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Ferraz L, Pereira RPG, Pereira AMRDC. Tradução do Conhecimento e os desafios contemporâneos na área da saúde: uma revisão de escopo. SAÚDE EM DEBATE 2019. [DOI: 10.1590/0103-11042019s215] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO A implementação das melhores evidências científicas nos serviços de saúde ainda não ocorre de forma satisfatória. Diante dessa problemática, o objetivo deste estudo foi investigar os desafios da Tradução do Conhecimento (TC) na área da saúde na atualidade. A metodologia desta revisão foi desenvolvida de acordo com os propósitos da revisão de escopo. Para tanto, as palavras-chave ‘translational medical research’ e ‘knowledge translation’ foram consultadas nos bancos de dados de periódicos da PubMed, Scopus e Web of Science. Foram incluídos os estudos publicados a partir do ano de 2008 até abril de 2018. Entre os 1.677 estudos encontrados, 839 artigos eram duplicados, e 818 não atendiam plenamente ao objetivo desta revisão; assim, 20 estudos foram submetidos à apreciação desse escopo. De acordo com as análises dos estudos, o desafio da TC advém de dois fatores: por um lado, a falta de coesão entre a comunidade científica e os tomadores de decisão em saúde; por outro, a inabilidade dos profissionais em traduzir e aplicar novos conhecimentos, além da omissão de apoio e de incentivos das instituições de saúde. Outrossim, esta revisão aborda um corpo significativo de diversos outros aspectos que limitam e/ou dificultam a TC área da saúde.
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Affiliation(s)
- Lucimare Ferraz
- Universidade do Estado de Santa Catarina, Brasil; Universidade Comunitária da Região de Chapecó, Brasil
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Fadlallah R, El-Jardali F, Nomier M, Hemadi N, Arif K, Langlois EV, Akl EA. Using narratives to impact health policy-making: a systematic review. Health Res Policy Syst 2019; 17:26. [PMID: 30836972 PMCID: PMC6402129 DOI: 10.1186/s12961-019-0423-4] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Accepted: 02/06/2019] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND There is increased interest in using narratives or storytelling to influence health policies. We aimed to systematically review the evidence on the use of narratives to impact the health policy-making process. METHODS Eligible study designs included randomised studies, non-randomised studies, process evaluation studies, economic studies, qualitative studies, stakeholder analyses, policy analyses, and case studies. The MEDLINE, PsycINFO, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), WHO Global Health Library, Communication and Mass Media Complete, and Google Scholar databases were searched. We followed standard systematic review methodology for study selection, data abstraction and risk of bias assessment. We synthesised the findings narratively and presented the results stratified according to the following stages of the policy cycle: (1) agenda-setting, (2) policy formulation, (3) policy adoption, (4) policy implementation and (5) policy evaluation. Additionally, we presented the knowledge gaps relevant to using narrative to impact health policy-making. RESULTS Eighteen studies met the eligibility criteria, and included case studies (n = 15), participatory action research (n = 1), documentary analysis (n = 1) and biographical method (n = 1). The majority were of very low methodological quality. In addition, none of the studies formally evaluated the effectiveness of the narrative-based interventions. Findings suggest that narratives may have a positive influence when used as inspiration and empowerment tools to stimulate policy inquiries, as educational and awareness tools to initiate policy discussions and gain public support, and as advocacy and lobbying tools to formulate, adopt or implement policy. There is also evidence of undesirable effects of using narratives. In one case study, narrative use led to widespread insurance reimbursement of a therapy for breast cancer that was later proven to be ineffective. Another case study described how the use of narrative inappropriately exaggerated the perceived risk of a procedure, which led to limiting its use and preventing a large number of patients from its benefits. A third case study described how optimistic 'cure' or 'hope' stories of children with cancer were selectively used to raise money for cancer research that ignored the negative realities. The majority of included studies did not provide information on the definition or content of narratives, the theoretical framework underlying the narrative intervention or the possible predictors of the success of narrative interventions. CONCLUSION The existing evidence base precludes any robust inferences about the impact of narrative interventions on health policy-making. We discuss the implications of the findings for research and policy. TRIAL REGISTRATION The review protocol is registered in PROSPERO International prospective register of systematic reviews (ID = CRD42018085011 ).
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Affiliation(s)
- Racha Fadlallah
- Center for Systematic Review for Health Policy and Systems Research, American University of Beirut, Beirut, Lebanon.,Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Fadi El-Jardali
- Center for Systematic Review for Health Policy and Systems Research, American University of Beirut, Beirut, Lebanon.,Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Mohamed Nomier
- Center for Systematic Review for Health Policy and Systems Research, American University of Beirut, Beirut, Lebanon
| | - Nour Hemadi
- Center for Systematic Review for Health Policy and Systems Research, American University of Beirut, Beirut, Lebanon
| | - Khurram Arif
- Center for Systematic Review for Health Policy and Systems Research, American University of Beirut, Beirut, Lebanon
| | - Etienne V Langlois
- Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland
| | - Elie A Akl
- Center for Systematic Review for Health Policy and Systems Research, American University of Beirut, Beirut, Lebanon. .,Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
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Curtis K, Fulton E, Brown K. Factors influencing application of behavioural science evidence by public health decision-makers and practitioners, and implications for practice. Prev Med Rep 2018; 12:106-115. [PMID: 30233998 PMCID: PMC6140308 DOI: 10.1016/j.pmedr.2018.08.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Revised: 08/22/2018] [Accepted: 08/26/2018] [Indexed: 11/03/2022] Open
Abstract
The National Institute of Health and Care Excellence (NICE) in the UK recommends behavioural science evidence underpins public health improvement services. In practice, level of implementation varies. This study is the first to explore factors affecting use of behaviour-specific evidence by public health decision-makers and practitioners for design and delivery of health improvement services. Twenty semi-structured interviews were conducted, along with a review of the commissioning cycle with public health decision-makers and practitioners across a range of health improvement fields (e.g. weight management). Interviews were informed and analysed using the Theoretical Domains Framework (TDF). Limited comprehension of behaviour change, challenges identifying specific behaviour change strategies and translating research into practice were prevalent. Local authority processes encouraged uptake of evidence to justify solutions as opposed to evidence-driven decision-making. Some decision-makers perceived research evidence may stifle innovation and overwhelm practitioners. Potential facilitators of research use included: ensuring uptake and implementation of evidence is compulsory within commissioning and its potential to show value for money. A strong belief in local evidence and achieving outcomes were identified as barriers to research evidence uptake. Social and environmental challenges included cultural, political, and workload pressures and journal article accessibility. Embedding behavioural science systematically into public health practice requires changes throughout the public health system; from priorities set by national public health leaders to the way in which relevant evidence is disseminated. Framing factors affecting use of behavioural science evidence using the TDF is helpful for identifying the range of interventions and support needed to affect change.
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Key Words
- BCTs, behaviour change techniques
- Behaviour change
- Behavioural science
- COP, communities of practice
- EBPH, evidence based public health
- EIDM, evidence informed decision making
- Evidence
- NCD, non-communicable disease
- NICE, National Institute for Health and Care Excellence
- PPI, patient and public involvement
- Public health
- Research translation
- TDF, Theoretical Domains Framework
- TUPE, transfer of undertakings (protection of employment)
- Theoretical Domains Framework
- WHO, World Health Organisation
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Affiliation(s)
| | | | - Katherine Brown
- Health Behaviour & Interventions Research, Centre for Advances in Behavioural Science, Faculty of Health & Life Sciences, Coventry University (Joint with Public Health Warwickshire), United Kingdom of Great Britain and Northern Ireland
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Zaniewski E, Tymejczyk O, Kariminia A, Desmonde S, Leroy V, Ford N, Sohn AH, Nash D, Yotebieng M, Cornell M, Althoff KN, Rebeiro PF, Egger M. IeDEA-WHO Research-Policy Collaboration: contributing real-world evidence to HIV progress reporting and guideline development. J Virus Erad 2018; 4:9-15. [PMID: 30515309 PMCID: PMC6248847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Partnerships between researchers and policymakers can improve uptake and integration of scientific evidence. This article describes the research-policy partnership between the International epidemiology Databases to Evaluate AIDS (IeDEA) ( www.iedea.org) and the World Health Organization (WHO), which was established in 2014. IeDEA is an international research consortium, which analyses data on almost 2 million people living with HIV under care in routine settings in 46 countries in Asia-Pacific, the Caribbean, Central and South America, North America and sub-Saharan Africa. Five multiregional analyses were identified to inform the WHO on progress towards the second and third 90s of the 90-90-90 targets in adults and children: (i) trends in CD4 cell counts at the start of antiretroviral therapy (ART); (ii) delays from enrolment in HIV care to ART initiation; (iii) the impact of ART guideline changes; (iv) retention in care, mortality and loss to follow-up; and (v) viral suppression within the first 3 years after initiating ART. Results from these analyses were contributed to the 2015 and 2016 WHO global HIV progress reports, will contribute to the 2018 report, and were published in academic journals. The partnership has been mutually beneficial: discussion of WHO policy agendas led to more policy-framed, relevant and timely IeDEA research, and the collaboration provided the WHO with timely access to the latest data from IeDEA, as it was shared prior to peer-review publication.
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Affiliation(s)
- Elizabeth Zaniewski
- Institute of Social and Preventive Medicine (ISPM),
University of Bern,
Switzerland
| | | | - Azar Kariminia
- Kirby Institute,
University of New South Wales,
Sydney,
NSW,
Australia
| | | | | | - Nathan Ford
- World Health Organization,
Geneva,
Switzerland
| | | | | | - Marcel Yotebieng
- Division of Epidemiology,
Ohio State University, College of Public Health,
Columbus,
OH43210USA
| | - Morna Cornell
- Centre for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine,
University of Cape Town,
SouthAfrica
| | - Keri N Althoff
- Johns Hopkins Bloomberg School of Public Health,
Baltimore,
MD,
USA
| | - Peter F Rebeiro
- Vanderbilt University School of Medicine,
Nashville,
TN,
USA
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55
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Zaniewski E, Tymejczyk O, Kariminia A, Desmonde S, Leroy V, Ford N, Sohn AH, Nash D, Yotebieng M, Cornell M, Althoff KN, Rebeiro PF, Egger M. IeDEA–WHO Research-Policy Collaboration: contributing real-world evidence to HIV progress reporting and guideline development. J Virus Erad 2018. [DOI: 10.1016/s2055-6640(20)30348-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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56
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Yearwood AC. Applying a logical theory of change for strengthening research uptake in policy: a case study of the Evidence Informed Decision Making Network of the Caribbean. Rev Panam Salud Publica 2018; 42:e91. [PMID: 31093119 PMCID: PMC6385801 DOI: 10.26633/rpsp.2018.91] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 02/07/2018] [Indexed: 02/03/2023] Open
Abstract
OBJECTIVE Health policymakers in the Caribbean face challenges with research use in decision-making. Although copious approaches to strengthen evidence-informed policy can be found in the literature, these strategies should be applied and evaluated in specific settings. We developed a theory of change for strengthening research uptake in health policy, and the interventions were implemented as the Evidence Informed Decision Making Network of the Caribbean (EvIDeNCe). We assessed the model's logic and evaluated whether the expected outcome was achieved. METHODS The model was mapped in three stages: problem identification; goal determination; and backward linking of interventions. Beneficiaries were surveyed to assess the design logic and to evaluate the main outcome. RESULTS A total of 137 respondents completed evaluation questionnaires. The inclusion of evidence briefs, stakeholder dialogues, a research database, and training programs for policymakers in the model was validated. Respondents also reported their intention to act on research evidence to which they were exposed. After respondents had participated in stakeholder dialogues, the mean intention-to-use score was 6.4 on a scale of 1 (strongly disagree) to 7 (strongly agree), and 6.3 on the same scale, after exposure to training. CONCLUSIONS This work provides initial validation of EvIDeNCe as a consolidated strategy to strengthen the application of research in policy in the Caribbean. To our knowledge, it is the first study to develop and apply a comprehensive model of this type to the Caribbean. The findings support results from similar initiatives in other countries, but additional work is needed to evaluate the overall impact of the initiative.
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Affiliation(s)
- Andrea C. Yearwood
- Caribbean Public Health Agency, Policy Planning and Research Department, Port-of-Spain, Trinidad and Tobago
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57
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Tudisca V, Valente A, Castellani T, Stahl T, Sandu P, Dulf D, Spitters H, Van de Goor I, Radl-Karimi C, Syed MA, Loncarevic N, Lau CJ, Roelofs S, Bertram M, Edwards N, Aro AR. Development of measurable indicators to enhance public health evidence-informed policy-making. Health Res Policy Syst 2018; 16:47. [PMID: 29855328 PMCID: PMC5984390 DOI: 10.1186/s12961-018-0323-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Accepted: 05/04/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Ensuring health policies are informed by evidence still remains a challenge despite efforts devoted to this aim. Several tools and approaches aimed at fostering evidence-informed policy-making (EIPM) have been developed, yet there is a lack of availability of indicators specifically devoted to assess and support EIPM. The present study aims to overcome this by building a set of measurable indicators for EIPM intended to infer if and to what extent health-related policies are, or are expected to be, evidence-informed for the purposes of policy planning as well as formative and summative evaluations. METHODS The indicators for EIPM were developed and validated at international level by means of a two-round internet-based Delphi study conducted within the European project 'REsearch into POlicy to enhance Physical Activity' (REPOPA). A total of 82 researchers and policy-makers from the six European countries (Denmark, Finland, Italy, the Netherlands, Romania, the United Kingdom) involved in the project and international organisations were asked to evaluate the relevance and feasibility of an initial set of 23 indicators developed by REPOPA researchers on the basis of literature and knowledge gathered from the previous phases of the project, and to propose new indicators. RESULTS The first Delphi round led to the validation of 14 initial indicators and to the development of 8 additional indicators based on panellists' suggestions; the second round led to the validation of a further 11 indicators, including 6 proposed by panellists, and to the rejection of 6 indicators. A total of 25 indicators were validated, covering EIPM issues related to human resources, documentation, participation and monitoring, and stressing different levels of knowledge exchange and involvement of researchers and other stakeholders in policy development and evaluation. CONCLUSION The study overcame the lack of availability of indicators to assess if and to what extent policies are realised in an evidence-informed manner thanks to the active contribution of researchers and policy-makers. These indicators are intended to become a shared resource usable by policy-makers, researchers and other stakeholders, with a crucial impact on fostering the development of policies informed by evidence.
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Affiliation(s)
| | | | | | - Timo Stahl
- The National Institute for Health and Welfare (THL), Tampere, Finland
| | - Petru Sandu
- Babeș-Bolyai University (BBU), Cluj-Napoca, Romania
| | - Diana Dulf
- Babeș-Bolyai University (BBU), Cluj-Napoca, Romania
| | | | | | - Christina Radl-Karimi
- Unit for Health Promotion Research, University of Southern Denmark (SDU), Odense, Denmark
| | | | - Natasa Loncarevic
- Unit for Health Promotion Research, University of Southern Denmark (SDU), Odense, Denmark
| | - Cathrine Juel Lau
- Center for Clinical Research and Disease Prevention, previously called Research Centre for Prevention and Health (RCPH), Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark
| | | | - Maja Bertram
- Unit for Health Promotion Research, University of Southern Denmark (SDU), Odense, Denmark
| | | | - Arja R. Aro
- Unit for Health Promotion Research, University of Southern Denmark (SDU), Odense, Denmark
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Busse R, van Ginneken E. Cross-country comparative research – Lessons from advancing health system and policy research on the occasion of the European Observatory on Health Systems and Policies’ 20th anniversary. Health Policy 2018; 122:453-456. [DOI: 10.1016/j.healthpol.2018.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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59
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Spitters HPEM, van de Goor LAM, Lau CJ, Sandu P, Eklund Karlsson L, Jansen J, van Oers JAM. Learning from games: stakeholders' experiences involved in local health policy. J Public Health (Oxf) 2018. [PMID: 29538724 DOI: 10.1093/pubmed/fdx149] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Since public health problems are complex and the related policies need to address a wide range of sectors, cross-sectoral collaboration is beneficial. One intervention focusing on stimulating collaboration is a 'policy game'. The focus on specific problems facilitates relationships between the stakeholders and stimulates cross-sectoral policymaking. The present study explores stakeholders' learning experiences with respect to the collaboration process in public health policymaking. This was achieved via their game participation, carried out in real-life stakeholder networks in the Netherlands, Denmark and Romania. The policy game (In2Action) was developed and implemented as a 1-day role-play. The data consisted of: (i) observations and evaluation notes during the game and (ii) participant questionnaire after the game. All three countries showed similar results in learning experience during the collaboration processes in local policymaking. Specific learning experiences were related to: (i) the stakeholder network, (ii) interaction and (iii) relationships. The game also increased participant's understanding of group dynamics and need for a coordinator in policymaking. This exploratory study shows that the game provides participants with learning experiences during the collaboration process in policymaking. Experiencing what is needed to establish cross-sectoral collaboration is a first step towards enhancing knowledge exchange and more effective public health policies.
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Affiliation(s)
- H P E M Spitters
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO Box 90153, 5000 LE Tilburg, the Netherlands
| | - L A M van de Goor
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO Box 90153, 5000 LE Tilburg, the Netherlands
| | - C Juel Lau
- Research Centre for Prevention and Health, Capital Region of Denmark, Ndr. Ringvej 57, Building 84/85, 2600 Glostrup, Denmark
| | - P Sandu
- Department of Public Health, Faculty of Political, Administrative and Communication Sciences, University Babes-Bolyai, 7 Pandurilor St. Universitas, Room 910, 400376 Cluj-Napoca, Romania
| | - L Eklund Karlsson
- Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark, Niels Bohr Vej 9, 6700 Esbjerg, Denmark
| | - J Jansen
- Dutch Institute for Healthcare Improvement (CBO), Churchilllaan 11, 3527 GV Utrecht, the Netherlands
| | - J A M van Oers
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO Box 90153, 5000 LE Tilburg, the Netherlands.,National Institute of Public Health and the Environment (RIVM), PO Box 1, 3720 BA Bilthoven, the Netherlands
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60
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Bertram M, Loncarevic N, Radl-Karimi C, Thøgersen M, Skovgaard T, Aro AR. Contextually tailored interventions can increase evidence-informed policy-making on health-enhancing physical activity: the experiences of two Danish municipalities. Health Res Policy Syst 2018; 16:14. [PMID: 29466998 PMCID: PMC5822477 DOI: 10.1186/s12961-018-0290-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Accepted: 01/30/2018] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND The present study aims to test out contextually tailored interventions to increase evidence-informed health-enhancing physical activity policy-making in two Danish municipalities. METHODS The study was performed as experiments in natural settings. Based on results from a pre-intervention study defining the needs and contexts of the two settings, the interventions were developed based on logical models. The interventions aimed at increasing the use of knowledge in policy-making, primarily via strengthening intersectoral collaboration. The interventions were evaluated via pre-, post- and 12-month follow-up questionnaires and qualitative interviews were carried out prior to the intervention start. RESULTS The use of knowledge changed in several ways. In one municipality, the use of stakeholder and target group knowledge increased whereas, in the other municipality, the use of research knowledge increased. In both municipalities, the ability to translate knowledge to local context, the political request and the organisational procedures for use of knowledge increased during the interventions. There was some variation between the two settings, which shows the importance of tailoring to context. Most of the changes were diminished at the 12-month follow-up. CONCLUSION Contextually tailored interventions have the potential to increase evidence-informed policy-making on health-enhancing physical activity. However, this finding needs to be tested in larger samples and its sustainability must be strengthened.
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Affiliation(s)
- Maja Bertram
- Department of Public Health, University of Southern Denmark, Unit for Health Promotion Research, Niels Bohrs Vej 9, 6700, Esbjerg, Denmark.
| | - Natasa Loncarevic
- Department of Public Health, University of Southern Denmark, Unit for Health Promotion Research, Niels Bohrs Vej 9, 6700, Esbjerg, Denmark
| | - Christina Radl-Karimi
- Region of Southern Denmark, Center for Quality, P V Tuxens Vej 5, 5500, Middelfart, Denmark
| | - Malene Thøgersen
- Danish Institute for Non-Formal Education/Danish Institute for Sport Studies, Frederiksgade 78B, 8000, Aarhus C, Denmark
| | - Thomas Skovgaard
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Arja R Aro
- Department of Public Health, University of Southern Denmark, Unit for Health Promotion Research, Niels Bohrs Vej 9, 6700, Esbjerg, Denmark
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Spitters HPEM, van Oers JAM, Sandu P, Lau CJ, Quanjel M, Dulf D, Chereches R, van de Goor LAM. Developing a policy game intervention to enhance collaboration in public health policymaking in three European countries. BMC Public Health 2017; 17:961. [PMID: 29258483 PMCID: PMC5735538 DOI: 10.1186/s12889-017-4963-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2017] [Accepted: 11/29/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- H P E M Spitters
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000, LE, Tilburg, The Netherlands.
| | - J A M van Oers
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000, LE, Tilburg, The Netherlands.,National Institute of Public Health and the Environment (RIVM), P.O. Box 1, 3720, BA, Bilthoven, The Netherlands
| | - P Sandu
- Department of Public Health, Faculty of Political, Administrative and Communication Sciences, University Babes-Bolyai, 7 Pandurilor St. Universitas, Room 910, Zip code 400376, Cluj-Napoca, Romania
| | - C J Lau
- Research Centre for Prevention and Health, Centre of Health, The Capital Region of Denmark, Rigshospitalet - Glostrup, Ndr. Ringvej 57, Building 84/85, -2600, Glostrup, DK, Denmark
| | - M Quanjel
- Entrea, Youth Care, Special Needs Education and Research, P.O. Box 6546, 6503, GA, Nijmegen, The Netherlands
| | - D Dulf
- Department of Public Health, Faculty of Political, Administrative and Communication Sciences, University Babes-Bolyai, 7 Pandurilor St. Universitas, Room 910, Zip code 400376, Cluj-Napoca, Romania
| | - R Chereches
- Department of Public Health, Faculty of Political, Administrative and Communication Sciences, University Babes-Bolyai, 7 Pandurilor St. Universitas, Room 910, Zip code 400376, Cluj-Napoca, Romania
| | - L A M van de Goor
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000, LE, Tilburg, The Netherlands
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Spitters HPEM, Lau CJ, Sandu P, Quanjel M, Dulf D, Glümer C, van Oers HAM, van de Goor IAM. Unravelling networks in local public health policymaking in three European countries - a systems analysis. Health Res Policy Syst 2017; 15:5. [PMID: 28159008 PMCID: PMC5291943 DOI: 10.1186/s12961-016-0168-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Accepted: 12/30/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Facilitating and enhancing interaction between stakeholders involved in the policymaking process to stimulate collaboration and use of evidence, is important to foster the development of effective Health Enhancing Physical Activity (HEPA) policies. Performing an analysis of real-world policymaking processes will help reveal the complexity of a network of stakeholders. Therefore, the main objectives were to unravel the stakeholder network in the policy process by conducting three systems analyses, and to increase insight into the similarities and differences in the policy processes of these European country cases. METHODS A systems analysis of the local HEPA policymaking process was performed in three European countries involved in the 'REsearch into POlicy to enhance Physical Activity' (REPOPA) project, resulting in three schematic models showing the main stakeholders and their relationships. The models were used to compare the systems, focusing on implications with respect to collaboration and use of evidence in local HEPA policymaking. Policy documents and relevant webpages were examined and main stakeholders were interviewed. RESULTS The systems analysis in each country identified the main stakeholders involved and their position and relations in the policymaking process. The Netherlands and Denmark were the most similar and both differed most from Romania, especially at the level of accountability of the local public authorities for local HEPA policymaking. The categories of driving forces underlying the relations between stakeholders were formal relations, informal interaction and knowledge exchange. CONCLUSIONS A systems analysis providing detailed descriptions of positions and relations in the stakeholder network in local level HEPA policymaking is rather unique in this area. The analyses are useful when a need arises for increased interaction, collaboration and use of knowledge between stakeholders in the local HEPA network, as they provide an overview of the stakeholders involved and their mutual relations. This information can be an important starting point to enhance the uptake of evidence and build more effective public health policies.
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Affiliation(s)
- Hilde P. E. M. Spitters
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE, Tilburg, The Netherlands
| | - Cathrine J. Lau
- Research Centre for Prevention and Health, Capital Region of Denmark, Ndr, Ringvej 57, Afsnit 84/85, 2600 Glostrup, Denmark
| | - Petru Sandu
- Department of Public Health, College of Political, Administrative and Communication Sciences, Babes-Bolyai University, 7 Pandurilor St. Universitas, Room 910, 400376 Cluj-Napoca, Romania
| | - Marcel Quanjel
- Youth Care, Special Needs Education and Research, P.O. Box 6546, 6503 GA, Nijmegen, The Netherlands
| | - Diana Dulf
- Department of Public Health, College of Political, Administrative and Communication Sciences, Babes-Bolyai University, 7 Pandurilor St. Universitas, Room 910, 400376 Cluj-Napoca, Romania
| | - Charlotte Glümer
- Research Centre for Prevention and Health, Capital Region of Denmark, Ndr, Ringvej 57, Afsnit 84/85, 2600 Glostrup, Denmark
- Department of Health Sciences and Technology, Aalborg University, Frederik Bayers vej 7D2, DK-9220 Aalborg, Denmark
| | - Hans A. M. van Oers
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE, Tilburg, The Netherlands
- National Institute of Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands
| | - Ien A. M. van de Goor
- Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE, Tilburg, The Netherlands
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