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Summary HEP4205: Implementation & Evaluation

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Summary of all cases of HEP4205 Implementation & Evaluation with the necessary information for the exam.

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  • April 7, 2022
  • 58
  • 2021/2022
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Summary HEP4205

Implementation & Evaluation




Introduction lecture 1

Case 1: Does the puzzle piece fit? 6

Case 2: Implementation: more complex than you thought? 18

Case 3: Vitality at Work! Implementing health promotion in the workplace 27

Case 4: Process and effect evaluation: (how) does it work? 40

Case 5: Economic evaluation to the rescue 49

Lecture: Dynamic systems 56

,Introduction lecture




D&I = dissemination and implementation plan

Limited impact in real life
• EBI based on theories and empirical research
• Tested in efficacy trials (controlled and thus focus on internal validity)
• Compared with drug developed in medical research:
o Tested under highly artificial conditions ≠ implementation in real life
o Tested with motivated people and strict inclusion criteria ≠ effectiveness in real life

Features of EBIs
• Difficult to understand advantages; how and under which circumstances will it work?
• Effects not clearly and immediately visible for users
• Programmes are often complex
o With many elements (e.g. a lifestyle programme or workplace)
when is this EBI ‘completely’ used?
o Is it allowed to delete or adopt?

Because complexity EBIs
• More likely to have elements that are incompatible with setting
• Evokes resistance
• Or attempts to adapt the EBI

Gap between research and practice
• Researchers
o Tradition-bound practitioners insist on practicing their way
o They claim to know their target group best
• Practitioners
o The lack of relevance and fit of evidence
o Barriers to implementation

Funnel by Green
It takes around 17 years for knowledge that we have to be implemented into practice and it is
funnel shaped because it gets adapted.




1

, Dissemination and implementation are of concern of scientists

Implementation science = the scientific study of methods to promote the systematic uptake of
research findings and other evidence-based practices into routine practice. It includes the study
of influences on healthcare professionals and organizational behaviour.

Definitions D&I
• Dissemination = the targeted distribution of information and intervention materials to a
specific public health audience
• Implementation = increasing the integration of EBIs into routing real-world practices
→ Different authors use different definitions and therefore we use the definitions of
Brownson et al. 2018.




Framework: steps




2

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