TY - JOUR
T1 - A tool for exploring the dynamics of innovative interventions for public health:
T2 - the critical event card
AU - Figueiro, Ana Claudia
AU - de Araújo Oliveira, Sydia Rosana
AU - Hartz, Zulmira
AU - Couturier, Yves
AU - Bernier, Jocelyne
AU - do Socorro Machado Freire, Maria
AU - Samico, Isabella
AU - Medina, Maria Guadalupe
AU - de Sa, Ronice Franco
AU - Potvin, Louise
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Objectives: Public health interventions are increasingly represented as complex systems. Research tools for capturing the dynamic of interventions processes, however, are practically non-existent. This paper describes the development and proof of concept process of an analytical tool, the critical event card (CEC), which supports the representation and analysis of complex interventions’ evolution, based on critical events. Methods: Drawing on the actor-network theory (ANT), we developed and field-tested the tool using three innovative health interventions in northeastern Brazil. Interventions were aimed to promote health equity through intersectoral approaches; were engaged in participatory evaluation and linked to professional training programs. The CEC developing involve practitioners and researchers from projects. Proof of concept was based on document analysis, face-to-face interviews and focus groups. Results: Analytical categories from CEC allow identifying and describing critical events as milestones in the evolution of complex interventions. Categories are (1) event description; (2) actants (human and non-human) involved; (3) interactions between actants; (4) mediations performed; (5) actions performed; (6) inscriptions produced; and (7) consequences for interventions. Conclusions: The CEC provides a tool to analyze and represent intersectoral internvetions’ complex and dynamic evolution.
AB - Objectives: Public health interventions are increasingly represented as complex systems. Research tools for capturing the dynamic of interventions processes, however, are practically non-existent. This paper describes the development and proof of concept process of an analytical tool, the critical event card (CEC), which supports the representation and analysis of complex interventions’ evolution, based on critical events. Methods: Drawing on the actor-network theory (ANT), we developed and field-tested the tool using three innovative health interventions in northeastern Brazil. Interventions were aimed to promote health equity through intersectoral approaches; were engaged in participatory evaluation and linked to professional training programs. The CEC developing involve practitioners and researchers from projects. Proof of concept was based on document analysis, face-to-face interviews and focus groups. Results: Analytical categories from CEC allow identifying and describing critical events as milestones in the evolution of complex interventions. Categories are (1) event description; (2) actants (human and non-human) involved; (3) interactions between actants; (4) mediations performed; (5) actions performed; (6) inscriptions produced; and (7) consequences for interventions. Conclusions: The CEC provides a tool to analyze and represent intersectoral internvetions’ complex and dynamic evolution.
KW - Actor network theory
KW - Critical event
KW - Health promotion
KW - Innovative interventions
UR - http://www.scopus.com/inward/record.url?scp=84984618910&partnerID=8YFLogxK
U2 - 10.1007/s00038-016-0861-5
DO - 10.1007/s00038-016-0861-5
M3 - Article
C2 - 27572490
AN - SCOPUS:84984618910
SN - 1661-8556
VL - 62
SP - 177
EP - 186
JO - International Journal of Public Health
JF - International Journal of Public Health
IS - 2
ER -