Abstract
BackgroundThe effects of health promotion interventions are the result not only of the interventions themselves, but also of the contexts in which they unfold. The objective of this study was to analyze, through stakeholders’ discourse, the characteristics of an intervention that can influence its outcomes.MethodsThis case study was based on semi-structured interviews with health promotion stakeholders involved in a regional program (PRALIMAP). General hypotheses on transferability and on how the intervention is presumed to produce its effects were used to construct an interview guide. Interviews were analyzed using thematic coding.ResultsTwenty-three stakeholders were interviewed. Results showed stakeholders made few references to population and environment characteristics. Three themes emerged as significant for the stakeholders: implementation modalities and methodology, modalities used to mobilize actors; and transferability-promoting factors and barriers.ConclusionOur work contributes to a better understanding not only of transferability factors, but also of stakeholders’ perceptions of them, which are just as important, because those perceptions themselves are a factor in mobilization of actors, implementation, and transferability.
Highlights
The effects of health promotion interventions are the result of the interventions themselves, and of the contexts in which they unfold
It involved a large number of stakeholders: 1) project sponsors, who planned the intervention, monitored its implementation, and ensured its funding; 2) intermediary participants, who coordinated the intervention in high schools and ensured successful implementation; and 3) field participants, who delivered the intervention to the target population in the high schools concerned
We counted the number of references made by interviewees to how environment, implementation, and population characteristics had influenced intervention outcomes (Table 3)
Summary
The effects of health promotion interventions are the result of the interventions themselves, and of the contexts in which they unfold. Health promotion interventions combine actions on public policy, on physical and social environments, and on behaviours. They give people the means to have more control over their own health and to improve it [1,2,3]. Complexity arises in the interaction between the interventions and the contexts within which they unfold [9] These factors affect the transferability of health promotion interventions. An intervention’s transferability is defined as the extent to which its effects in a given setting can be observed in another setting [10]. We were responsible for all coordination, plus financial management, communication; all the finances passed through us, all the invoices. ...We had several cross-disciplinary groups working to develop benchmarks....’
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