Process evaluation of an integrated community-based intervention for promoting health equity in children in a new residential development area

Voss, Stephan, Bauer, Julia, Jung-Sievers, Caroline, Moore, Graham ORCID: https://orcid.org/0000-0002-6136-3978, Rehfuess, Eva, Rhein, Valerie Zu and Coenen, Michaela 2024. Process evaluation of an integrated community-based intervention for promoting health equity in children in a new residential development area. Archives of Public Health 82 (19) 10.1186/s13690-024-01246-z

PDF - Published Version Available under License Creative Commons Attribution. Download (2MB)

Abstract

Background: Reducing health inequities for children from a disadvantaged background is an important task in public health. While intersectoral partnerships are a promising way to achieve this, few studies have examined the factors influencing the success of these interventions. In this study, we conducted a process evaluation of the integrated community-based intervention Präventionskette Freiham that the city of Munich, Germany, has implemented in a new residential development area. The aim was to investigate the implementation process as well as barriers and facilitators. Methods: Following a mixed methods approach, we collected data from different core groups making up Präventionskette Freiham from April 2020 to August 2022, exploring their perspective on the implementation process. We conducted repeated qualitative interviews with the network coordinators and eleven local professionals from institutions engaged with or relevant for the intervention. We also undertook a focus group with four members of the advisory group representing the three municipal departments guiding the intervention. Ego-centered network maps were drawn by the network coordinators to chart the development of the network. Subsequently, we also conducted an online survey with local network members. Results: At the early stage of the implementation process, the intervention was able to integrate actors from different sectors, serving as a platform for mutual exchange. However, the network produced limited output. According to the interviews, this may be mainly attributable to the early development status of the area. We identified seven topics that may act as facilitators or barriers to implementation of Präventionskette Freiham: (1) availability of resources, (2) political and administrative support, (3) the network coordinators, (4) network-internal processes, (5) trans-institutional cooperation, (6) perceived benefits of engagement, and (7) the output of the network. Conclusions: The early development status of the area was a challenge for the intervention. This emphasizes the need to carefully consider context when planning and implementing integrated community-based public health interventions in new residential development areas.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Social Sciences (Includes Criminology and Education) Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
Publisher:	BioMed Central
ISSN:	2049-3258
Date of First Compliant Deposit:	15 February 2024
Date of Acceptance:	27 January 2024
Last Modified:	15 Feb 2024 14:45
URI:	https://orca.cardiff.ac.uk/id/eprint/166144

Actions (repository staff only)

Edit Item