A tool for exploring the dynamics of innovative interventions for public health: the critical event card

被引:18
作者
Figueiro, Ana Claudia [1 ]
de Araujo Oliveira, Sydia Rosana [2 ]
Hartz, Zulmira [3 ]
Couturier, Yves [4 ]
Bernier, Jocelyne [5 ]
Machado Freire, Maria do Socorro [6 ]
Samico, Isabella [7 ]
Medina, Maria Guadalupe [8 ]
de Sa, Ronice Franco [6 ]
Potvin, Louise [9 ]
机构
[1] Escola Nacl Saude Publ Fiocruz, Rua Leopoldo Bulhoes 1480,Sala 611, BR-21041210 Rio De Janeiro, Brazil
[2] Fiocruz PE, Ave Moraes Rego S-N,Campus UFPE Cidade Univ, BR-50670420 Recife, PE, Brazil
[3] Univ Nova Lisboa, Inst Higiene & Med Trop, Rua Junqueira 100, P-1349008 Lisbon, Portugal
[4] Inst Univ Geriatrie, Ctr Rech Vieillissement, Ctr Sante & Serv Sociaux, 1036 Rue Belvedere Sud, Sherbrooke, PQ J1H 4C4, Canada
[5] Univ Montreal, Chaire Rech Approches Communautaires & Inegal San, 7101 Ave Parc, Montreal, PQ H3N 1X9, Canada
[6] Nucleo Saude Publ UFPE, Hosp Clin, Ave Prof Moraes Rego S-N,Bloco E,4 Andar, BR-50670901 Recife, PE, Brazil
[7] Diretoria Ensino & Pesquisa IMIP, Rua Coelhos 300, BR-50070550 Recife, PE, Brazil
[8] Univ Fed Bahia, Inst Saude Colet, Rua Basilio da Gama S-N, BR-40110040 Salvador, BA, Brazil
[9] Univ Montreal, ESPUM, Med Sociale & Prevent, 7101 Ave Parc,Local 3028, Montreal, PQ H3N 1X9, Canada
关键词
Health promotion; Innovative interventions; Critical event; Actor network theory; LESSONS; PROGRAM;
D O I
10.1007/s00038-016-0861-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives Public health interventions are increasingly represented as complex systems. Research tools for capturing the dynamic of interventions processes, however, are practically non-existent. This paper describes the development and proof of concept process of an analytical tool, the critical event card (CEC), which supports the representation and analysis of complex interventions' evolution, based on critical events. Methods Drawing on the actor-network theory (ANT), we developed and field-tested the tool using three innovative health interventions in northeastern Brazil. Interventions were aimed to promote health equity through intersectoral approaches; were engaged in participatory evaluation and linked to professional training programs. The CEC developing involve practitioners and researchers from projects. Proof of concept was based on document analysis, face-to-face interviews and focus groups. Results Analytical categories from CEC allow identifying and describing critical events as milestones in the evolution of complex interventions. Categories are (1) event description; (2) actants (human and non-human) involved; (3) interactions between actants; (4) mediations performed; (5) actions performed; (6) inscriptions produced; and (7) consequences for interventions. Conclusions The CEC provides a tool to analyze and represent intersectoral internvetions' complex and dynamic evolution.
引用
收藏
页码:177 / 186
页数:10
相关论文
共 30 条
[1]  
[Anonymous], 1992, SYST PRACTICE
[2]  
[Anonymous], INT FRAM ASS VAL COM
[3]  
BARDIN L., 2000, Analise de Conteudo, P70
[4]  
Bernier J, 2006, SOZ PRAVENTIV MED, V51, P335, DOI 10.1007/s00038-006-5071-0
[5]  
Bilodeau A., 2004, Nouvelles pratiques sociales, V17, P50, DOI DOI 10.7202/010573AR
[6]   Expanding our conceptualization of program implementation: lessons from the genealogy of a school-based nutrition program [J].
Bisset, Sherri ;
Potvin, Louise .
HEALTH EDUCATION RESEARCH, 2007, 22 (05) :737-746
[7]  
CALLON Michel., 1999, Reseau et Coordination
[8]  
DAVALLON Jean., 2003, MEI - Mediation et information, P37
[10]   Ecological theory in practice: Illustrations from a community-based intervention to promote the health of recent mothers [J].
Hawe, P ;
Riley, T .
PREVENTION SCIENCE, 2005, 6 (03) :227-236