Alignment of perceived needs across levels of a community

Zaff, Jonathan F.; Jones, Elizabeth Pufall; Aasland, Katie; Donlan, Alice E.; Lin, Emily; Prescott, Jennifer Elise; Baker, Alexandra

doi:10.1016/j.appdev.2015.02.002

Cited by 2 publications

(8 citation statements)

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“…However, a clear definition of alignment was seldom provided. Of the 53 included articles, 12 provided a definition of alignment [6,19,22,26,[29][30][31][32][33][34][35][36]. Six of the definitions were the authors' own (i.e., no reference where given), the other six provided a reference for their definition [19,22,29,33,35,36].…”

Section: How Is Alignment Defined and Conceptualized?mentioning

confidence: 99%

“…One article [21] builds on organizational theory of implementation effectiveness [41], another article [6] expanded on the exploration, preparation, implementation, sustainment (EPIS) framework [42], and yet another article [37] on the national implementation research network (NIRN) frameworks [43]. Additionally, in two articles [30,44] organizational theories (i.e., relational development system theory and goal-setting theory) were used to explicate mechanisms for enabling alignment. In one article, a conceptual model for healthcare organizational transformation, with alignment as a central component, was developed [33].…”

Section: How Is Alignment Defined and Conceptualized?mentioning

confidence: 99%

“…A total of 8 out of 53 articles assessed alignment [6,19,26,30,35,44,46,47], whereas the 45 remaining articles identified alignment as an important factor when analyzing, presenting, and discussing results, but without directly assessing alignment (Additional file 5, column 2). Among the eight articles assessing alignment, five [6,19,26,30,35] had a definition of alignment (Additional file 6), while the remaining three [44,46,47] lacked a definition. Alignment data was collected by surveys [6,44,46,47], interviews [6,26,30,35], More than 100 % because some EBIs had several aims and exist in several categories observations [19,26], and reviews of documents 35].…”

Section: How Has Alignment Been Assessed?mentioning

confidence: 99%

“…Among the eight articles assessing alignment, five [6,19,26,30,35] had a definition of alignment (Additional file 6), while the remaining three [44,46,47] lacked a definition. Alignment data was collected by surveys [6,44,46,47], interviews [6,26,30,35], More than 100 % because some EBIs had several aims and exist in several categories observations [19,26], and reviews of documents 35]. Three studies used multiple data collection methods [6,26,35], whereas the other five studies used a single method.…”

Section: How Has Alignment Been Assessed?mentioning

confidence: 99%

“…Community actors refer to health promoters who are not affiliated with a specific organization, i.e. community members [30], community-collaborative stakeholders [30], community health workers [60], provincial actors [60], school stakeholders [61], and non-governmental organizations [19,57,60]. Main tasks for community actors were to create and/or sustain alignment between, for example, donor countries' development efforts with local strategies and systems [19].…”

Section: Community Actors (N = 5)mentioning

confidence: 99%

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Alignment in implementation of evidence-based interventions: a scoping review

et al. 2021

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Background Alignment (i.e., the process of creating fit between elements of the inner and outer context of an organization or system) in conjunction with implementation of an evidence-based intervention (EBI) has been identified as important for implementation outcomes. However, research evidence has so far not been systematically summarized. The aim of this scoping review is therefore to create an overview of how the concept of alignment has been applied in the EBI implementation literature to provide a starting point for future implementation efforts in health care. Methods We searched for peer-reviewed English language articles in four databases (MEDLINE, Cinahl, Embase, and Web of Science) published between 2003 and 2019. Extracted data were analyzed to address the study aims. A qualitative content analysis was carried out for items with more extensive information. The review was reported according to the preferred reporting items for systematic reviews and meta-analyses extension for scoping review (PRISMA-ScR) guidelines. Results The database searches yielded 3629 publications, of which 235 were considered potentially relevant based on the predetermined eligibility criteria, and retrieved in full text. In this review, the results of 53 studies are presented. Different definitions and conceptualizations of alignment were found, which in general could be categorized as structural, as well as social, types of alignments. Whereas the majority of studies viewed alignment as important to understand the implementation process, only a few studies actually assessed alignment. Outcomes of alignment were focused on either EBI implementation, EBI sustainment, or healthcare procedures. Different actors were identified as important for creating alignment and five overall strategies were found for achieving alignment. Conclusions Although investigating alignment has not been the primary focus of studies focusing on EBI implementation, it has still been identified as an important factor for the implementation success. Based on the findings from this review, future research should incorporate alignment and put a stronger emphasize on testing the effectiveness of alignment related to implementation outcomes.

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Section: How Is Alignment Defined and Conceptualized?mentioning

confidence: 99%

Section: How Is Alignment Defined and Conceptualized?mentioning

confidence: 99%

Section: How Has Alignment Been Assessed?mentioning

confidence: 99%

Section: How Has Alignment Been Assessed?mentioning

confidence: 99%

Section: Community Actors (N = 5)mentioning

confidence: 99%

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Alignment in implementation of evidence-based interventions: a scoping review

et al. 2021

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Theory of systems change: An initial, middle-range theory of public health research impact

Craike,

Klepac,

Mowle

et al. 2023

Research Evaluation

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There is increasing attention on evidencing research impact and applying a systems thinking perspective in public health. However, there is limited understanding of the extent to which and how public health research that applies a systems thinking perspective contributes to changes in system behaviour and improved population health outcomes. This paper addresses the theoretical limitations of research impact, theory-based evaluation and systems thinking, by drawing on their respective literature to develop an initial, middle-range Theory of Systems Change, focused on the contribution of public health research that takes a systems perspective on population health outcomes. The Theory of Systems Change was developed through four phases: (1) Preliminary activities, (2) Theory development, (3) Scripting into images, and (4) Examining against Merton’s criteria. The primary propositions are: that well-functioning systems create the conditions for improved population health outcomes; the inter-related properties of, and practices within, well-functioning systems include adaptation, alignment, collaboration and evidence-driven action and learning; and public health research contributes to population health outcomes by embedding capacity in the system. The Theory of Systems Change can guide researchers in developing project-specific theories of change and creates the theoretical architecture for the accumulation of learning. The Theory of Systems Change is necessarily incomplete and an initial attempt to develop a theory to be scrutinized and tested. Ultimately, it seeks to advance theory and provide evidence-based guidance to maximize the contribution of research. We provide examples of how we have applied the Theory of Systems Change to Pathways in Place.

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Alignment of perceived needs across levels of a community

Cited by 2 publications

References 24 publications

Alignment in implementation of evidence-based interventions: a scoping review

Alignment in implementation of evidence-based interventions: a scoping review

Theory of systems change: An initial, middle-range theory of public health research impact

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