Challenges in sustaining public health interventions.
ABSTRACT Sustainability remains a key challenge in public health. The perspective article by Fagen and Flay adds to our understanding of technical factors associated with sustaining health interventions in schools. In this commentary, the Fagen and Flay article (2009) is considered within the broader literature on sustainability. By taking a broad view, public health theory and practice might be advanced further. Fagen and Flay illustrate that we have much to learn about sustainability. Questions for future research include: (a) what can we put into place at the systems level to ensure that the short-term efficacy of interventions have a fighting chance to be sustained? (b) considering the challenges inherent in sustainability, what are realistic goals against which to evaluate the cost-effectiveness of interventions found effective in the short-term? and (c) what theories, methods, and strategies in fields outside of public health can be drawn upon to improve work in public health?
- SourceAvailable from: Sora P Tanjasiri[Show abstract] [Hide abstract]
ABSTRACT: We examined how National Cancer Institute-funded Community Network Programs (CNPs) operationalized principles of community-based participatory research (CBPR). We reviewed the literature and extant CBPR measurement tools. On the basis of that review, we developed a 27-item questionnaire for CNPs to self-assess their operationalization of 9 CBPR principles. Our team comprised representatives of 9 of the National Cancer Institute's 25 CNPs. Of the 25 CNPs, 22 (88%) completed the questionnaire. Most scored well on CBPR principles of recognizing community as a unit of identity, building on community strengths, facilitating colearning, embracing iterative processes in developing community capacity, and achieving a balance between data generation and intervention. CNPs varied in the extent to which they employed CBPR principles of addressing determinants of health, sharing power among partners, engaging the community in research dissemination, and striving for sustainability. Although the development of assessment tools in this field is in its infancy, our findings suggest that fidelity to CBPR processes can be assessed in a variety of settings.American Journal of Public Health 11/2011; 102(6):1195-203. · 3.93 Impact Factor
- Education and Health 01/2012; 30(2):35-39.
Conference Paper: Primary School Teachers’ Experiences of the Food Dudes Programme.[Show abstract] [Hide abstract]
ABSTRACT: Objectives: The study explored teachers’ perceptions and experiences of the Food Dudes programme, a behaviour change intervention designed to increase fruit and vegetable consumption in primary school children. Design: Semi structured interviews were conducted with teachers from participating schools. This enabled a detailed exploration of teachers’ understanding of the programme before the intervention took place, aspects of the intervention that worked well, challenges to implementation and how the intervention impacted upon the children in their school. Methods: Semi structured interviews were conducted with eight teachers from six of the eight schools which received the intervention. Participants consisted of teachers who co-ordinated the implementation of the programme within their school. Transcripts from each interview were analysed using Ritchie and Spencer’s Thematic Framework method. Results: Teachers identified many positive aspects of the Food Dudes intervention, specifically relating to the rewards given to children and the potential of the programme to raise awareness of the importance of healthy eating. Maintaining children’s interest in healthy eating and the need to develop strategies to facilitate this was also considered to be important. However, teachers also expressed the difficulties associated with incorporating the programme within the school day, an aspect which was considered to be a pertinent challenge. Conclusions: The study emphasised both the potential of but also the challenges associated with delivering the Food Dudes programme. The views of teachers implementing the programme ought to be taken into account when developing tools and materials to support the roll out of the programme within primary schools.British Psychological Society Annual Conference; 04/2012