A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight

 

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dc.contributor.author van der Kleij, Rianne en_ZA
dc.contributor.author Crone, Mathilde R en_ZA
dc.contributor.author Paulussen, Theo en_ZA
dc.contributor.author van de Gaar, Vivan en_ZA
dc.contributor.author Reis, Ria en_ZA
dc.date.accessioned 2015-12-07T08:47:51Z
dc.date.available 2015-12-07T08:47:51Z
dc.date.issued 2015 en_ZA
dc.identifier.citation van der Kleij, R. M., Crone, M. R., Paulussen, T. G., van de Gaar, V. M., & Reis, R. (2015). A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight. BMC public health, 15(1), 1032. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/15633
dc.identifier.uri http://dx.doi.org/10.1186/s12889-015-2306-0
dc.description.abstract BACKGROUND: The implementation of programs complex in design, such as the intersectoral community approach Youth At a Healthy Weight (JOGG), often deviates from their application as intended. There is limited knowledge of their implementation processes, making it difficult to formulate sound implementation strategies. METHODS: For two years, we performed a repeated cross-sectional case study on the implementation of a JOGG fruit and water campaign targeting children age 0-12. Semi-structured observations, interviews, field notes and professionals' logs entries were used to evaluate implementation process. Data was analyzed via a framework approach; within-case and cross-case displays were formulated and key determinants identified. Principles from Qualitative Comparative Analysis (QCA) were used to identify causal configurations of determinants per sector and implementation phase. RESULTS: Implementation completeness differed, but was highest in the educational and health care sector, and higher for key than additional activities. Determinants and causal configurations of determinants were mostly sector- and implementation phase specific. High campaign ownership and possibilities for campaign adaptation were most frequently mentioned as facilitators. A lack of reinforcement strategies, low priority for campaign use and incompatibility of own goals with campaign goals were most often indicated as barriers.DISCUSSION:We advise multiple 'stitches in time'; tailoring implementation strategies to specific implementation phases and sectors using both the results from this study and a mutual adaptation strategy in which professionals are involved in the development of implementation strategies. CONCLUSION: The results of this study show that the implementation process of IACOs is complex and sustainable implementation is difficult to achieve. Moreover, this study reveals that the implementation process is influenced by predominantly sector and implementation phase specific (causal configurations of) determinants. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/4.0 en_ZA
dc.source BMC Public Health en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpublichealth/ en_ZA
dc.subject.other Childhood obesity en_ZA
dc.subject.other Intersectoral community approach en_ZA
dc.subject.other Implementation en_ZA
dc.subject.other Qualitative methods en_ZA
dc.subject.other Process evaluation en_ZA
dc.title A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2015 van der Kleij et al. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Children's Institute of UCT en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation van der Kleij, R., Crone, M. R., Paulussen, T., van de Gaar, V., & Reis, R. (2015). A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight. <i>BMC Public Health</i>, http://hdl.handle.net/11427/15633 en_ZA
dc.identifier.chicagocitation van der Kleij, Rianne, Mathilde R Crone, Theo Paulussen, Vivan van de Gaar, and Ria Reis "A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight." <i>BMC Public Health</i> (2015) http://hdl.handle.net/11427/15633 en_ZA
dc.identifier.vancouvercitation van der Kleij R, Crone MR, Paulussen T, van de Gaar V, Reis R. A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight. BMC Public Health. 2015; http://hdl.handle.net/11427/15633. en_ZA
dc.identifier.ris TY - Journal Article AU - van der Kleij, Rianne AU - Crone, Mathilde R AU - Paulussen, Theo AU - van de Gaar, Vivan AU - Reis, Ria AB - BACKGROUND: The implementation of programs complex in design, such as the intersectoral community approach Youth At a Healthy Weight (JOGG), often deviates from their application as intended. There is limited knowledge of their implementation processes, making it difficult to formulate sound implementation strategies. METHODS: For two years, we performed a repeated cross-sectional case study on the implementation of a JOGG fruit and water campaign targeting children age 0-12. Semi-structured observations, interviews, field notes and professionals' logs entries were used to evaluate implementation process. Data was analyzed via a framework approach; within-case and cross-case displays were formulated and key determinants identified. Principles from Qualitative Comparative Analysis (QCA) were used to identify causal configurations of determinants per sector and implementation phase. RESULTS: Implementation completeness differed, but was highest in the educational and health care sector, and higher for key than additional activities. Determinants and causal configurations of determinants were mostly sector- and implementation phase specific. High campaign ownership and possibilities for campaign adaptation were most frequently mentioned as facilitators. A lack of reinforcement strategies, low priority for campaign use and incompatibility of own goals with campaign goals were most often indicated as barriers.DISCUSSION:We advise multiple 'stitches in time'; tailoring implementation strategies to specific implementation phases and sectors using both the results from this study and a mutual adaptation strategy in which professionals are involved in the development of implementation strategies. CONCLUSION: The results of this study show that the implementation process of IACOs is complex and sustainable implementation is difficult to achieve. Moreover, this study reveals that the implementation process is influenced by predominantly sector and implementation phase specific (causal configurations of) determinants. DA - 2015 DB - OpenUCT DO - 10.1186/s12889-015-2306-0 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight TI - A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight UR - http://hdl.handle.net/11427/15633 ER - en_ZA


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