Examining the use of process evaluations of randomised controlled trials of complex interventions addressing chronic disease in primary health care—a systematic review protocol

Liu, Hueiming; Muhunthan, Janini; Hayek, Adina; Hackett, Maree L.; Laba, Tracey‐Lea; Peiris, David; Jan, Stephen

doi:10.1186/s13643-016-0314-5

Cited by 18 publications

(21 citation statements)

References 38 publications

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“…Quality appraisal was based on underlying study design of the paper. Qualitative process evaluations of randomized control trials (RCTs) were evaluated as qualitative studies . The number of “Yes” answers were divided by the number of applicable criteria to derive a percentage score.…”

Section: Methodsmentioning

confidence: 99%

Investigating business outcomes of healthy food retail strategies: A systematic scoping review

et al. 2019

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Large changes to food retail settings are required to improve population diet.However, limited research has comprehensively considered the business implications of healthy food retail strategies for food retailers. We performed a systematic scoping review to identify types of business outcomes that have been reported in healthy food retail strategy evaluations. Peer-reviewed and grey literature were searched.We identified qualitative or quantitative real-world food or beverage retail strategies designed to improve the healthiness of the consumer nutrition environment (eg, changes to the "marketing mix" of product, price, promotion, and/or placement).Eligible studies reported store-or chain-level outcomes for measures of commercial viability, retailer perspectives, customer perspectives, and/or community outcomes. 11 682 titles and abstracts were screened with 107 studies included for review from 15 countries. Overall item sales, revenue, store patronage, and customer level of satisfaction with strategy were the most frequently examined outcomes. There was a large heterogeneity in outcome measures reported and in favourability for retailers of outcomes across studies. We recommend more consistent reporting of business outcomes and increased development and use of validated and reliable measurement tools. This may help generate more robust research evidence to aid retailers and policymakers to select feasible and sustainable healthy food retail strategies to benefit population health within and across countries.

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Section: Methodsmentioning

confidence: 99%

Investigating business outcomes of healthy food retail strategies: A systematic scoping review

et al. 2019

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“…Due to the multilevel nature of some interventions, an organizational level indicator, adoption, was also included from the RE-AIM framework [ 19 ]. The cost of interventions was also documented to indicate the level of implementation and transferability of interventions, particularly to other LMICs with limiting funding [ 23 ]. Table 1 describes the process evaluation dimensions.…”

Section: Methodsmentioning

confidence: 99%

Process evaluation of Samoa’s national salt reduction strategy (MASIMA): what interventions can be successfully replicated in lower-income countries?

et al. 2018

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BackgroundEvidence for recommended interventions to reduce population salt intake come from high-income countries, but it is unknown if these can be successfully replicated in low- and middle-income countries. This process evaluation investigated the reach, dose/adoption, fidelity, cost, and context of a national salt reduction program of interventions in Samoa.MethodsMonitoring and Action on Salt in Samoa (MASIMA) was a pre- and post-intervention study of a government-led strategy to lower population salt intake comprising awareness campaigns, community mobilization and policy and environmental changes. Data relating to the five process evaluation dimensions were collected from routinely collected data, a post-intervention survey and stakeholder interviews. Chi-squared tests assessed differences in quantitative survey responses among groups. Thematic analysis of qualitative interview responses was undertaken and triangulated with the quantitative data.ResultsAwareness campaigns, school nutrition standards, and community mobilization interventions were implemented with moderate reach and fidelity. Higher than expected costs of campaigns and limited opportunity (one-off) to mobilize community leaders to disseminate salt reduction messages were key implementation challenges, which meant intervention dose was low. Environmental-level initiatives including engagement with the food industry to voluntary reduce salt in foods and the introduction of salt-related regulations were more challenging to implement within 18-months, particularly given the delay in the passing of the Food Act which provides for enforcement of regulations. Contextual factors that hindered the interventions’ mechanism of effect include the food culture, higher cost, and lower availability of healthy low-salt foods relative to unhealthy foods and salty taste preference.ConclusionAlthough individual and community-based interventions helped increase awareness about the importance of salt reduction in Samoa, legislative backing was needed to alter the food environment to achieve population reduction in salt intake. It was not possible to engage the food industry to lower salt in foods through a voluntary approach in Samoa’s current context, although such initiatives were successful in some high-income countries. Future individual and environmental-level interventions to reduce salt intake need to address the contextual influences of food choices. In Samoa, this means salt reduction strategies need to ensure consuming lower salt is affordable, widely available, and perceived as flavorsome.Electronic supplementary materialThe online version of this article (10.1186/s13012-018-0802-1) contains supplementary material, which is available to authorized users.

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“…The additional challenge of evaluating Facebook groups is that many types of data, including both quantitative and qualitative, must be collected to assess engagement and effectiveness. If the Facebook group is a component of a multicomponent program, process evaluations can potentially provide insight into the causal mechanisms of such interventions and enable fine-grained understanding of the individual components [ 57 , 58 ]. Process evaluation methodology is underutilized in multicomponent intervention research, and this challenges research translation to identify essential intervention components from those that are not as important [ 59 ].…”

Section: Development Implementation and Evaluation Of Facebook Groupmentioning

confidence: 99%

Facebook Groups for the Management of Chronic Diseases

Partridge¹,

Gallagher²,

Freeman³

et al. 2018

J Med Internet Res

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The use of Facebook groups by health care researchers and professionals for chronic disease management, namely type 2 diabetes mellitus and coronary heart disease, is in its early stages and challenges are emerging. While Facebook groups offer great potential to deliver health support, research of Facebook groups for chronic disease management remains in its infancy, with robust evidence not yet available. Designing Facebook groups that are acceptable to users, health care researchers as well as health care professionals is a challenge, and there is a poor fit with traditional research and evaluation methods. Key recommendations for future research of Facebook groups for chronic disease management include: (1) iterative content development with input from the target patient population; (2) further understanding of the potential role of group “champions”; (3) ensuring the social media policies of health care institutions allow for real time online communication; and (4) utilizing comprehensive evaluation strategies, including the use of process evaluations.

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Examining the use of process evaluations of randomised controlled trials of complex interventions addressing chronic disease in primary health care—a systematic review protocol

Cited by 18 publications

References 38 publications

Investigating business outcomes of healthy food retail strategies: A systematic scoping review

Investigating business outcomes of healthy food retail strategies: A systematic scoping review

Process evaluation of Samoa’s national salt reduction strategy (MASIMA): what interventions can be successfully replicated in lower-income countries?

Facebook Groups for the Management of Chronic Diseases

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