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Understanding dynamic complexity in context-Enriching contextual analysis in implementation science from a

Juliane Mielke1, Sabina De Geest1,2, Franziska Zúñiga1

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|March 17, 2023
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Summary
This summary is machine-generated.

A constructivist perspective enhances contextual analysis in implementation science by revealing complex dynamics often missed by traditional methods. This approach deepens understanding for successful intervention uptake and sustainability.

Keywords:
complexityconstructivismcontextcontextual analysisdisseminationimplementation sciencepost-positivismsocial science

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Area of Science:

  • Implementation Science
  • Social Sciences
  • Public Health

Background:

  • Context is crucial for intervention implementation and sustainability in implementation science.
  • Prevailing post-positivist approaches to contextual analysis often overlook dynamic interactions and social systems.
  • Existing frameworks may offer reductionistic views of context, failing to capture its complexity.

Purpose of the Study:

  • To highlight limitations in current contextual analysis methods within implementation science.
  • To propose enriching contextual analysis through a constructivist perspective.
  • To demonstrate the practical application of a constructivist approach to contextual analysis.

Main Methods:

  • Critique of prevailing post-positivist perspectives on context in implementation science.
  • Introduction of five constructivist concepts: social space, social place, agency, sensation, and embodiment.
  • Integration of these concepts into the Context and Implementation of Complex Interventions (CICI) framework.
  • Suggestion of methodologies like rapid ethnographic methods for constructivist contextual analysis.

Main Results:

  • A constructivist perspective offers a multilayered and comprehensive understanding of context.
  • The five suggested constructivist concepts reveal complex, often unnoticed, contextual dynamics.
  • This approach enhances the conceptualization of contextual analysis, addressing current shortcomings.

Conclusions:

  • Adopting a constructivist perspective strengthens contextual analysis in implementation science.
  • A more nuanced understanding of context facilitates successful intervention implementation and long-term sustainability.
  • This approach is exemplified by its application to COVID-19 vaccination uptake.