Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods used

Abstract Background In recent decades, community-based interventions have been increasingly adopted in the field of health promotion and prevention. While their evaluation is relevant for health researchers, stakeholders and practitioners, conducting these evaluations is also challenging and there a...

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Main Authors: Bettina Bader, Michaela Coenen, Julia Hummel, Petra Schoenweger, Stephan Voss, Caroline Jung-Sievers
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15691-y
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author Bettina Bader
Michaela Coenen
Julia Hummel
Petra Schoenweger
Stephan Voss
Caroline Jung-Sievers
author_facet Bettina Bader
Michaela Coenen
Julia Hummel
Petra Schoenweger
Stephan Voss
Caroline Jung-Sievers
author_sort Bettina Bader
collection DOAJ
description Abstract Background In recent decades, community-based interventions have been increasingly adopted in the field of health promotion and prevention. While their evaluation is relevant for health researchers, stakeholders and practitioners, conducting these evaluations is also challenging and there are no existing standards yet. The objective of this review is to scope peer-reviewed scientific publications on evaluation approaches used for community-based health promotion interventions. A special focus lies on children and adolescents’ prevention. Methods A scoping review of the scientific literature was conducted by searching three bibliographic databases (Medline, EMBASE, PsycINFO). The search strategy encompassed search terms based on the PCC (Population, Concept, Context) scheme. Out of 6,402 identified hits, 44 articles were included in this review. Results Out of the 44 articles eligible for this scoping review, the majority reported on studies conducted in the USA (n = 28), the UK (n = 6), Canada (n = 4) and Australia (n = 2). One study each was reported from Belgium, Denmark, Germany and Scotland, respectively. The included studies described interventions that mostly focused on obesity prevention, healthy nutrition promotion or well-being of children and adolescents. Nineteen articles included more than one evaluation design (e.g., process or outcome evaluation). Therefore, in total we identified 65 study designs within the scope of this review. Outcome evaluations often included randomized controlled trials (RCTs; 34.2%) or specific forms of RCTs (cluster RCTs; 9.8%) or quasi-experimental designs (26.8%). Process evaluation was mainly used in cohort (54.2%) and cross-sectional studies (33.3%). Only few articles used established evaluation frameworks or research concepts as a basis for the evaluation. Conclusion Few studies presented comprehensive evaluation study protocols or approaches with different study designs in one paper. Therefore, holistic evaluation approaches were difficult to retrieve from the classical publication formats. However, these publications would be helpful to further guide public health evaluators, contribute to methodological discussions and to inform stakeholders in research and practice to make decisions based on evaluation results.
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spelling doaj.art-951620ec8d4d426db61f289bf8ab2f752023-05-14T11:30:25ZengBMCBMC Public Health1471-24582023-05-0123111510.1186/s12889-023-15691-yEvaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods usedBettina Bader0Michaela Coenen1Julia Hummel2Petra Schoenweger3Stephan Voss4Caroline Jung-Sievers5Institute for Medical Information Processing, Biometry, and Epidemiology – IBE, Chair of Public Health and Health Services Research, LMU MunichInstitute for Medical Information Processing, Biometry, and Epidemiology – IBE, Chair of Public Health and Health Services Research, LMU MunichInstitute for Medical Information Processing, Biometry, and Epidemiology – IBE, Chair of Public Health and Health Services Research, LMU MunichInstitute for Medical Information Processing, Biometry, and Epidemiology – IBE, Chair of Public Health and Health Services Research, LMU MunichInstitute for Medical Information Processing, Biometry, and Epidemiology – IBE, Chair of Public Health and Health Services Research, LMU MunichInstitute for Medical Information Processing, Biometry, and Epidemiology – IBE, Chair of Public Health and Health Services Research, LMU MunichAbstract Background In recent decades, community-based interventions have been increasingly adopted in the field of health promotion and prevention. While their evaluation is relevant for health researchers, stakeholders and practitioners, conducting these evaluations is also challenging and there are no existing standards yet. The objective of this review is to scope peer-reviewed scientific publications on evaluation approaches used for community-based health promotion interventions. A special focus lies on children and adolescents’ prevention. Methods A scoping review of the scientific literature was conducted by searching three bibliographic databases (Medline, EMBASE, PsycINFO). The search strategy encompassed search terms based on the PCC (Population, Concept, Context) scheme. Out of 6,402 identified hits, 44 articles were included in this review. Results Out of the 44 articles eligible for this scoping review, the majority reported on studies conducted in the USA (n = 28), the UK (n = 6), Canada (n = 4) and Australia (n = 2). One study each was reported from Belgium, Denmark, Germany and Scotland, respectively. The included studies described interventions that mostly focused on obesity prevention, healthy nutrition promotion or well-being of children and adolescents. Nineteen articles included more than one evaluation design (e.g., process or outcome evaluation). Therefore, in total we identified 65 study designs within the scope of this review. Outcome evaluations often included randomized controlled trials (RCTs; 34.2%) or specific forms of RCTs (cluster RCTs; 9.8%) or quasi-experimental designs (26.8%). Process evaluation was mainly used in cohort (54.2%) and cross-sectional studies (33.3%). Only few articles used established evaluation frameworks or research concepts as a basis for the evaluation. Conclusion Few studies presented comprehensive evaluation study protocols or approaches with different study designs in one paper. Therefore, holistic evaluation approaches were difficult to retrieve from the classical publication formats. However, these publications would be helpful to further guide public health evaluators, contribute to methodological discussions and to inform stakeholders in research and practice to make decisions based on evaluation results.https://doi.org/10.1186/s12889-023-15691-yAdolescent healthChild healthCommunity-basedEvaluation methodEvaluation strategyReview
spellingShingle Bettina Bader
Michaela Coenen
Julia Hummel
Petra Schoenweger
Stephan Voss
Caroline Jung-Sievers
Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods used
BMC Public Health
Adolescent health
Child health
Community-based
Evaluation method
Evaluation strategy
Review
title Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods used
title_full Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods used
title_fullStr Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods used
title_full_unstemmed Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods used
title_short Evaluation of community-based health promotion interventions in children and adolescents in high-income countries: a scoping review on strategies and methods used
title_sort evaluation of community based health promotion interventions in children and adolescents in high income countries a scoping review on strategies and methods used
topic Adolescent health
Child health
Community-based
Evaluation method
Evaluation strategy
Review
url https://doi.org/10.1186/s12889-023-15691-y
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