| A systematic grounded approach to the development of complex interventions: the Australian WorkHealth Program--arthritis as a case study. | |
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MedLine Citation:
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PMID: 19896256 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite demands for evidence-based research and practice, little attention has been given to systematic approaches to the development of complex interventions to tackle workplace health problems. This paper outlines an approach to the initial stages of a workplace program development which integrates health promotion and disease management. The approach commences with systematic and genuine processes of obtaining information from key stakeholders with broad experience of these interventions. This information is constructed into a program framework in which practice-based and research-informed elements are both valued. We used this approach to develop a workplace education program to reduce the onset and impact of a common chronic disease - osteoarthritis. To gain information systematically at a national level, a structured concept mapping workshop with 47 participants from across Australia was undertaken. Participants were selected to maximise the whole-of-workplace perspective and included health education providers, academics, clinicians and policymakers. Participants generated statements in response to a seeding statement: Thinking as broadly as possible, what changes in education and support should occur in the workplace to help in the prevention and management of arthritis? Participants grouped the resulting statements into conceptually coherent groups and a computer program was used to generate a 'cluster map' along with a list of statements sorted according to cluster membership. In combination with research-based evidence, the concept map informed the development of a program logic model incorporating the program's guiding principles, possible service providers, services, training modes, program elements and the causal processes by which participants might benefit. The program logic model components were further validated through research findings from diverse fields, including health education, coaching, organisational learning, workplace interventions, workforce development and osteoarthritis disability prevention. In summary, wide and genuine consultation, concept mapping, and evidence-based program logic development were integrated to develop a whole-of-system complex intervention in which potential effectiveness and assimilation into the workplace for which optimised. |
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Authors:
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Nicola Reavley; Jenni Livingston; Rachelle Buchbinder; Kim Bennell; Chris Stecki; Richard Harry Osborne |
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Publication Detail:
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Type: Journal Article Date: 2009-11-04 |
Journal Detail:
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Title: Social science & medicine (1982) Volume: 70 ISSN: 1873-5347 ISO Abbreviation: Soc Sci Med Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-01 Completed Date: 2010-03-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8303205 Medline TA: Soc Sci Med Country: England |
Other Details:
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Languages: eng Pagination: 342-50 Citation Subset: IM |
Copyright Information:
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Copyright 2009 Elsevier Ltd. All rights reserved. |
Affiliation:
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Centre for Rheumatic Diseases, University of Melbourne, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Australia Cluster Analysis Evidence-Based Practice Health Education Health Promotion* Humans Logistic Models Occupational Health* Occupational Health Services / organization & administration Osteoarthritis / prevention & control* Program Development / methods* Workplace |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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