Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol

Introduction: In March 2014, the New South Wales (NSW) Government (Australia) announced the NSW Integrated Care Strategy. In response, a family-centred, population-based, integrated care initiative for vulnerable families and their children in Sydney, Australia was developed. The initiative was call...

Full description

Bibliographic Details
Main Authors: Eastwood, John Graeme, Woolfenden, Susan, Miller, Erin, Shaw, Miranda, Garg, Pankaj, Liu, Hueiming, De Souza, Denise E., Ettema, Roelof G. A.
Other Authors: School of Humanities
Format: Journal Article
Language:English
Published: 2020
Subjects:
Online Access:https://hdl.handle.net/10356/142220
_version_ 1826112699072774144
author Eastwood, John Graeme
Woolfenden, Susan
Miller, Erin
Shaw, Miranda
Garg, Pankaj
Liu, Hueiming
De Souza, Denise E.
Ettema, Roelof G. A.
author2 School of Humanities
author_facet School of Humanities
Eastwood, John Graeme
Woolfenden, Susan
Miller, Erin
Shaw, Miranda
Garg, Pankaj
Liu, Hueiming
De Souza, Denise E.
Ettema, Roelof G. A.
author_sort Eastwood, John Graeme
collection NTU
description Introduction: In March 2014, the New South Wales (NSW) Government (Australia) announced the NSW Integrated Care Strategy. In response, a family-centred, population-based, integrated care initiative for vulnerable families and their children in Sydney, Australia was developed. The initiative was called Healthy Homes and Neighbourhoods. A realist translational social epidemiology programme of research and collaborative design is at the foundation of its evaluation. Theory and Method: The UK Medical Research Council (MRC) Framework for evaluating complex health interventions was adapted. This has four components, namely 1) development, 2) feasibility/piloting, 3) evaluation and 4) implementation. We adapted the Framework to include: critical realist, theory driven, and continuous improvement approaches. The modified Framework underpins this research and evaluation protocol for Healthy Homes and Neighbourhoods. Discussion: The NSW Health Monitoring and Evaluation Framework did not make provisions for assessment of the programme layers of context, or the effect of programme mechanism at each level. We therefore developed a multilevel approach that uses mixed-method research to examine not only outcomes, but also what is working for whom and why.
first_indexed 2024-10-01T03:11:23Z
format Journal Article
id ntu-10356/142220
institution Nanyang Technological University
language English
last_indexed 2024-10-01T03:11:23Z
publishDate 2020
record_format dspace
spelling ntu-10356/1422202020-06-17T07:33:21Z Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol Eastwood, John Graeme Woolfenden, Susan Miller, Erin Shaw, Miranda Garg, Pankaj Liu, Hueiming De Souza, Denise E. Ettema, Roelof G. A. School of Humanities Humanities::General Process Evaluation Theory Driven Evaluation Introduction: In March 2014, the New South Wales (NSW) Government (Australia) announced the NSW Integrated Care Strategy. In response, a family-centred, population-based, integrated care initiative for vulnerable families and their children in Sydney, Australia was developed. The initiative was called Healthy Homes and Neighbourhoods. A realist translational social epidemiology programme of research and collaborative design is at the foundation of its evaluation. Theory and Method: The UK Medical Research Council (MRC) Framework for evaluating complex health interventions was adapted. This has four components, namely 1) development, 2) feasibility/piloting, 3) evaluation and 4) implementation. We adapted the Framework to include: critical realist, theory driven, and continuous improvement approaches. The modified Framework underpins this research and evaluation protocol for Healthy Homes and Neighbourhoods. Discussion: The NSW Health Monitoring and Evaluation Framework did not make provisions for assessment of the programme layers of context, or the effect of programme mechanism at each level. We therefore developed a multilevel approach that uses mixed-method research to examine not only outcomes, but also what is working for whom and why. Published version 2020-06-17T07:33:21Z 2020-06-17T07:33:21Z 2019 Journal Article Eastwood, J. G., Woolfenden, S., Miller, E., Shaw, M., Garg, P., Liu, H., . . . Ettema, R. G. A. (2019). Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol. International Journal of Integrated Care, 19(3), 11-. doi:10.5334/ijic.4217 1568-4156 https://hdl.handle.net/10356/142220 10.5334/ijic.4217 31367210 2-s2.0-85070354156 3 19 en International Journal of Integrated Care © 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. application/pdf
spellingShingle Humanities::General
Process Evaluation
Theory Driven Evaluation
Eastwood, John Graeme
Woolfenden, Susan
Miller, Erin
Shaw, Miranda
Garg, Pankaj
Liu, Hueiming
De Souza, Denise E.
Ettema, Roelof G. A.
Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol
title Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol
title_full Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol
title_fullStr Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol
title_full_unstemmed Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol
title_short Implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia : a research and evaluation protocol
title_sort implementation mechanisms of effect and context of an integrated care intervention for vulnerable families in central sydney australia a research and evaluation protocol
topic Humanities::General
Process Evaluation
Theory Driven Evaluation
url https://hdl.handle.net/10356/142220
work_keys_str_mv AT eastwoodjohngraeme implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol
AT woolfendensusan implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol
AT millererin implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol
AT shawmiranda implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol
AT gargpankaj implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol
AT liuhueiming implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol
AT desouzadenisee implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol
AT ettemaroelofga implementationmechanismsofeffectandcontextofanintegratedcareinterventionforvulnerablefamiliesincentralsydneyaustraliaaresearchandevaluationprotocol