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dc.contributor.author
Limbani, Felix
dc.contributor.author
Goudge, Jane
dc.contributor.author
Joshi, Rohina
dc.contributor.author
Maar, Marion A.
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Miranda, J. Jaime
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Oldenburg, Brian
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Parker, Gary
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Pesantes, Maria Amalia
dc.contributor.author
Riddell, Michaela A.
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Salam, Abdul
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Trieu, Kathy
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Thrift, Amanda G.
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Van Olmen, Josefien
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Vedanthan, Rajesh
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Webster, Ruth
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Yeates, Karen
dc.contributor.author
Webster, Jacqui
dc.contributor.author
Irazola, Vilma
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dc.date.available
2021-12-03T13:30:49Z
dc.date.issued
2019-07
dc.identifier.citation
Limbani, Felix; Goudge, Jane; Joshi, Rohina; Maar, Marion A.; Miranda, J. Jaime; et al.; Process evaluation in the field: global learnings from seven implementation research hypertension projects in low-and middle-income countries; BioMed Central; BMC Public Health; 19; 1; 7-2019; 1-11
dc.identifier.issn
1471-2458
dc.identifier.uri
http://hdl.handle.net/11336/148059
dc.description.abstract
Background: Process evaluation is increasingly recognized as an important component of effective implementation research and yet, there has been surprisingly little work to understand what constitutes best practice. Researchers use different methodologies describing causal pathways and understanding barriers and facilitators to implementation of interventions in diverse contexts and settings. We report on challenges and lessons learned from undertaking process evaluation of seven hypertension intervention trials funded through the Global Alliance of Chronic Diseases (GACD). Methods: Preliminary data collected from the GACD hypertension teams in 2015 were used to inform a template for data collection. Case study themes included: (1) description of the intervention, (2) objectives of the process evaluation, (3) methods including theoretical basis, (4) main findings of the study and the process evaluation, (5) implications for the project, policy and research practice and (6) lessons for future process evaluations. The information was summarized and reported descriptively and narratively and key lessons were identified. Results: The case studies were from low- and middle-income countries and Indigenous communities in Canada. They were implementation research projects with intervention arm. Six theoretical approaches were used but most comprised of mixed-methods approaches. Each of the process evaluations generated findings on whether interventions were implemented with fidelity, the extent of capacity building, contextual factors and the extent to which relationships between researchers and community impacted on intervention implementation. The most important learning was that although process evaluation is time consuming, it enhances understanding of factors affecting implementation of complex interventions. The research highlighted the need to initiate process evaluations early on in the project, to help guide design of the intervention; and the importance of effective communication between researchers responsible for trial implementation, process evaluation and outcome evaluation. Conclusion: This research demonstrates the important role of process evaluation in understanding implementation process of complex interventions. This can help to highlight a broad range of system requirements such as new policies and capacity building to support implementation. Process evaluation is crucial in understanding contextual factors that may impact intervention implementation which is important in considering whether or not the intervention can be translated to other contexts.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.subject
COMPLEX INTERVENTIONS
dc.subject
HYPERTENSION
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IMPLEMENTATION SCIENCE
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LOW AND MIDDLE-INCOME COUNTRIES
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MIXED-METHODS
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PROCESS EVALUATION
dc.subject.classification
Otras Ciencias de la Salud
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Process evaluation in the field: global learnings from seven implementation research hypertension projects in low-and middle-income countries
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2021-01-04T14:28:00Z
dc.journal.volume
19
dc.journal.number
1
dc.journal.pagination
1-11
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Limbani, Felix. University of the Witwatersrand; Sudáfrica
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Fil: Goudge, Jane. University of the Witwatersrand; Sudáfrica
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Fil: Joshi, Rohina. University Of Technology Sydney.; Australia
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Fil: Maar, Marion A.. University of New South Wales; Australia
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Fil: Miranda, J. Jaime. Universidad Peruana Cayetano Heredia; Perú
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Fil: Oldenburg, Brian. University of Melbourne; Australia
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Fil: Parker, Gary. University College London; Estados Unidos
dc.description.fil
Fil: Pesantes, Maria Amalia. Universidad Peruana Cayetano Heredia; Perú
dc.description.fil
Fil: Riddell, Michaela A.. School Of Clinical Sciences At Monash Health; Australia
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Fil: Salam, Abdul. University of New South Wales; Australia
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Fil: Trieu, Kathy. University Of Technology Sydney.; Australia
dc.description.fil
Fil: Thrift, Amanda G.. School Of Clinical Sciences At Monash Health; Australia
dc.description.fil
Fil: Van Olmen, Josefien. Bernhard Nocht Institute For Tropical Medicine.; Alemania
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Fil: Vedanthan, Rajesh. University of New York; Estados Unidos
dc.description.fil
Fil: Webster, Ruth. The George Institute For Global Health; Australia
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Fil: Yeates, Karen. Queens University; Canadá
dc.description.fil
Fil: Webster, Jacqui. University Of Technology Sydney.; Australia
dc.description.fil
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.journal.title
BMC Public Health
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7261-8
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s12889-019-7261-8
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