Suchergebnisse

This article uses the example of Sure Start, a national initiative introduced by the UK Government in the late 1990s, as a case study to explore the reasons why large-scale, complex, national initiatives often fail to adequately evidence the impact of their work. The authors explore a range of structural, cultural, methodological and practical factors that have acted to inhibit effective evaluation of the impacts of Sure Start. They argue that the potential exists for more effective and efficient evaluation of the outcomes of complex community initiatives such as Sure Start, if factors such as those outlined within the article are adequately addressed. This article provides important learning for those funding, commissioning and delivering complex community initiatives.

This article discusses the use of autonomous, asynchronous, timelines to analyse personal and organizational experiences of COVID-19 using an online platform, LucidSpark. We evaluate the benefits and limitations of this approach and highlight findings in three areas: aesthetics, the balance of personal and organizational information, and the identification of key events. We argue that timelines generate fascinating data about participants' personal and professional experiences of COVID-19. Then, we discuss the limitations of the data, and suggest how the method may be refined and used in combination with other approaches. By themselves, timelines provide limited data about how events relate to each other. Instead, timelines serve as useful pre-interview activities that should be combined with additional methods.

Obesity is a global epidemic affecting all age groups, populations and income levels across continents. The causes of obesity are complex and are routed in health behaviours, environmental factors, government policy and the cultural and built environment. Consequently, a Whole System Approach (WSA) which considers the many causes of obesity and shifts the focus away from individuals as points of intervention and puts an emphasis on understanding and improving the system in which people live in is required. This protocol describes a programme of research that will: critically evaluate the evidence for WSAs; assess longitudinally the implementation of a WSA to diet and healthy weight to explore the range of levers (drivers) and opportunities to influence relevant partnerships and interventions to target obesity in East Scotland. The programme consists of four workstreams within a mixed methods framework: 1) Systematic review of reviews of WSAs to diet and healthy weight; 2) Longitudinal qualitative process evaluation of implementing two WSAs in Scotland; 3) Quantitative and Qualitative momentary analysis evaluation of a WSA; and 4) the application of System Dynamics Modelling (SDM) methodology to two council areas in Scotland. A Public Involvement in Research group (PIRg) have informed each stage of the research process. The research programme's breadth and its novel nature, mean that it will provide valuable findings for the increasing numbers who commission, deliver, support and evaluate WSAs to diet and healthy weight nationally and internationally.