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.authorvan der Kleij, Rianneen_ZA
dc.contributor.authorCrone, Mathilde Ren_ZA
dc.contributor.authorPaulussen, Theoen_ZA
dc.contributor.authorvan de Gaar, Vivanen_ZA
dc.contributor.authorReis, Riaen_ZA
dc.date.accessioned2015-12-07T08:47:51Z
dc.date.available2015-12-07T08:47:51Z
dc.date.issued2015en_ZA
dc.description.abstractBACKGROUND: 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.identifier.apacitationvan 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/11427/15633en_ZA
dc.identifier.chicagocitationvan 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/11427/15633en_ZA
dc.identifier.citationvan 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.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
dc.identifier.urihttp://hdl.handle.net/11427/15633
dc.identifier.urihttp://dx.doi.org/10.1186/s12889-015-2306-0
dc.identifier.vancouvercitationvan 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.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentChildren's Institute of UCTen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2015 van der Kleij et al.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherChildhood obesityen_ZA
dc.subject.otherIntersectoral community approachen_ZA
dc.subject.otherImplementationen_ZA
dc.subject.otherQualitative methodsen_ZA
dc.subject.otherProcess evaluationen_ZA
dc.titleA stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weighten_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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