METHODS FOR UNDERSTANDING THE INTERPLAY BETWEEN CONTEXT AND - PowerPoint PPT Presentation

METHODS FOR UNDERSTANDING THE INTERPLAY BETWEEN CONTEXT AND IMPLEMENTATION KELLY J. DEVERS, PH.D. VICE PRESIDENT EVALUATION AND ANALYTICS lewin.com | 1

Objectives 1. Share with you an excellent, new resource --What do we mean by context? Why all the focus on it? --What are the range of methods that help address key questions about context? 2. Describe the role of qualitative and mixed methods research --Traditional --Novel methods like Qualitative Comparative Analysis Discuss how we can continue advancing… 3. --theoretical/conceptual models of environment and context ---methods work in this area lewin.com | 2

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Challenges, solutions and future directions in the evaluation of service innovations in health care and public health Health Services and Delivery Research, No. 4.16 http://www.journalslibrary.nihr.ac.uk/hsdr/volume-4/issue-16#abstract lewin.com | 7

Essay 7--Contextual issues and qualitative research Emma Howarth, Kelly Devers, Graham Moore, Alicia O’Cathain, and Mary Dixon - Woods lewin.com | 8

Key functions of process evaluation and relationships among them lewin.com | 9

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Key Take-Aways • The need to understand the contextual influences that subvert, neutralize, intensify or otherwise influence interventions is well recognized. • But, the role that context plays in the design and evaluation of health and social care interventions remains understudied. • Mixed-methods studies are likely to be critical. – Researchers should expend greater effort earlier in the development and evaluation process to optimize interventions, identify causal mechanisms and characterize contextual influences. – The development of quantitative measures to explore structural features of context should be a future focus, as should better reporting of interventions and the development of guidance to support explicit descriptions of context. – Encouraging the conduct of mixed-method process evaluations alongside trials and other evaluations will require new norms and expectations of research and associated funding commitments, attention to collaborative relationships and changes in publishing practices. lewin.com | 11

NEXT STEPS? lewin.com | 12