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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Using documents to investigate links between implementation and sustainability in a complex community intervention:
Karen Willis1, Rhonda Small, Stephanie Brown
1Faculty of Health Sciences, University of Sydney, Sydney 2141, Australia. Karen.willis@sydney.edu.au
Understanding the implementation and sustainability of complex health interventions is crucial. Document analysis of the PRISM trial revealed challenges in achieving long-term sustainability during the intervention
Area of Science:
- Health Services Research
- Public Health Interventions
- Implementation Science
Background:
- Complex health interventions, utilizing multiple strategies, are increasingly common.
- Implementation and sustainability of these interventions require further exploration.
- The PRISM (Program of Resources, Information and Support for Mothers) trial aimed to improve maternal health.
Purpose of the Study:
- To explore implementation and sustainability issues in complex intervention research.
- To examine the 'work' of an intervention, including who performs it and the activities involved.
- To understand how implementation relates to sustainability using document analysis.
Main Methods:
- Document analysis of materials from the PRISM community randomised trial.
- Examination of implementation reports, media reports, and community newsletters.
- Focus on the 'work' of the intervention to assess implementation and sustainability.
Main Results:
- Document analysis offers valuable insights into intervention implementation and sustainability.
- This method complements process evaluation findings and extends understanding beyond outcomes.
- Analysis provided insights into potential difficulties in achieving intervention sustainability during implementation.
Conclusions:
- Document analysis is a useful method for studying implementation and sustainability of complex interventions.
- Understanding the 'work' of an intervention is key to assessing its sustainability.
- The PRISM case study highlights challenges in sustaining interventions during implementation.
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