{"title":"评估以社区为基础的“全系统”肥胖预防干预的理论和实践困难:一个研究小组的批判性反思。","authors":"E W Gadsby, S Hotham, R Merritt","doi":"10.1177/17579139231195700","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>This article critically discusses the purpose, pragmatics and politics of conducting commissioned evaluations on behalf of public sector organisations by drawing on the experience of evaluating a community-based 'whole systems' obesity prevention intervention for an English local council.</p><p><strong>Methods: </strong>The study presented in this article incorporated two approaches: an evaluability assessment that interrogated the theoretical and practical difficulties of evaluating the intervention in a non-political way, and a retrospective analysis using Soft Systems Methodology that interrogated the more political difficulties of conducting such an evaluation in the 'real world'. The information and insights that enabled these reflections came from over 3 years of working closely with the programme team, attending and participating in stakeholder events and meetings, presenting to the Council's Scrutiny Committee meetings, four interviews with the programme manager, and multiple face-to-face group meetings, email exchanges and telephone conversations.</p><p><strong>Results: </strong>The study reveals and analyses three key inter-related challenges that arose during the evaluation of the 'whole systems' obesity prevention intervention: the programme's evaluability, the evaluation purpose, and the nature, role and quality of evidence.</p><p><strong>Conclusions: </strong>The evaluability assessment was important for defining the programme's theoretical and practical evaluability, and the retrospective analysis using Soft Systems Methodology enabled a greater understanding of the political tensions that existed. Key learning points related to the challenges that arose during this evaluation have broad applicability.</p>","PeriodicalId":47256,"journal":{"name":"Perspectives in Public Health","volume":null,"pages":null},"PeriodicalIF":3.5000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683330/pdf/","citationCount":"0","resultStr":"{\"title\":\"The theoretical and practical difficulties of evaluating a community-based 'whole systems' obesity prevention intervention: a research team's critical reflection.\",\"authors\":\"E W Gadsby, S Hotham, R Merritt\",\"doi\":\"10.1177/17579139231195700\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims: </strong>This article critically discusses the purpose, pragmatics and politics of conducting commissioned evaluations on behalf of public sector organisations by drawing on the experience of evaluating a community-based 'whole systems' obesity prevention intervention for an English local council.</p><p><strong>Methods: </strong>The study presented in this article incorporated two approaches: an evaluability assessment that interrogated the theoretical and practical difficulties of evaluating the intervention in a non-political way, and a retrospective analysis using Soft Systems Methodology that interrogated the more political difficulties of conducting such an evaluation in the 'real world'. The information and insights that enabled these reflections came from over 3 years of working closely with the programme team, attending and participating in stakeholder events and meetings, presenting to the Council's Scrutiny Committee meetings, four interviews with the programme manager, and multiple face-to-face group meetings, email exchanges and telephone conversations.</p><p><strong>Results: </strong>The study reveals and analyses three key inter-related challenges that arose during the evaluation of the 'whole systems' obesity prevention intervention: the programme's evaluability, the evaluation purpose, and the nature, role and quality of evidence.</p><p><strong>Conclusions: </strong>The evaluability assessment was important for defining the programme's theoretical and practical evaluability, and the retrospective analysis using Soft Systems Methodology enabled a greater understanding of the political tensions that existed. Key learning points related to the challenges that arose during this evaluation have broad applicability.</p>\",\"PeriodicalId\":47256,\"journal\":{\"name\":\"Perspectives in Public Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2023-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683330/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives in Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/17579139231195700\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/9/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/17579139231195700","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/9 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
The theoretical and practical difficulties of evaluating a community-based 'whole systems' obesity prevention intervention: a research team's critical reflection.
Aims: This article critically discusses the purpose, pragmatics and politics of conducting commissioned evaluations on behalf of public sector organisations by drawing on the experience of evaluating a community-based 'whole systems' obesity prevention intervention for an English local council.
Methods: The study presented in this article incorporated two approaches: an evaluability assessment that interrogated the theoretical and practical difficulties of evaluating the intervention in a non-political way, and a retrospective analysis using Soft Systems Methodology that interrogated the more political difficulties of conducting such an evaluation in the 'real world'. The information and insights that enabled these reflections came from over 3 years of working closely with the programme team, attending and participating in stakeholder events and meetings, presenting to the Council's Scrutiny Committee meetings, four interviews with the programme manager, and multiple face-to-face group meetings, email exchanges and telephone conversations.
Results: The study reveals and analyses three key inter-related challenges that arose during the evaluation of the 'whole systems' obesity prevention intervention: the programme's evaluability, the evaluation purpose, and the nature, role and quality of evidence.
Conclusions: The evaluability assessment was important for defining the programme's theoretical and practical evaluability, and the retrospective analysis using Soft Systems Methodology enabled a greater understanding of the political tensions that existed. Key learning points related to the challenges that arose during this evaluation have broad applicability.
期刊介绍:
Perspectives in Public Health is a bi-monthly peer-reviewed journal. It is practice orientated and features current topics and opinions; news and views on current health issues; case studies; book reviews; letters to the Editor; as well as updates on the Society"s work. The journal also commissions articles for themed issues and publishes original peer-reviewed articles. Perspectives in Public Health"s primary aim is to be an invaluable resource for the Society"s members, who are health-promoting professionals from many disciplines, including environmental health, health protection, health and safety, food safety and nutrition, building and engineering, primary care, academia and government.