Designing Initiatives for Vulnerable Families: From Theory to Design in Sydney, Australia.
child
collaborative design
critical realism
developmental origins of health and disease
evaluation
families
neighbourhood
social epidemiology
theory
translational epidemiology
Journal
International journal of integrated care
ISSN: 1568-4156
Titre abrégé: Int J Integr Care
Pays: England
ID NLM: 101214424
Informations de publication
Date de publication:
25 Jul 2019
25 Jul 2019
Historique:
entrez:
2
8
2019
pubmed:
2
8
2019
medline:
2
8
2019
Statut:
epublish
Résumé
Intergenerational cycles of poverty, violence and crime, poor education and employment opportunities, psychopathology, and poor lifestyle and health behaviours require innovative models of health care delivery to break them. We describe a programme of research informed service development targeting vulnerable families in inner metropolitan Sydney, Australia that is designed to build and confirm a "Theory of Neighbourhood Context, Stress, Depression, and the Developmental Origins of Health and Disease (DOHaD)". We describe the development of an intervention design and business case that drew on earlier realist causal and programme theoretical work. Realist causal and programme theory were used to inform the collaborative design of initiatives for vulnerable families. The collaborative design process included: identification of desirable and undesirable outcomes and contextual factors, consultation forums, interagency planning, and development of a service proposal. The design elements included: perinatal coordination, sustained home visiting, integrated service model development, two place-based hubs, health promotion and strengthened research and analysis capability. We demonstrate here the design of interventions for vulnerable families in Sydney utilising translational research from previous realist causal and program theory building to operational service design. We have identified the importance of our earlier analysis of underlying causal mechanisms and related programme mechanisms for identifying the elements for the full intervention design. The application of theory added rigour to the design of the integrated care initiatives. In applying the theory to the local situation the analysis took into account: the role of the local agencies; evidence of program effectiveness; determinants and outcomes for local children and their families; the current deployment of service resources; and insights from front-line staff and interagency partners.
Identifiants
pubmed: 31367208
doi: 10.5334/ijic.3963
pmc: PMC6659580
doi:
Types de publication
Journal Article
Langues
eng
Pagination
9Déclaration de conflit d'intérêts
The authors have no competing interests to declare.
Références
Am J Epidemiol. 1999 Jul 15;150(2):121-6; discussion 127-8
pubmed: 10412956
Int J Epidemiol. 2002 Apr;31(2):285-93
pubmed: 11980781
Soc Sci Med. 2004 Mar;58(6):1147-58
pubmed: 14723909
Am Psychol. 2005 Sep;60(6):601-14
pubmed: 16173893
J Epidemiol Community Health. 2012 Jan;66(1):81-7
pubmed: 20961874
Aust J Prim Health. 2011;17(4):320-6
pubmed: 22112700
Trauma Violence Abuse. 2012 Jul;13(3):135-52
pubmed: 22673145
BMC Health Serv Res. 2012 Jun 10;12:151
pubmed: 22682494
J Abnorm Child Psychol. 2013 May;41(4):555-69
pubmed: 23192742
Int J Health Serv. 2013;43(2):241-66
pubmed: 23821904
Am J Epidemiol. 2013 Sep 15;178(6):852-7
pubmed: 24008904
Int J Health Geogr. 2013 Oct 24;12:46
pubmed: 24152599
Springerplus. 2016 Jul 15;5(1):1081
pubmed: 27468381
Int J Integr Care. 2019 Jul 25;19(3):8
pubmed: 31367207