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Developing social capital in implementing a complex intervention

dc.contributor.authorHarris, Fiona M.
dc.contributor.authorMaxwell, Margaret
dc.contributor.authorOconnor, Rory C.
dc.contributor.authorCoyne, James
dc.contributor.authorArensman, Ella
dc.contributor.authorSzékely, András
dc.contributor.authorGusmão, Ricardo
dc.contributor.authorCoffey, Claire
dc.contributor.authorCosta, Susana
dc.contributor.authorCserháti, Zoltan
dc.contributor.authorKoburger, Nicole
dc.contributor.authorVan Audenhove, Chantal
dc.contributor.authorMcDaid, David
dc.contributor.authorMaloney, Julia
dc.contributor.authorVärnik, Peeter
dc.contributor.authorHegerl, Ulrich
dc.contributor.institutionCentro de Estudos de Doenças Crónicas (CEDOC)
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2021-05-10T23:15:27Z
dc.date.available2021-05-10T23:15:27Z
dc.date.issued2013-02
dc.descriptionWe would like to thank Katrin Gottlebe who has provided excellent project management for the OSPI-Europe consortium and Patrizia Torremante of Gabo-mi for the tremendous organisational support so essential to keeping such a large European study on track. We would also like to acknowledge Eve Griffin for some assistance with data collection and Ruth Harris for the design of Figure 1. This research received funding from OSPI-Europe as part of the European Community's Seventh Framework Program (FP7/2007-2013) under grant agreement 223138. The views are those of the authors and the funding body was not involved in the conception or design of this study. We wish to thank everyone who participated in interviews and focus groups for this study.
dc.description.abstractBackground: Variation in the implementation of complex multilevel interventions can impact on their delivery and outcomes. Few suicide prevention interventions, especially multilevel interventions, have included evaluation of both the process of implementation as well as outcomes. Such evaluation is essential for the replication of interventions, for interpreting and understanding outcomes, and for improving implementation science. This paper reports on a process evaluation of the early implementation stage of an optimised suicide prevention programme (OSPI-Europe) implemented in four European countries. Methods. The process analysis was conducted within the framework of a realist evaluation methodology, and involved case studies of the process of implementation in four European countries. Datasets include: repeated questionnaires to track progress of implementation including delivery of individual activities and their intensity; serial interviews and focus groups with stakeholder groups; and detailed observations at OSPI implementation team meetings. Results: Analysis of local contexts in each of the four countries revealed that the advisory group was a key mechanism that had a substantial impact on the ease of implementation of OSPI interventions, particularly on their ability to recruit to training interventions. However, simply recruiting representatives of key organisations into an advisory group is not sufficient to achieve impact on the delivery of interventions. In order to maximise the potential of high level gatekeepers, it is necessary to first transform them into OSPI stakeholders. Motivations for OSPI participation as a stakeholder included: personal affinity with the shared goals and target groups within OSPI; the complementary and participatory nature of OSPI that adds value to pre-existing suicide prevention initiatives; and reciprocal reward for participants through access to the extended network capacity that organisations could accrue for themselves and their organisations from participation in OSPI. Conclusions: Exploring the role of advisory groups and the meaning of participation for these participants revealed some key areas for best practice in implementation: careful planning of the composition of the advisory group to access target groups; the importance of establishing common goals; the importance of acknowledging and complementing existing experience and activity; and facilitating an equivalence of benefit from network participation.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent252009
dc.identifier.doi10.1186/1471-2458-13-158
dc.identifier.otherPURE: 29658903
dc.identifier.otherPURE UUID: 53b8525f-70c2-4c2b-8f47-4cc93b8412de
dc.identifier.otherScopus: 84873957840
dc.identifier.otherPubMed: 23425005
dc.identifier.otherWOS: 000317120600001
dc.identifier.urihttp://hdl.handle.net/10362/117472
dc.identifier.urlhttps://www.scopus.com/pages/publications/84873957840
dc.language.isoeng
dc.peerreviewedyes
dc.relationinfo:eu-repo/grantAgreement/EC/FP7/223138/EU
dc.relationOptimizing suicide prevention programs and their implementation in Europe
dc.subjectAdvisory groups
dc.subjectComplex interventions
dc.subjectProcess evaluation
dc.subjectRealist evaluation
dc.subjectSocial capital
dc.subjectSuicide prevention
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleDeveloping social capital in implementing a complex interventionen
dc.title.subtitleA process evaluation of the early implementation of a suicide prevention intervention in four European countriesen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Public Health
degois.publication.volume13
dspace.entity.typePublication
oaire.awardNumber223138
oaire.awardTitleOptimizing suicide prevention programs and their implementation in Europe
oaire.awardURIinfo:eu-repo/grantAgreement/EC/FP7/223138/EU
oaire.fundingStreamFP7
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.nameEuropean Commission
rcaap.rightsopenAccess
relation.isProjectOfPublication686ec881-2d66-4d7e-8965-7a6c4c3c68c5
relation.isProjectOfPublication.latestForDiscovery686ec881-2d66-4d7e-8965-7a6c4c3c68c5

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