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Examining Intervention Design: Lessons from the Development of Eight Related Malaria Health Care Intervention Studies

Chandler, Clare, Burchett, Helen, Boyle, Louise, Achonduh, Olivia, Mbonye, Anthony, DiLiberto, Deborah, Reyburn, Hugh, Onwujekwe, Obinna, Haaland, Ane, Roca-Feltrer, Arantxa, Baiden, Frank, Mbacham, Wilfred F., Ndyomugyenyi, Richard, Nankya, Florence, Mangham-Jefferies, Lindsay, Clarke, Sian, Mbakilwa, Hilda, Reynolds, Joanna, Lal, Sham, Leslie, Toby, Maiteki-Sebuguzi, Catherine, Webster, Jayne, Magnussen, Pascal, Ansah, Evelyn, Hansen, Kristian S., Hutchinson, Eleanor, Cundill, Bonnie, Yeung, Shunmay, Schellenberg, David, Staedke, Sarah G., Wiseman, Virginia, Lalloo, David ORCID: and Whitty, Christopher J. M. (2016) 'Examining Intervention Design: Lessons from the Development of Eight Related Malaria Health Care Intervention Studies'. Health Systems & Reform, Vol 2, Issue 4, pp. 373-388.

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Rigorous evidence of “what works” to improve health care is in demand, but methods for the development of interventions have not been scrutinized in the same ways as methods for evaluation. This article presents and examines intervention development processes of eight malaria health care interventions in East and West Africa. A case study approach was used to draw out experiences and insights from multidisciplinary teams who undertook to design and evaluate these studies. Four steps appeared necessary for intervention design: (1) definition of scope, with reference to evaluation possibilities; (2) research to inform design, including evidence and theory reviews and empirical formative research; (3) intervention design, including consideration and selection of approaches and development of activities and materials; and (4) refining and finalizing the intervention, incorporating piloting and pretesting. Alongside these steps, projects produced theories, explicitly or implicitly, about (1) intended pathways of change and (2) how their intervention would be implemented.The work required to design interventions that meet and contribute to current standards of evidence should not be underestimated. Furthermore, the process should be recognized not only as technical but as the result of micro and macro social, political, and economic contexts, which should be acknowledged and documented in order to infer generalizability. Reporting of interventions should go beyond descriptions of final intervention components or techniques to encompass the development process. The role that evaluation possibilities play in intervention design should be brought to the fore in debates over health care improvement.

Item Type: Article
Additional Information: Special Issue on the Nigerian Health System
Subjects: QV Pharmacology > Anti-Inflammatory Agents. Anti-Infective Agents. Antineoplastic Agents > QV 256 Antimalarials
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Clinical Sciences & International Health > International Public Health Department
Clinical Sciences & International Health > Malawi-Liverpool-Wellcome Programme (MLW)
Digital Object Identifer (DOI):
SWORD Depositor: JISC Pubrouter
Depositing User: Stacy Murtagh
Date Deposited: 22 Jan 2018 14:06
Last Modified: 15 Feb 2018 11:19


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