach to thematic analysis was used to arrive at key themes for the report. Results The results show that dialogue participants found it difficult to propose concrete scenarios for action. They described that the sensitive nature of some research topics impairs action. Additionally, participants proposed that research funding should be earmarked for concrete actions. Overall, their scenarios proposed that high-level decision makers maintain involved in the knowledge to action process. Some participants mentioned that the articulation of scenarios for action contributes to research impact, since researchers usually do not engage with potential users. Conclusions Actor-scenario mapping is an innovative way of understanding how deliberative dialogues increase the impact of public health research. This scenario approach can inform the organisation of deliberative dialogues by actors such as EVIPNet. Key messages Actor-scenario mapping can trace the impact of deliberative dialogues. The scenario approach can better align the dialogues with policy and practice.

scholarly journals Lockdowns, lives and livelihoods: the impact of COVID-19 and public health responses to conflict affected populations - a remote qualitative study in Baidoa and Mogadishu, Somalia

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Dorien H. Braam ◽  
Sharath Srinivasan ◽  
Luke Church ◽  
Zakaria Sheikh ◽  
Freya L. Jephcott ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Narrative Analysis ◽  
Grey Literature ◽  
Age Groups ◽  
Research Approach ◽  
Structured Interviews ◽  
Or Education ◽  
Public Health Response ◽  
The Impact

Abstract Background Authorities in Somalia responded with drastic measures after the first confirmed COVID-19 case in mid-March 2020, closing borders, schools, limiting travel and prohibiting most group functions. However, the impact of the pandemic in Somalia thereafter remained unclear. This study employs a novel remote qualitative research method in a conflict-affected setting to look at how some of the most at-risk internally displaced and host populations were impacted by COVID-19, what determined their responses, and how this affected their health and socio-economic vulnerability. Methods We conducted a remote qualitative study, using Katikati, a 1-to-1 conversation management and analysis platform using short message service (SMS) developed by Lark Systems with Africa’s Voices Foundation (AVF), for semi-structured interviews over three months with participants in Mogadishu and Baidoa. We recruited a gender balanced cohort across age groups, and used an analytical framework on the social determinants of health for a narrative analysis on major themes discussed, triangulating data with existing peer-reviewed and grey literature. Results The remote research approach demonstrated efficacy in sustaining trusted and meaningful conversations for gathering qualitative data from hard-to-reach conflict-affected communities. The major themes discussed by the 35 participants included health, livelihoods and education. Two participants contracted the disease, while others reported family or community members affected by COVID-19. Almost all participants faced a loss of income and/or education, primarily as a result of the strict public health measures. Some of those who were heavily affected economically but did not directly experienced disease, denied the pandemic. Religion played an important role in participants’ beliefs in protection against and salvation from the disease. As lockdowns were lifted in August 2020, many believed the pandemic to be over. Conclusions While the official COVID-19 burden has remained relatively low in Somalia, the impact to people’s daily lives, income and livelihoods due to public health responses, has been significant. Participants describe those ‘secondary’ outcomes as the main impact of the pandemic, serving as a stark reminder of the need to broaden the public health response beyond disease prevention to include social and economic interventions to decrease people’s vulnerability to future shocks.

scholarly journals The Relationship Between Jurisdiction and the Local Authority’s Online Sustainability Disclosure

2020 ◽  
Vol 16 (1) ◽  
pp. 1
Author(s):  
Corina Joseph ◽  
Heidi Christy Mingi Michael
Keyword(s):  
Information Disclosure ◽  
Local Authority ◽  
General Linear Model ◽  
Structured Interviews ◽  
Quantitative Phase ◽  
Sustainability Disclosure ◽  
Bureaucratic Procedure ◽  
The Impact ◽  
The Relationship ◽  
Qualitative Phase

<p>The objective of this paper is to examine the relationship between jurisdiction and the extent of sustainability information disclosure on Malaysian local authority websites. The extent of online sustainability disclosure is examined utilizing the coercive isomorphism tenet in both quantitative and qualitative phases.  In the quantitative stage, the analysis of 139 websites was conducted. The General Linear Model is utilized to determine the relationship between jurisdiction (measured by different states) and the extent of online sustainability information disclosure. In the qualitative phase, the semi-structured interviews were carried out to answer the underlying possible reasons derived from the quantitative phase. The quantitative phase provided evidence that various states have applied distinctive degree of coercive pressures on the extent of sustainability information disclosure on Malaysian local authority websites.  The interview findings revealed additional factors that are relating to the jurisdiction: political, state leadership, and bureaucratic procedure implemented by different states. The paper has recognized the impact of coercive isomorphism for the jurisdiction utilizing both quantitative and qualitative phases.</p>

scholarly journals Using RE-AIM to examine the potential public health impact of an integrated collaborative care intervention for weight and depression management in primary care: Results from the RAINBOW trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248339
Author(s):  
Megan A. Lewis ◽  
Laura K. Wagner ◽  
Lisa G. Rosas ◽  
Nan Lv ◽  
Elizabeth M. Venditti ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Collaborative Care ◽  
Health Impact ◽  
Public Health Impact ◽  
Integrative Approach ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Care Intervention ◽  
The Impact

Background An integrated collaborative care intervention was used to treat primary care patients with comorbid obesity and depression in a randomized clinical trial. To increase wider uptake and dissemination, information is needed on translational potential. Methods The trial collected longitudinal, qualitative data at baseline, 6 months (end of intensive treatment), 12 months (end of maintenance treatment), and 24 months (end of follow-up). Semi-structured interviews (n = 142) were conducted with 54 out of 409 randomly selected trial participants and 37 other stakeholders, such as recruitment staff, intervention staff, and clinicians. Using a Framework Analysis approach, we examined themes across time and stakeholder groups according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Results At baseline, participants and other stakeholders reported being skeptical of the collaborative care approach related to some RE-AIM dimensions. However, over time they indicated greater confidence regarding the potential for future public health impact. They also provided information on barriers and actionable information to enhance program reach, effectiveness, adoption, implementation, and maintenance. Conclusions RE-AIM provided a useful framework for understanding how to increase the impact of a collaborative and integrative approach for treating comorbid obesity and depression. It also demonstrates the utility of using the framework as a planning tool early in the evidence-generation pipeline.

scholarly journals Cultural Access to the Educational system in Iraq and its Impact on Human Development: Cultural Anthropology Perspective

2018 ◽  
Vol 1 (126) ◽  
pp. 232-263
Author(s):  
Thakra Abd Manaam Ibraheem
Keyword(s):  
Human Resources ◽  
Human Development ◽  
Educational System ◽  
Cultural Anthropology ◽  
Participant Observation ◽  
Cultural Perspective ◽  
Structured Interviews ◽  
Comprehensive Development ◽  
The Impact ◽  
Descriptive Method

This paper concern with the cultural access to the educational system as a base for human development within Iraqi society. Students of Anthropology understand that culture would always shape the components of the society according to the cultural perspective, including educational system who reflects the cultural heritage in some way. This study is an attempt to study the impact of Iraqi culture as a base to rehabilitate and rebuild educational system to bring about and contribute to the continues development in relation to human resources recruitment in order to run the socio-economic aspects of the comprehensive development in the country depending on the educational system who play essential role in every society’s development; technically, scientifically and socially. The researcher adopted the descriptive method of data collection, including participant observation, semi-structured and structured interviews on a random sample of 160 respondents on Alsuha District of Alshaab City in Baghdad and Alshammasia district in Aladhamyah city. This is the only available way to collect data.

Day-to-Day Decision Making by Adolescents and Young Adults with Cancer

2022 ◽  
pp. 275275302110687
Author(s):  
Kimberly A. Pyke-Grimm ◽  
Linda S. Franck ◽  
Bonnie Halpern-Felsher ◽  
Robert E. Goldsby ◽  
Roberta S. Rehm
Keyword(s):  
Decision Making ◽  
Young Adults ◽  
Participant Observation ◽  
Healthcare Providers ◽  
Adolescents And Young Adults ◽  
Structured Interviews ◽  
Self Advocacy ◽  
Daily Lives ◽  
Life Threatening Illness ◽  
The Impact

Background: Adolescents and young adults (AYAs) with cancer must negotiate the transition between childhood and adulthood while dealing with a life-threatening illness. AYA involvement in decision making varies depending on the type of decision and when decisions occur during treatment, and evidence suggests that AYAs want to be involved in decision making. Objective: To explore involvement of AYAs with cancer in day-to-day decisions affected by their cancer and treatment. Methods: This qualitative study used interpretive focused ethnography within the sociologic tradition, informed by symbolic interactionism. Semi-structured interviews and informal participant observation took place at two quaternary pediatric oncology programs. Results: Thirty-one interviews were conducted with 16 AYAs ages 15 to 20 years. Major day to day decision-making categories identified included: (1) mental mindset, (2) self-care practices, (3) self-advocacy, and (4) negotiating relationships. Participants described how they came to grips with their illness early on and decided to fight their cancer. They described decisions they made to protect their health, how they advocated for themselves and decisions they made about relationships with family and friends. Conclusions: Through day-to-day decisions, participants managed the impact of cancer and its treatment on their daily lives. Research should focus on developing and implementing interventions to empower AYAs to participate in day-to-day decisions that will affect how they manage their cancer, its treatment and ultimately their outcomes. Implications for Practice: Healthcare providers can facilitate AYA's participation in day-to-day decision making through encouraging autonomy and self-efficacy by providing support and through effective communication.

scholarly journals Evaluation of the impact of Lifetimewool on sheep producers

2011 ◽  
Vol 51 (9) ◽  
pp. 857 ◽  
Author(s):  
A. Jones ◽  
A. J. van Burgel ◽  
R. Behrendt ◽  
M. Curnow ◽  
D. J. Gordon ◽  
...  
Keyword(s):  
Market Segmentation ◽  
Practice Change ◽  
Adoption Process ◽  
Early Adopter ◽  
Management Guidelines ◽  
Sheep Industry ◽  
Survey Results ◽  
Extension Professionals ◽  
Clear Idea ◽  
The Impact

Lifetimewool was a national project that began in 2001 to develop profitable ewe feeding and management guidelines for wool producers across southern Australia. By 2005, the project included communication and adoption activities. Rigorous communication, adoption and evaluation plans were used to maintain focus on its objectives and to measure impacts. Evaluation was an integral part of the project’s development and allowed the project to gain a clear idea of its impact. The project aimed to influence at least 3000 producers nationally to change the management of their ewe flock by the adoption (or part thereof) of Lifetimewool messages and guidelines. More specifically, the project aimed to ‘cross the chasm’ and target producers that were deemed to be in the ‘early adopter’ and the ‘early majority’ segments. The project surveyed sheep producers, sheep industry consultants and sheep industry extension practitioners at the beginning and end of the project to gauge the change in knowledge, attitudes, skills and aspirations of wool producers over the life of the project. Results from the survey of sheep producers in 2008 indicate that the project achieved its aim. About 12% (~3000) of sheep producers nationally have changed practice due to information received from Lifetimewool since 2005. Many other producers have been affected through their increase in knowledge, belief and skills, and market segmentation of the audience shows that the project was successful in ‘crossing the chasm’. The strategies employed by the project to initiate change (i.e. using private consultants and extension professionals as a pathway to adoption, and involving producers, consultants and extension professionals in the development of the Lifetimewool key messages and tools) were validated. The survey results and analysis provided baseline data for future livestock management projects to build on producers’ progress towards practice change. The present paper looks at how the Lifetimewool’s evaluation plan provided a focus for and demonstrated meeting its objectives. In doing so, this paper also seeks to better understand the adoption process.

scholarly journals Health and mass unemployment events—developing a framework for preparedness and response

2018 ◽  
Vol 41 (4) ◽  
pp. 665-673
Author(s):  
A R Davies ◽  
L Homolova ◽  
C N B Grey ◽  
M A Bellis
Keyword(s):  
Public Health ◽  
Population Health ◽  
Early Warning System ◽  
Qualitative Data ◽  
Warning System ◽  
Adverse Impact ◽  
Structured Interviews ◽  
Health Studies ◽  
The Impact ◽  
Detrimental Impact

Abstract Background Mass unemployment events are not uncommon yet the impact on health is not well recognised. There is a need for a preparedness and response framework, as exists for other events that threaten population health. Methods Framework informed by a narrative review of the impact of mass unemployment on health (studies published in English from 1990 to 2016), and qualitative data from 23 semi-structured interviews with individuals connected to historical national and international events, addressing gaps in published literature on lessons learnt from past responses. Results Economic and employment shock triggered by mass unemployment events have a detrimental impact on workers, families and communities. We present a public health informed response framework which includes (i) identify areas at risk, (ii) develop an early warning system, (iii) mobilise multi-sector action including health and community, (iv) provision of support across employment, finance and health (v) proportionate to need, (vi) extend support to family members and (vii) communities and (viii) evaluate and learn. Conclusion Mass unemployment events have an adverse impact on the health, financial and social circumstances of workers, families, and communities. This is the first framework for action to mitigate and address the detrimental impact of mass unemployment events on population health.

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