Dimensions of the Complexity of Health Interventions: What Are We Talking about? A Review

被引:9
|
作者
Trompette, Justine [1 ]
Kivits, Joelle [1 ]
Minary, Laetitia [1 ]
Alla, Francois [2 ]
机构
[1] Univ Lorraine, EA4360, F-54000 Nancy, France
[2] Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, INSERM, UMR 119, F-33000 Bordeaux, France
关键词
complex intervention; health promotion; complexity; intervention; evaluation; RANDOMIZED CONTROLLED-TRIALS;
D O I
10.3390/ijerph17093069
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Many recommendations and innovative approaches are available for the development and evaluation of complex health interventions. We investigated the dimensions of complexity described in health research and how these descriptions may affect the adopted research methodology (e.g., the choice of designs and methods). We used a mixed method approach to review the scientific literature evaluating complex interventions in the health field. Of 438 articles identified, 179 were subjected to descriptive analysis and 48 to content analysis. The three principal dimensions of complexity were: stakeholder characteristics, intervention multimodality and context. Recognition of such dimensions influenced the methodological choices made during evaluation of the interventions with their use of designs and methods, which aimed to address the complexity. We analysed not only how researchers view complexity but also the effects of such views on researcher practices. Our results highlight the need for clarification of what complexity means and to consider complexity when deciding how to evaluate research interventions.
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页数:21
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