The value of process evaluation for public health interventions: field-case studies for non-communicable disease prevention and management in five countries.

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Bibliographic Details
Title:	The value of process evaluation for public health interventions: field-case studies for non-communicable disease prevention and management in five countries.
Alternate Title:	El valor de la evaluación de procesos para las intervenciones en salud pública: cinco estudios de casos en prevención y manejo de enfermedades no transmisibles en cinco países.
Authors:	Lazo-Porras, María^1,2, Brandt, Lena R.¹, Cornejo-Vucovich, Elsa³, Denman, Catalina A.³, Diez-Canseco, Francisco¹, Malavera, Alejandra⁴, Mukherjee, Ankita⁵, Ouyang, Menglu^4,6, Praveen, Devarsetty⁵, Schierhout, Gill⁴, Yuewen Sun⁶, Xuejun Yin^4,5, Puhong Zhang⁶, Hueiming Liu⁴ hliu@georgeinstitute.org.au
Source:	Salud Pública de México. 2022 Supplement, Vol. 64, pS56-S66. 11p.
Subjects:	DISEASE management, PREVENTIVE medicine, NON-communicable diseases, PUBLIC health, PUBLIC health research, DIGITAL health
Abstract (English):	Complex interventions are needed to effectively tackle noncommunicable diseases. However, complex interventions can contain a mix of effective and ineffective actions. Process evaluation (PE) in public health research is of great value as it could clarify the mechanisms and contextual factors associated with variation in the outcomes, better identify effective components, and inform adaptation of the intervention. The aim of this paper is to demonstrate the value of PE through five case studies that span the research cycle. The interventions include using digital health, salt reduction strategies, use of fixed dose combinations, and task shifting. Insights of the methods used, and the implications of the PE findings to the project, were discussed. PE of complex interventions can refute or confirm the hypothesized mechanisms of action, thereby enabling intervention refinement, and identifying implementation strategies that can address local contextual needs, so as to improve service delivery and public health outcomes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Las intervenciones complejas son necesarias para abordar eficazmente las enfermedades no transmisibles. Sin embargo, las intervenciones complejas pueden contener una mezcla de acciones eficaces e ineficaces. La evaluación de procesos (EP) en la investigación en salud pública es de gran valor, ya que puede aclarar los mecanismos y factores del contexto asociados con la variación de los resultados, identificar mejor los componentes eficaces e informar sobre la adaptación de las intervenciones. El objetivo de este artículo es demostrar el valor de la EP a través de cinco estudios de caso que abarcan el ciclo de investigación. Las intervenciones incluyen el uso de la salud digital, las estrategias de reducción de sal, el uso de combinaciones de dosis fijas y la "delegación de funciones". Se discuten las implicancias de los métodos utilizados y del uso de los resultados de la EP para el proyecto. La EP de intervenciones complejas puede refutar o confirmar los mecanismos de acción hipotetizados, permitiendo así el perfeccionamiento de la intervención y la identificación de estrategias de implementación que puedan abordar las necesidades contextuales locales, a fin de mejorar la prestación de servicios y los resultados en salud pública. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Complex interventions are needed to effectively tackle noncommunicable diseases. However, complex interventions can contain a mix of effective and ineffective actions. Process evaluation (PE) in public health research is of great value as it could clarify the mechanisms and contextual factors associated with variation in the outcomes, better identify effective components, and inform adaptation of the intervention. The aim of this paper is to demonstrate the value of PE through five case studies that span the research cycle. The interventions include using digital health, salt reduction strategies, use of fixed dose combinations, and task shifting. Insights of the methods used, and the implications of the PE findings to the project, were discussed. PE of complex interventions can refute or confirm the hypothesized mechanisms of action, thereby enabling intervention refinement, and identifying implementation strategies that can address local contextual needs, so as to improve service delivery and public health outcomes. [ABSTRACT FROM AUTHOR]
ISSN:	00363634
DOI:	10.21149/12853