Yes / Many interventions that are delivered within public health services have little evidence of effect. Evaluating interventions
that are being delivered as a part of usual practice offers opportunities to improve the evidence base of public health.
However, such evaluation is challenging and requires the integration of research into system-wide practice. The Born
in Bradford’s Better Start experimental birth cohort offers an opportunity to efficiently evaluate multiple complex
community interventions to improve the health, wellbeing and development of children aged 0–3 years. Based on
the learning from this programme, this paper offers a pragmatic and practical guide to researchers, public health
commissioners and service providers to enable them to integrate research into their everyday practice, thus enabling
relevant and robust evaluations within a complex and changing system.
Using the principles of co-production the key challenges of integrating research and practice were identified,
and appropriate strategies to overcome these, developed across five key stages: 1) Community and stakeholder
engagement; 2) Intervention design; 3) Optimising routinely collected data; 4) Monitoring implementation; and 5)
Evaluation. As a result of our learning we have developed comprehensive toolkits (https://borninbradford.nhs.uk/whatwe-do/pregnancy-early-years/toolkit/) including: an operational guide through the service design process; an
implementation and monitoring guide; and an evaluation framework. The evaluation framework incorporates
implementation evaluations to enable understanding of intervention performance in practice, and quasi experimental
approaches to infer causal effects in a timely manner. We also offer strategies to harness routinely collected data to
enhance the efficiency and affordability of evaluations that are directly relevant to policy and practice.
These strategies and tools will help researchers, commissioners and service providers to work together to evaluate
interventions delivered in real-life settings. More importantly, however, we hope that they will support the development
of a connected system that empowers practitioners and commissioners to embed innovation and improvement into
their own practice, thus enabling them to learn, evaluate and improve their own services. / Big Lottery Fund as part of the A Better Start programme. The Big Lottery Fund. NIHR CLAHRC Yorkshire and Humber.
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/16900 |
| Date | 04 March 2019 |
| Creators | Dickerson, J., Bird, P.K., Bryant, M., Dharni, N., Bridges, S., Willan, K., Ahern, S., Dunn, A., Nielsen, D., Uphoff, E.P., Bywater, T., Bowyer-Crane, C., Sahota, P., Small, Neil A., Howell, M., Thornton, G., Pickett, K.E., McEachan, Rosemary, Wright, J. |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Article, Published version |
| Rights | © The Author(s) 2019. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
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