Examining intervention design: Lessons from the development of eight related malaria health care intervention studies

Clare I.R. Chandler; Helen Burchett; Louise Boyle; Olivia Achonduh; Anthony Mbonye; Deborah Diliberto; Hugh Reyburn; Obinna Onwujekwe; Ane Haaland; Arantxa Roca-Feltrer; Frank Baiden; Wilfred F. Mbacham; Richard Ndyomugyenyi; Florence Nankya; Lindsay Mangham-Jefferies; Sian Clarke; Hilda Mbakilwa; Joanna Reynolds; Sham Lal; Toby Leslie; Catherine Maiteki-Sebuguzi; Jayne Webster; Pascal Magnussen; Evelyn Ansah; Kristian S. Hansen; Eleanor Hutchinson; Bonnie Cundill; Shunmay Yeung; David Schellenberg; Sarah G. Staedke; Virginia Wiseman; David G. Lalloo; Christopher J.M. Whitty

doi:10.1080/23288604.2016.1179086

Examining intervention design: Lessons from the development of eight related malaria health care intervention studies

Clare I.R. Chandler^*, Helen Burchett, Louise Boyle, Olivia Achonduh, Anthony Mbonye, Deborah Diliberto, Hugh Reyburn, Obinna Onwujekwe, Ane Haaland, Arantxa Roca-Feltrer, Frank Baiden, Wilfred F. Mbacham, Richard Ndyomugyenyi, Florence Nankya, Lindsay Mangham-Jefferies, Sian Clarke, Hilda Mbakilwa, Joanna Reynolds, Sham Lal, Toby LeslieCatherine Maiteki-Sebuguzi, Jayne Webster, Pascal Magnussen, Evelyn Ansah, Kristian S. Hansen, Eleanor Hutchinson, Bonnie Cundill, Shunmay Yeung, David Schellenberg, Sarah G. Staedke, Virginia Wiseman, David G. Lalloo, Christopher J.M. Whitty

^*Corresponding author for this work

4 Citations (Scopus)

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Abstract

—Rigorous evidence of “what works” to improve health care is in demand, but methods for the development of interventions have not been scrutinized in the same ways as methods for evaluation. This article presents and examines intervention development processes of eight malaria health care interventions in East and West Africa. A case study approach was used to draw out experiences and insights from multidisciplinary teams who undertook to design and evaluate these studies. Four steps appeared necessary for intervention design: (1) definition of scope, with reference to evaluation possibilities; (2) research to inform design, including evidence and theory reviews and empirical formative research; (3) intervention design, including consideration and selection of approaches and development of activities and materials; and (4) refining and finalizing the intervention, incorporating piloting and pretesting. Alongside these steps, projects produced theories, explicitly or implicitly, about (1) intended pathways of change and (2) how their intervention would be implemented. The work required to design interventions that meet and contribute to current standards of evidence should not be underestimated. Furthermore, the process should be recognized not only as technical but as the result of micro and macro social, political, and economic contexts, which should be acknowledged and documented in order to infer generalizability. Reporting of interventions should go beyond descriptions of final intervention components or techniques to encompass the development process. The role that evaluation possibilities play in intervention design should be brought to the fore in debates over health care improvement.

Original language	English
Journal	Health systems and reform
Volume	2
Issue number	4
Pages (from-to)	373-388
Number of pages	16
ISSN	2328-8604
DOIs	https://doi.org/10.1080/23288604.2016.1179086
Publication status	Published - 1 Jan 2016

Keywords

Africa
Complex intervention design
Evidence based public health
Implementation science
Malaria

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1080/23288604.2016.1179086Licence: CC BY-NC

Examining Intervention Design Lessons from the Development of Eight Related Malaria Health Care Intervention StudiesFinal published version, 724 KBLicence: CC BY-NC

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Chandler, C. I. R., Burchett, H., Boyle, L., Achonduh, O., Mbonye, A., Diliberto, D., Reyburn, H., Onwujekwe, O., Haaland, A., Roca-Feltrer, A., Baiden, F., Mbacham, W. F., Ndyomugyenyi, R., Nankya, F., Mangham-Jefferies, L., Clarke, S., Mbakilwa, H., Reynolds, J., Lal, S., ... Whitty, C. J. M. (2016). Examining intervention design: Lessons from the development of eight related malaria health care intervention studies. Health systems and reform, 2(4), 373-388. https://doi.org/10.1080/23288604.2016.1179086

Chandler, CIR, Burchett, H, Boyle, L, Achonduh, O, Mbonye, A, Diliberto, D, Reyburn, H, Onwujekwe, O, Haaland, A, Roca-Feltrer, A, Baiden, F, Mbacham, WF, Ndyomugyenyi, R, Nankya, F, Mangham-Jefferies, L, Clarke, S, Mbakilwa, H, Reynolds, J, Lal, S, Leslie, T, Maiteki-Sebuguzi, C, Webster, J, Magnussen, P, Ansah, E, Hansen, KS, Hutchinson, E, Cundill, B, Yeung, S, Schellenberg, D, Staedke, SG, Wiseman, V, Lalloo, DG & Whitty, CJM 2016, 'Examining intervention design: Lessons from the development of eight related malaria health care intervention studies', Health systems and reform, vol. 2, no. 4, pp. 373-388. https://doi.org/10.1080/23288604.2016.1179086

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title = "Examining intervention design: Lessons from the development of eight related malaria health care intervention studies",

abstract = "—Rigorous evidence of “what works” to improve health care is in demand, but methods for the development of interventions have not been scrutinized in the same ways as methods for evaluation. This article presents and examines intervention development processes of eight malaria health care interventions in East and West Africa. A case study approach was used to draw out experiences and insights from multidisciplinary teams who undertook to design and evaluate these studies. Four steps appeared necessary for intervention design: (1) definition of scope, with reference to evaluation possibilities; (2) research to inform design, including evidence and theory reviews and empirical formative research; (3) intervention design, including consideration and selection of approaches and development of activities and materials; and (4) refining and finalizing the intervention, incorporating piloting and pretesting. Alongside these steps, projects produced theories, explicitly or implicitly, about (1) intended pathways of change and (2) how their intervention would be implemented. The work required to design interventions that meet and contribute to current standards of evidence should not be underestimated. Furthermore, the process should be recognized not only as technical but as the result of micro and macro social, political, and economic contexts, which should be acknowledged and documented in order to infer generalizability. Reporting of interventions should go beyond descriptions of final intervention components or techniques to encompass the development process. The role that evaluation possibilities play in intervention design should be brought to the fore in debates over health care improvement.",

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AU - Mbonye, Anthony

AU - Diliberto, Deborah

AU - Reyburn, Hugh

AU - Onwujekwe, Obinna

AU - Haaland, Ane

AU - Roca-Feltrer, Arantxa

AU - Baiden, Frank

AU - Mbacham, Wilfred F.

AU - Ndyomugyenyi, Richard

AU - Nankya, Florence

AU - Mangham-Jefferies, Lindsay

AU - Clarke, Sian

AU - Mbakilwa, Hilda

AU - Reynolds, Joanna

AU - Lal, Sham

AU - Leslie, Toby

AU - Maiteki-Sebuguzi, Catherine

AU - Webster, Jayne

AU - Magnussen, Pascal

AU - Ansah, Evelyn

AU - Hansen, Kristian S.

AU - Hutchinson, Eleanor

AU - Cundill, Bonnie

AU - Yeung, Shunmay

AU - Schellenberg, David

AU - Staedke, Sarah G.

AU - Wiseman, Virginia

AU - Lalloo, David G.

AU - Whitty, Christopher J.M.

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KW - Complex intervention design

KW - Evidence based public health

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KW - Malaria

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DO - 10.1080/23288604.2016.1179086

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JO - Health systems and reform

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ER -

Examining intervention design: Lessons from the development of eight related malaria health care intervention studies

Abstract

Keywords

UN SDGs

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