Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Where to be careful when developing.

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Presentation transcript:

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Where to be careful when developing and evaluating a complex intervention!! Experiences from presented and other projects in the field of primary health care

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Development 1. Identifying the evidence base 2. Identifying /developing theory 3. Modelling process and outcomes Feasibility/piloting 1. Teting procedures 2. Estimating recruitment 3. Sample size Evaluation 1. Effectiveness 2. Change process 3. Cost effectiveness Implementation 1. dissemination 2. Surveillance/monitoring 3. Long term follow up

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Development 1. Identifying the evidence base 2. Identifying /developing theory 3. Modelilng process and outcomes Feasibility/piloting 1. Testing procedures 2. Estimating recruitment 3. Sample size Evaluation 1. Effectiveness 2. Change process 3. Cost effectiveness Implementation 1. dissemination 2. Surveillance/monitoring 3. Long term follow up

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Development 1. Identifying the evidence base 2. Identifying /developing theory 3. Modelilng process and outcomes Feasibility/piloting 1. Testing procedures 2. Estimating recruitment 3. Sample size Evaluation 1. Effectiveness 2. Change process 3. Cost effectiveness Implementation 1. dissemination 2. Surveillance/monitoring 3. Long term follow up

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Evaluation, eksperimental designs Randomisation: robust, preventing selection bias Individually Cluster Stepped wedge Preference trials/prerandomisation N -of-1 design

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Evaluation, non - eksperimental designs when: Irreversible intervention Under the way Widespread use Effect is small Long time before effect Cost of study – justified?

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Development 1. Identifying the evidence base 2. Identifying /developing theory 3. Modelilng process and outcomes Feasibility/piloting 1. Testing procedures 2. Estimating recruitment 3. Sample size Evaluation 1. Effectiveness 2. Change process 3. Cost effectiveness Implementation 1. dissemination 2. Surveillance/monitoring 3. Long term follow up

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Development 1. Identifying the evidence base 2. Identifying /developing theory 3. Modelilng process and outcomes Feasibility/piloting 1. Testing procedures 2. Estimating recruitment 3. Sample size Evaluation 1. Effectiveness 2. Change process 3. Cost effectiveness Implementation 1. dissemination 2. Surveillance/monitoring 3. Long term follow up

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Development 1. Identifying the evidence base 2. Identifying /developing theory 3. Modelilng process and outcomes Feasibility/piloting 1. Testing procedures 2. Estimating recruitment 3. Sample size Evaluation 1. Effectiveness 2. Change process 3. Cost effectiveness Implementation 1. dissemination 2. Surveillance/monitoring 3. Long term follow up

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University MRC: Developing and evaluating complex intervention: new guidance

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Good questions to your project? 1.Have you conducted a systematic review 2.Who is the intervention aimed at? 3.Can you describe the intervention fully? 4.Have you done enough piloting 5.Effect sizes? Reporting: CONSORT, STROBE (obeservational), TREND (non- randomised), EQUATOR (health research)

Annelli Sandbæk MD, ph.d, Ass Professor School of Public Health, Departement of General Practice Aarhus University Workshop – Complex interventions Session - Room – 17.00