Process evaluation in the field: global learnings from seven implementation research hypertension projects in low-and middle-income countries

作者：The Global Alliance for Chronic Diseases, Process Evaluation Working Group, Felix Limbani, Jane Goudge, Rohina Joshi, Marion A. Maar, J. Jaime Miranda, Brian F. Oldenburg, Gary Parker, María Amalia Pesantes, Michaela A. Riddell, Abdul Salam, Kathy Trieu, Amanda Gay Thrift, Josefien van Olmen, Rajesh Vedanthan, Ruth J Webster, Karen Yeates, Jacqui L Webster · 发表于：BMC Public Health · 年份：2019 · DOI：10.1186/s12889-019-7261-8 · 被引用次数：76 · 研究领域：Health Policy Implementation Science、Evaluation and Performance Assessment、Community Health and Development

BACKGROUND: Process evaluation is increasingly recognized as an important component of effective implementation research and yet, there has been surprisingly little work to understand what constitutes best practice. Researchers use different methodologies describing causal pathways and understanding barriers and facilitators to implementation of interventions in diverse contexts and settings. We report on challenges and lessons learned from undertaking process evaluation of seven hypertension intervention trials funded through the Global Alliance of Chronic Diseases (GACD). METHODS: Preliminary data collected from the GACD hypertension teams in 2015 were used to inform a template for data collection. Case study themes included: (1) description of the intervention, (2) objectives of the process evaluation, (3) methods including theoretical basis, (4) main findings of the study and the process evaluation, (5) implications for the project, policy and research practice and (6) lessons for future process evaluations. The information was summarized and reported descriptively and narratively and key lessons were identified. RESULTS: The case studies were from low- and middle-income countries and Indigenous communities in Canada. They were implementation research projects with intervention arm. Six theoretical approaches were used but most comprised of mixed-methods approaches. Each of the process evaluations generated findings on whether interventions were implemented with fidelity,...