- Title
- Developing a conceptual framework for implementation science to evaluate a nutrition intervention scaled-up in a real-world setting
- Creator
- Sarma, Haribondhu; D'Este, Catherine; Ahmed, Tahmeed; Bossert, Thomas J.; Banwell, Cathy
- Relation
- Public Health Nutrition Vol. 24, Issue S1, p. S7-S22
- Publisher Link
- http://dx.doi.org/10.1017/S1368980019004415
- Publisher
- Cambridge University Press
- Resource Type
- journal article
- Date
- 2021
- Description
- Objective: The aim of this paper is to identify and develop a comprehensive conceptual framework using implementation science that can be applied to assess a nutrition intervention in a real-world setting. Design: We conducted a narrative review using electronic databases and a manual search to identify implementation science frameworks, models and theories published in peer-reviewed journals. We performed a qualitative thematic analysis of these publications to generate a framework that could be applied to nutrition implementation science. Results: Based on this review, we developed a comprehensive framework which we have conceptualised as an implementation science process that describes the transition from the use of scientific evidence through to scaling-up with the aim of making an intervention sustainable. The framework consisted of three domains: Domain i – efficacy to effectiveness trials, Domain ii – scaling-up and Domain iii – sustainability. These three domains encompass five components: identifying an ‘effective’ intervention; scaling-up and implementation fidelity; course corrections during implementation; promoting sustainability of interventions and consideration of a comprehensive methodological paradigm to identify ‘effective’ interventions and to assess the process and outcome indicators of implementation. The framework was successfully applied to a nutrition implementation program in Bangladesh. Conclusions: Our conceptual framework built from an implantation science perspective offers a comprehensive approach supported by a foundational and holistic understanding of its key components. This framework provides guidance for implementation researchers, policy-makers and programme managers to identify and review an effective intervention, to scale it up and to sustain it over time.
- Subject
- implementation science; nutrition implementation science; conceptual framework; implementation of intervention
- Identifier
- http://hdl.handle.net/1959.13/1449872
- Identifier
- uon:43770
- Identifier
- ISSN:1368-9800
- Rights
- © The Authors 2020. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Language
- eng
- Full Text
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