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A tool for exploring the dynamics of innovative interventions for public health: the critical event card

Author

Listed:
  • Ana Claudia Figueiro

    (Escola Nacional de Saude Publica/Fiocruz)

  • Sydia Rosana Oliveira

    (Fiocruz-PE)

  • Zulmira Hartz

    (Universidade Nova de Lisboa)

  • Yves Couturier

    (Institut universitaire de gériatrie)

  • Jocelyne Bernier

    (University of Montreal)

  • Maria Freire

    (Nucleo de Saude Publica/UFPE)

  • Isabella Samico

    (Diretoria de Ensino e Pesquisa/IMIP)

  • Maria Guadalupe Medina

    (Instituto de Saúde Coletiva/Universidade Federal da Bahia)

  • Ronice Franco Sa

    (Nucleo de Saude Publica/UFPE)

  • Louise Potvin

    (ESPUM, Université de Montréal)

Abstract

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.

Suggested Citation

  • Ana Claudia Figueiro & Sydia Rosana Oliveira & Zulmira Hartz & Yves Couturier & Jocelyne Bernier & Maria Freire & Isabella Samico & Maria Guadalupe Medina & Ronice Franco Sa & Louise Potvin, 2017. "A tool for exploring the dynamics of innovative interventions for public health: the critical event card," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 177-186, March.
  • Handle: RePEc:spr:ijphth:v:62:y:2017:i:2:d:10.1007_s00038-016-0861-5
    DOI: 10.1007/s00038-016-0861-5
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    References listed on IDEAS

    as
    1. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis, 2004. "Making public health programs last: conceptualizing sustainability," Evaluation and Program Planning, Elsevier, vol. 27(2), pages 121-133, May.
    2. den Hond, Frank, 1998. "On the structuring of variation in innovation processes: a case of new product development in the crop protection industry," Research Policy, Elsevier, vol. 27(4), pages 349-367, August.
    3. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis & Pelletier, Jocelyne & Mannoni, Chantal, 2005. "Program sustainability begins with the first events," Evaluation and Program Planning, Elsevier, vol. 28(2), pages 123-137, May.
    4. Potvin, L. & Gendron, S. & Bilodeau, A. & Chabot, P., 2005. "Integrating social theory into public health practice," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 591-595.
    5. Jocelyne Bernier & Melanie Rock & Michel Roy & Renald Bujold & Louise Potvin, 2006. "Structuring an Inter-sector Research Partnership: A Negotiated Zone," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 51(6), pages 335-344, November.
    6. Jocelyne Bernier & Melanie Rock & Michel Roy & Renald Bujold & Louise Potvin, 2006. "Structuring an Inter-sector Research Partnership: A Negotiated Zone," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 51(6), pages 352-354, November.
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    Cited by:

    1. Achille Dadly Borvil & Natalie Kishchuk & Louise Potvin, 2018. "The use of critical incident technique in population health intervention research: lessons learned," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(3), pages 429-430, April.
    2. McGill, Elizabeth & Er, Vanessa & Penney, Tarra & Egan, Matt & White, Martin & Meier, Petra & Whitehead, Margaret & Lock, Karen & Anderson de Cuevas, Rachel & Smith, Richard & Savona, Natalie & Rutter, 2021. "Evaluation of public health interventions from a complex systems perspective: A research methods review," Social Science & Medicine, Elsevier, vol. 272(C).

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