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[To analyse the transferability of an intervention : applying the functions/implementation/context model on a
Sante Publique (Vandoeuvre-Les-Nancy, France)
|October 17, 2017
Summary
A type 2 diabetes prevention program's effectiveness was not reproduced after transfer to a new district. The key functions/implementation/context model helps analyze intervention transferability and describe programs.
Area of Science:
- Public Health
- Health Services Research
- Diabetes Prevention
Background:
- A type 2 diabetes primary prevention program demonstrated feasibility and effectiveness in 2003.
- Transferring this program to a vulnerable district in 2004 did not yield reproducible short-term effectiveness.
Purpose of the Study:
- To evaluate the utility of the key functions/implementation/context model.
- To assess its effectiveness in describing interventions and identifying transferability factors.
Main Methods:
- Described the causality model of the initial program.
- Identified key functions, implementation details, and context of both initial and transferred programs.
- Analyzed transferability by comparing differences in functions, implementation, and context.
Main Results:
- The causality model included individual, meso-social, and environmental determinants.
- Programme transfer revealed modifications in key functions (dropped, added, modified).
- Implementation showed failures and quality changes, while context differed in population and socioeconomic factors.
Conclusions:
- The key functions/implementation/context model is a valuable tool.
- It enhances intervention description and analysis of transferability factors.
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