2002
DOI: 10.1136/jech.56.2.119
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Criteria for evaluating evidence on public health interventions

Abstract: Public health interventions tend to be complex, programmatic, and context dependent. The evidence for their effectiveness must be sufficiently comprehensive to encompass that complexity. This paper asks whether and to what extent evaluative research on public health interventions can be adequately appraised by applying well established criteria for judging the quality of evidence in clinical practice. It is adduced that these criteria are useful in evaluating some aspects of evidence. However, there are other … Show more

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Cited by 826 publications
(733 citation statements)
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References 55 publications
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“…While we agree with the value of stronger designs, one must be thoughtful about evaluation of public health measures, which by definition are complex and context‐dependent 8. We used the best available data and design for our circumstances.…”
Section: Study Designs To Assess Fluoridation Effectivenessmentioning
confidence: 80%
See 1 more Smart Citation
“…While we agree with the value of stronger designs, one must be thoughtful about evaluation of public health measures, which by definition are complex and context‐dependent 8. We used the best available data and design for our circumstances.…”
Section: Study Designs To Assess Fluoridation Effectivenessmentioning
confidence: 80%
“…While one might theoretically envision a cluster‐randomized design,8 the unit of randomization would have to be community, not (as they state) households, in respect of the level of intervention.…”
Section: Study Designs To Assess Fluoridation Effectivenessmentioning
confidence: 99%
“…On the basis of our study, we can not draw any conclusion about the importance of a theory-based intervention for outcome. Nevertheless, researchers argue that a theory increases the credibility of the result (Rychetnik et al 2002). This leads us to the conclusion that the relation between interventions founded on theory and the outcome in HPDP programmes remains to be better explored.…”
Section: Discussionmentioning
confidence: 99%
“…For example, where interventions are designed to bring about health behavior change, it can be argued that they differ from medicines, devices, and procedures in terms of intended mechanisms of action. Here, notions of mechanism of action confined to biological interactions within single individuals have been significantly developed and refined, [6][7][8][9] to accommodate importance of interaction with the health and social care system, or the wider social environment.…”
Section: Guidementioning
confidence: 99%