tailieunhanh - Báo cáo y học: "A typology of practice narratives during the implementation of a preventive, community intervention trial"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A typology of practice narratives during the implementation of a preventive, community intervention trial | Implementation Science BioMed Central Open Access Research article A typology of practice narratives during the implementation of a preventive community intervention trial Therese Riley 1 and Penelope Hawe2 Address 1Centre for Health and Society Melbourne School of Population Health The University of Melbourne Level 4 207 Bouverie St Carlton Victoria 3010 Australia and Population Health Intervention Research Centre University of Calgary 3330 Hospital Drive NW Calgary Alberta T2N 4N1 Canada Email Therese Riley - triley@ Penelope Hawe - phawe@ Corresponding author Published 14 December 2009 Received 23 December 2008 Implementation Science 2009 4 80 doi l748-5908-4-80 Accepted I4 December 2009 This article is available from http content 4 1 80 2009 Riley and Hawe licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Traditional methods of process evaluation encompass what components were delivered but rarely uncover how practitioners position themselves and act relative to an intervention being tested. This could be crucial for expanding our understanding of implementation and its contribution to intervention effectiveness. Methods We undertook a narrative analysis of in-depth unstructured field diaries kept by nine community development practitioners for two years. The practitioners were responsible for implementing a multi-component preventive community-level intervention for mothers of new babies in eight communities as part of a cluster randomised community intervention trial. We constructed a narrative typology of approaches to practice drawing on the phenomenology of Alfred Schutz and Max Weber s Ideal Type theory. Results Five types of practice