Implementing and Evaluating Interventions

Real-world implementation of injury prevention interventions and evaluation of their effectiveness need to take into account the broad ecological context in which they are introduced. This chapter provides perspectives and guidance on (1) the design, conduct, and evaluation of studies that are concerned with the effectiveness of injury prevention and safety promotion interventions and (2) research to better understand the context for intervention delivery. It begins with an overview of why research into intervention delivery and evaluation of its outcomes is necessary for the broad field of injury prevention and control. This includes a comparison of the aims and approaches of efficacy and effectiveness studies and the recognized gap between the two. The ecological context for injury prevention is summarized and the implications for intervention delivery and evaluation are described. The chapter then covers key theoretical, conceptual, and methodological issues involved in evaluation research and introduces some of the current thinking about translation research. Particular emphasis is given to Intervention Mapping as a tool to assist in the intervention development process, Diffusion of Innovations theory to guide efforts in the planning of intervention strategies and the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) health promotion framework and their reported applications to injury prevention interventions to date.

[1]  Bernard C. K. Choi,et al.  Good thinking: six ways to bridge the gap between scientists and policy makers , 2009, Journal of Epidemiology & Community Health.

[2]  D. Moher,et al.  Improving the reporting of pragmatic trials: an extension of the CONSORT statement , 2008, BMJ : British Medical Journal.

[3]  J. Vincenten,et al.  Why isn't more injury prevention evidence-based? , 2009, International journal of injury control and safety promotion.

[4]  Jennie Popay,et al.  Extending systematic reviews to include evidence on implementation: methodological work on a review of community-based initiatives to prevent injuries. , 2006, Social science & medicine.

[5]  Willem van Mechelen,et al.  Sports injury research. , 2009, The American journal of sports medicine.

[6]  Mark Stevenson,et al.  The scientific basis of injury prevention and control - Section Four: Introduction , 2004 .

[7]  D. Hanson,et al.  The injury iceberg: an ecological approach to planning sustainable community safety interventions. , 2005, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[8]  C. Finch,et al.  The Extent to Which Behavioural and Social Sciences Theories and Models are Used in Sport Injury Prevention Research , 2010, Sports medicine.

[9]  B. Koes,et al.  Explaining the ineffectiveness of a Tai Chi fall prevention training for community-living older people: a process evaluation alongside a randomized clinical trial (RCT). , 2011, Archives of gerontology and geriatrics.

[10]  E. Witvrouw,et al.  Effective prevention of sports injuries: a model integrating efficacy, efficiency, compliance and risk-taking behaviour , 2008, British Journal of Sports Medicine.

[11]  D. Sleet,et al.  Ecological models for the prevention and control of unintentional injury. , 2006 .

[12]  M Brussoni,et al.  Evidence into practice: combining the art and science of injury prevention , 2006, Injury Prevention.

[13]  T. Timpka,et al.  From Sports Injury Prevention to Safety Promotion in Sports , 2006, Sports medicine.

[14]  L Otago,et al.  Coaches' perspectives on implementing an evidence-informed injury prevention programme in junior community netball , 2010, British Journal of Sports Medicine.

[15]  A. Kilding,et al.  Suitability of FIFA's "The 11" Training Programme for Young Football Players - Impact on Physical Performance. , 2008, Journal of sports science & medicine.

[16]  Craig Mitton,et al.  Transferring injury data to decision makers in British Columbia , 2008, International journal of injury control and safety promotion.

[17]  Russell E Glasgow,et al.  Applying the RE-AIM framework to assess the public health impact of policy change , 2007, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[18]  Jeffrey J. Sacks,et al.  Injury Control: Evaluating an Injury Intervention or Program , 2000 .

[19]  E. Rogers.  A Prospective and Retrospective Look at the Diffusion Model , 2004, Journal of health communication.

[20]  P. Nilsen,et al.  What makes community based injury prevention work? In search of evidence of effectiveness , 2004, Injury Prevention.

[21]  D. Sleet,et al.  Community models and approaches for interventions. , 2006 .

[22]  G. Parcel,et al.  Development of an intervention map for a parent education intervention to prevent violence among Hispanic middle school students. , 1998, The Journal of school health.

[23]  Alex Donaldson,et al.  Determining policy-relevant formats for the presentation of falls research evidence. , 2009, Health policy.

[24]  W. J. Mulder,et al.  Lack of Effectiveness of a Multidisciplinary Fall‐Prevention Program in Elderly People at Risk: A Randomized, Controlled Trial , 2008, Journal of the American Geriatrics Society.

[25]  D. Sleet,et al.  Ecological approaches to the prevention of unintentional injuries , 2010, Italian Journal of Public Health.

[26]  P. Nilsen,et al.  Uncovering evidence on community-based injury prevention: A review of programme effectiveness and factors influencing effectiveness , 2007, International journal of injury control and safety promotion.

[27]  C. Provvidenza,et al.  Knowledge transfer principles as applied to sport concussion education , 2009, British Journal of Sports Medicine.

[28]  Maria E. Fernandez,et al.  Planning Health Promotion Programs: An Intervention Mapping Approach , 2006 .

[29]  D. Knol,et al.  Effectiveness of a school-based physical activity injury prevention program: a cluster randomized controlled trial. , 2010, Archives of pediatrics & adolescent medicine.

[30]  G R Cutter,et al.  Prevalence and diffusion of helmet use at ski areas in Western North America in 2001–02 , 2004, Injury Prevention.

[31]  D. Sleet,et al.  Injury and violence prevention - behavioral science theories, methods and applications , 2006 .

[32]  Leon S. Robertson.  Injury Epidemiology: Research and Control Strategies , 2007 .

[33]  Thomas M Vogt,et al.  Evaluating the impact of health promotion programs: using the RE-AIM framework to form summary measures for decision making involving complex issues. , 2006, Health education research.

[34]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[35]  C. Finch,et al.  A protocol for evidence-based targeting and evaluation of statewide strategies for preventing falls among community-dwelling older people in Victoria, Australia , 2010, Injury Prevention.

[36]  Russell E Glasgow,et al.  What Types of Evidence are Most Needed to Advance Behavioral Medicine? , 2008, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[37]  J. Bernstein,et al.  A preliminary report of knowledge translation: lessons from taking screening and brief intervention techniques from the research setting into regional systems of care. , 2009, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[38]  Paul A Estabrooks,et al.  Behavior change intervention research in community settings: how generalizable are the results? , 2004, Health promotion international.

[39]  N. Gyurcsik,et al.  Partial examination of the public health impact of the People with Arthritis Can Exercise (PACE) program: reach, adoption, and maintenance. , 2006, Public health nursing.

[40]  Sherri MacKay,et al.  Closing the Research-Practice Gap: Factors Affecting Adoption and Implementation of a Children's Mental Health Program , 2006, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[41]  Gerjo Kok,et al.  The impact of social influences in the context of attitude, self-efficacy, intention, and previous behavior as predictors of smoking onset , 1995 .

[42]  L. K. Bartholomew,et al.  Intervention Mapping: A Process for Developing Theory and Evidence-Based Health Education Programs , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[43]  Nicoletta Stame,et al.  What Doesn’t Work? Three Failures, Many Answers , 2010 .

[44]  Process evaluation of a school based physical activity related injury prevention programme using the RE-AIM framework , 2010, BMC pediatrics.

[45]  Caroline Finch,et al.  A new framework for research leading to sports injury prevention. , 2006, Journal of science and medicine in sport.

[46]  D. Sleet,et al.  Translation of an effective tai chi intervention into a community-based falls-prevention program. , 2008, American journal of public health.

[47]  D. Kendrick,et al.  “Risk Watch”: Cluster randomised controlled trial evaluating an injury prevention program , 2007, Injury Prevention.

[48]  Evaluation of a four-year bicycle helmet promotion campaign in Quebec aimed at children ages 8 to 12: impact on attitudes, norms and behaviours. , 1997, Canadian journal of public health = Revue canadienne de sante publique.

[49]  Lisa M Klesges,et al.  The future of health behavior change research: What is needed to improve translation of research into health promotion practice? , 2004, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[50]  D. Sleet,et al.  Behavioral and social sciences theories and models: are they used in unintentional injury prevention research? , 2005, Health education research.

[51]  Caroline Finch,et al.  Protective Eyewear Promotion , 2004, Sports medicine.

[52]  J. Will,et al.  Best Practices in Implementing Lifestyle Interventions in the WISEWOMAN Program: Adaptable Strategies for Public Health Programs , 2008, American journal of health promotion : AJHP.

[53]  E. Rogers,et al.  A framework for research utilization applied to seven case studies. , 2007, American journal of preventive medicine.

[54]  W. Mechelen,et al.  Design of the iPlay Study , 2009, Sports medicine.

[55]  P. Nilsen,et al.  The theory of community based health and safety programs: a critical examination , 2006, Injury Prevention.

[56]  L. Kay Bartholomew,et al.  Planning health promotion programs , 2012 .

[57]  J. Beckmann,et al.  Action control : from cognition to behavior , 1985 .

[58]  A. Zwi,et al.  Pathways to “Evidence-Informed” Policy and Practice: A Framework for Action , 2005, PLoS medicine.

[59]  S. Lusk.  Health promotion planning: An educational and environmental approach: Lawrence W. Green and Marshall W. Kreuter Mayfield Publishing, Mountain View, California, 2nd edn. , 1992 .

[60]  F. Rivara.  Evaluating the effect of an injury prevention intervention in a population. , 2008, American journal of preventive medicine.

[61]  C. Finch,et al.  Implementing an exercise-training programme to prevent lower-limb injuries: considerations for the development of a randomised controlled trial intervention delivery plan , 2011, British Journal of Sports Medicine.

[62]  Peter Cummings,et al.  Injury Control: A Guide to Research and Program Evaluation , 2009 .

[63]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[64]  Per Nilsen,et al.  Evaluation of community-based injury prevention programmes: methodological issues and challenges , 2005, International journal of injury control and safety promotion.

[65]  G. Meyer.  Diffusion Methodology: Time to Innovate? , 2004, Journal of health communication.

[66]  Nicholas Mays,et al.  Making Health Policy , 2005 .

[67]  David Parker,et al.  Mapping Safety Interventions in Metalworking Shops , 2007, Journal of occupational and environmental medicine.

[68]  Jiri Dvorak,et al.  Comprehensive warm-up programme to prevent injuries in young female footballers: cluster randomised controlled trial , 2008, BMJ : British Medical Journal.

[69]  Annette Nold,et al.  Examples of evidence-based approaches in accident prevention , 2010 .

[70]  L. Green,et al.  Health Promotion Planning: An Educational and Environmental Approach , 1991 .

[71]  R. Armstrong,et al.  Strategies to Support Knowledge Translation and Exchange , 2008 .

[72]  Flaura K Winston,et al.  A practical approach for applying best practices in behavioural interventions to injury prevention , 2010, Injury Prevention.

[73]  C F Finch,et al.  A sports setting matrix for understanding the implementation context for community sport , 2009, British Journal of Sports Medicine.

[74]  S. Kelder,et al.  Padres Trabajando por la Paz: a randomized trial of a parent education intervention to prevent violence among middle school children. , 1999, Health education research.

[75]  Susan Hamer,et al.  Knowledge brokering: Exploring the process of transferring knowledge into action , 2009, BMC health services research.

[76]  T. Koepsell,et al.  Estimating the population impact of preventive interventions from randomized trials. , 2011, American journal of preventive medicine.

[77]  D. Sleet.  Injury prevention and public health , 2024, Italian Journal of Public Health.

[78]  Susan Scavo Gallagher,et al.  Injury Prevention and Public Health: Practical Knowledge, Skills, and Strategies , 1999 .

[79]  K. Glanz,et al.  Health Behavior and Health Education , 1990 .

[80]  J. Catford.  Advancing the 'science of delivery' of health promotion: not just the 'science of discovery'. , 2008, Health promotion international.

[81]  Adnan A Hyder,et al.  Engaging policy makers in road safety research in Malaysia: a theoretical and contextual analysis. , 2009, Health policy.

[82]  E. Rogers.  Diffusion of Innovations , 1962 .

[83]  R. Bahr,et al.  Preventing injuries in female youth football – a cluster‐randomized controlled trial , 2008, Scandinavian Journal of Medicine & Science in Sports.

[84]  C Finch,et al.  The effectiveness of a squash eyewear promotion strategy , 2005, British Journal of Sports Medicine.

[85]  James O. Prochaska,et al.  Efficacy and Effectiveness Trials , 2007, Journal of health psychology.

[86]  Gary L. Kreps,et al.  Forty Years of Diffusion of Innovations: Utility and Value in Public Health , 2004, Journal of health communication.

[87]  R. Glasgow,et al.  Evaluating the public health impact of health promotion interventions: the RE-AIM framework. , 1999, American journal of public health.

[88]  Icek Ajzen,et al.  From Intentions to Actions: A Theory of Planned Behavior , 1985 .

[89]  I. Ajzen.  The theory of planned behavior , 1991 .

[90]  Marina Guzik.  The Behavioral Approach , 2011 .

[91]  L. Aldoory,et al.  Using communication theory in injury prevention campaigns , 2005, Injury Prevention.

[92]  Michele A. Huitric,et al.  High School Coaches’ Assessments, Intentions to Use, and Use of a Concussion Prevention Toolkit: Centers for Disease Control and Prevention’s Heads Up: Concussion in High School Sports , 2010, Health promotion practice.

[93]  H. Worthington,et al.  A Cluster-randomized Controlled Trial , 2011, Journal of dental research.

[94]  G D Nelson,et al.  Safety belt promotion: theory and practice. , 1988, Accident; analysis and prevention.

[95]  G. Istre,et al.  Bridging the gap between research and practice: a continuing challenge , 2006, Injury Prevention.

[96]  R. Glasgow,et al.  Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. , 2003, American journal of public health.

[97]  B Brown,et al.  The effects of a 4-year program promoting bicycle helmet use among children in Quebec. , 1996, American journal of public health.