Implementation Research: Strategies and Results

Description

This lecture covers the practical aspects of implementation research, focusing on the strategies and results obtained in the field. Topics include randomized cluster trials, challenges in building trust, effectiveness evaluation, and scaling-up strategies. The instructor discusses key outcomes such as acceptability, adoption, feasibility, fidelity, coverage, and cost-effectiveness. Various evaluation methods like focus groups, interviews, and surveys are explored. The lecture also delves into the evaluation of efficacy and implementation results, showcasing real-world examples from a dengue vector control study in Colombia. Additionally, the importance of intersectoral collaboration, community mobilization, and scaling-up frameworks is emphasized, providing insights into successful scaling strategies and barriers faced in the process.

Official source

https://mediaspace.epfl.ch/media/0_meq5lga6

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Related concepts (15)

Randomized controlled trial

A randomized controlled trial (or randomized control trial; RCT) is a form of scientific experiment used to control factors not under direct experimental control. Examples of RCTs are clinical trials that compare the effects of drugs, surgical techniques, medical devices, diagnostic procedures or other medical treatments. Participants who enroll in RCTs differ from one another in known and unknown ways that can influence study outcomes, and yet cannot be directly controlled.

Randomized experiment

In science, randomized experiments are the experiments that allow the greatest reliability and validity of statistical estimates of treatment effects. Randomization-based inference is especially important in experimental design and in survey sampling. In the statistical theory of design of experiments, randomization involves randomly allocating the experimental units across the treatment groups. For example, if an experiment compares a new drug against a standard drug, then the patients should be allocated to either the new drug or to the standard drug control using randomization.

Clinical trial

Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietary choices, dietary supplements, and medical devices) and known interventions that warrant further study and comparison. Clinical trials generate data on dosage, safety and efficacy. They are conducted only after they have received health authority/ethics committee approval in the country where approval of the therapy is sought.

Random assignment

Random assignment or random placement is an experimental technique for assigning human participants or animal subjects to different groups in an experiment (e.g., a treatment group versus a control group) using randomization, such as by a chance procedure (e.g., flipping a coin) or a random number generator. This ensures that each participant or subject has an equal chance of being placed in any group. Random assignment of participants helps to ensure that any differences between and within the groups are not systematic at the outset of the experiment.

Consolidated Standards of Reporting Trials

Consolidated Standards of Reporting Trials (CONSORT) encompasses various initiatives developed by the CONSORT Group to alleviate the problems arising from inadequate reporting of randomized controlled trials. It is part of the larger EQUATOR Network initiative to enhance the transparency and accuracy of reporting in research. The main product of the CONSORT Group is the CONSORT Statement, which is an evidence-based, minimum set of recommendations for reporting randomized trials.