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。

IF 3.5 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Perspectives in Public Health Pub Date : 2023-11-01 Epub Date: 2023-09-09 DOI:10.1177/17579139231195700
E W Gadsby, S Hotham, R Merritt
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引用次数: 0

摘要

目的:本文批判性地讨论了目的,语用学和政治进行委托评估代表公共部门组织借鉴的经验,评估基于社区的“全系统”肥胖预防干预为英国地方议会。方法:本文中提出的研究包括两种方法:可评估性评估,询问以非政治方式评估干预的理论和实践困难;使用软系统方法论进行回顾性分析,询问在“现实世界”中进行此类评估的更多政治困难。这些反思的信息和见解来自于3年多来与项目团队的密切合作,参加和参与利益相关者活动和会议,向理事会审查委员会会议作报告,与项目经理的四次访谈,以及多次面对面的小组会议、电子邮件交流和电话交谈。结果:本研究揭示并分析了“全系统”肥胖预防干预评估过程中出现的三个相互关联的关键挑战:项目的可评估性、评估目的以及证据的性质、作用和质量。结论:可评价性评价对于确定方案的理论和实际可评价性是重要的,使用软系统方法的回顾性分析能够更好地了解存在的政治紧张局势。与评估过程中出现的挑战相关的关键学习点具有广泛的适用性。
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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.

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来源期刊
Perspectives in Public Health
Perspectives in Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.50
自引率
1.70%
发文量
74
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.
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