Process Evaluation Of Implementation Research Articles

Challenge Demcare: management of challenging behaviour in dementia at home and in care homes – development, evaluation and implementation of an online individualised intervention for care homes; and a cohort study of specialist community mental health care for families

Challenge Demcare: management of challenging behaviour in dementia at home and in care homes – development, evaluation and implementation of an online individualised intervention for care homes; and a cohort study of specialist community mental health care for families

Process evaluation of the implementation of scorecard-based antenatal risk assessment, care pathways and interdisciplinary consultation: the Healthy Pregnancy 4 All study

ObjectiveTo evaluate the implementation of a complex intervention in the antenatal healthcare field in 14 Dutch municipalities. The intervention consisted of the implementation of a systematic scorecard-based risk assessment in pregnancy, subsequent patient-tailored care pathways, and consultations of professionals from different medical and social disciplines. MethodsSaunders's seven-step method was used for the development of a programme implementation monitoring plan, with specific attention to the setting and context of the programme. Data were triangulated from multiple sources, and prespecified criteria were applied to examine the evidence for implementation. ResultsSix out of 11 municipalities (54%) met the implementation criteria for the entire risk assessment programme, whereas three municipalities (27%) met the criteria if the three components of implementation were analysed separately. ConclusionsA process evaluation of implementation of a complex intervention is possible. The results can be used to improve understanding of the associations between specific programme elements and programme outcomes on effectiveness of the intervention. Additionally, the results are important for formative purposes to assess how future implementation of antenatal risk assessment can be improved in comparable contexts.

Universal free school meals in Scotland: A process evaluation of implementation and uptake

Universal free school meals in Scotland: A process evaluation of implementation and uptake

Model for the evaluation of implementation programs and professional pharmacy services.

Pharmacy practice and pharmaceutical care research of professional services has largely focused on patient outcomes and cost-effectiveness. Research studies have been, for the most part, conducted in controlled conditions prior to full scale implementation. There appears to be a dearth of process and evaluation of implementation reported. Conducting implementation research or adding implementation measures to an impact study, adds external validity to service and patient outcomes. Evaluations are required for all aspects of implementation including indicators of movement through the implementation stages (formative and summative implementation process evaluation), measures of influencing factors (barriers and facilitators) and change in factors over time (implementation impact), assessment of strategies and/or the implementation program, and overall measures to generate a level of implementation (implementation outcomes). The level of implementation of a professional pharmacy service can be estimated from the level of service delivery (reach and fidelity) and level as a service provider (integration and strength of support in the service environment). The model may be used for evaluating professional pharmacy services and for evaluating implementation programs.

Implementing living room theatre activities for people with dementia on nursing home wards: a process evaluation study

Objectives: A new communication method, the ‘Veder Method’, was implemented in the Netherlands. This method uses theatrical stimuli in combination with proven person-centred communication methods. Care staff was trained to apply the Veder Method in a ‘living room theatre activity’ for people with dementia. This study evaluates the implementation of the Veder Method on psychogeriatric nursing home wards.Methods: Facilitators and barriers to train staff and implement the Veder Method in psychogeriatric nursing homes were identified by conducting semi-structured interviews with 12 stakeholders who were involved in the implementation, and five focus groups with 35 trained care staff. The interviews and focus groups were transcribed verbatim, and two independent researchers analysed the content of the transcripts. The Implementation Process Evaluation (IPE) Framework was used to categorize the data and the 7s-model to contextualize the qualitative findings.Results: A structured overview of facilitators and barriers in different stages of the implementation process is presented. Positive reactions in residents and more reciprocity in caregiver-resident contact motivated trained care staff to work with the Veder Method. An action plan, executive support, the visibility of the method in the organization and a pioneer group that initiated implementation were essential for successful implementation. High work pressure for the care staff was a hindering factor.Conclusion: Respondents experienced the added value of the Veder Method. The facilitators and barriers to implementation we identified in this study can help to implement and disseminate the successful Veder Method and other person-centred communication methods in psychogeriatric nursing homes effectively.

Results of the Implementation Process Evaluation of CIVITAS II Funded Measures for Sustainable Urban Transport

The EU funded CIVITAS Initiative concerns ambitious cities that are introducing sustainable urban transport policy strategies. Within CIVITAS II, 208 measures spread over 17 cities were co funded as part of this programme. The aim is to achieve a significant change in the modal split towards sustainable transport modes. The project CIVITAS-GUARD has been established as the Specific Support Action for CIVITAS II to efficiently and professionally plan, realize, manage and control the following activities: Independent overall cross-site evaluation of the measures taken by the CIVITAS II cities including monitoring and analysis of the implementation process. This paper will be dealing with the implementation process and its relation to measure success to discover factors of success and risks to fail. The data for this analysis were generated mainly through a standardised online questionnaire, measure responsible persons filled in during the ca. 4 years of the CIVITAS II project life time. Additionally data were added from external statistical databases. Six different aspects influencing the success of a measure implementation and meeting the objectives successfully were distinguished in the analysis. The external measure background (size of the city, economic background, existing traffic situation etc.), the measure type (supporting or restricting specific modes, complexity, sensibility, etc.), the internal measure framework (target size and population, resources available and from where, etc.), the organisations and stakeholders involved in the implementation strategy and finally barriers and drivers occurred during the implementation phase. Based on the structure of influencing variable types above several results of the bivariate correlation analysis could be identified and will be discussed in this paper.

Implementing mentor mothers in family practice to support abused mothers: Study protocol

BackgroundIntimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experience a too high threshold. Mentor mother support, a low threshold intervention for abused mothers in family practice, proved to be feasible and effective in Rotterdam, the Netherlands. The primary aim of this study is to investigate which factors facilitate or hinder the implementation of mentor mother support in family practice. Besides we evaluate the effect of mentor mother support in a different region.Methods/DesignAn observational study with pre- and posttests will be performed. Mothers with home living children or pregnant women who are victims of intimate partner violence will be offered mentor mother support by the participating family physicians. The implementation process evaluation consists of focus groups, interviews and questionnaires. In the effect evaluation intimate partner violence, the general health of the abused mother, the mother-child relationship, social support, and acceptance of professional help will be measured twice (t = 0 and t = 6 months) by questionnaires, reporting forms, medical records and interviews with the abused mothers. Qualitative coding will be used to analyze the data from the reporting forms, medical records, focus groups, interviews, and questionnaires. Quantitative data will be analyzed with descriptive statistics, chi square test and t-test matched pairs.DiscussionWhile other intervention studies only evaluate the feasibility and effectiveness of the intervention, our primary aim is to evaluate the implementation process and thereby investigate which factors facilitate or hinder implementation of mentor mother support in family practice.

Evaluation of strategic plans in academic medical libraries

A multicase approach was used to explore evaluation methods being used in academic medical libraries that are engaged in strategic planning, including where in the planning and implementation process evaluation is being incorporated and how the evaluation data are collected, analyzed, and incorporated into future strategic planning processes. Data collection included document review (strategic plans, memos, Web sites) and interviews (semistructured individual interviews and focus groups). The strategic planning process used at each institution varied yet could be mapped to Bryson's process for strategic planning. Strategic planning was found to serve as a management tool, providing libraries in the study with direction and focus; however, there remains a strong need for leaders to communicate the importance of incorporating evaluation into the planning process.

Checking the congruence between a program and its organizational environment

AbstractCongruence is a key issue in implementation process evaluation. By analyzing the fit between program and environment at macro, intermediate, and micro levels, evaluators can help program managers to decide where and how to change implementation processes so that the program can produce its intended benefits.