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Using a cross-conte...
Using a cross-contextual reciprocal learning approach in a multisite implementation research project to improve self-management for type 2 diabetes
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- van Olmen, Josefien (författare)
- Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium; University of Antwerp, Antwerp, Belgium
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- Delobelle, Peter (författare)
- University of Cape Town, Cape Town, South Africa
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- Guwatudde, David (författare)
- Makerere University College of Health Sciences, Kampala, Uganda
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- Absetz, Pilvikki (författare)
- University of Eastern Finland, Kuopio, Finland
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- Sanders, David (författare)
- University of the Western Cape, Cape Town, South Africa
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- Mölsted Alvesson, Helle (författare)
- Karolinska Institutet
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- Puoane, Thandi (författare)
- University of Western Cape, Bellville, South Africa
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- Ostenson, Claes-Goran (författare)
- Karolinska Institutet
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- Tomson, Göran (författare)
- Karolinska Institutet
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- Mayega, Roy William (författare)
- Makerere University College of Health Sciences, Kampala, Uganda
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- Sundberg, Carl Johan (författare)
- Karolinska Institutet
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- Peterson, Stefan, 1962- (författare)
- Karolinska Institutet,Uppsala universitet,Internationell barnhälsa och nutrition,Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
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- Daivadanam, Meena (författare)
- Karolinska Institutet,Uppsala universitet,Institutionen för kostvetenskap,Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
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(creator_code:org_t)
- 2018-11-26
- 2018
- Engelska.
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Ingår i: BMJ Global Health. - : BMJ. - 2059-7908. ; 3:6
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gh.bmj.com/c...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- This paper reports on the use of reciprocal learning for identifying, adopting and adapting a type 2 diabetes self-management support intervention in a multisite implementation trial conducted in a rural setting in a low-income country (Uganda), a periurban township in a middle-income country (South Africa) and socioeconomically disadvantaged suburbs in a high-income country (Sweden). The learning process was guided by a framework for knowledge translation and structured into three learning cycles, allowing for a balance between evidence, stakeholder interaction and contextual adaptation. Key factors included commitment, common goals, leadership and partnerships. Synergistic outcomes were the cocreation of knowledge, interventions and implementation methods, including reverse innovations such as adaption of community-linked models of care. Contextualisation was achieved by cross-site exchanges and local stakeholder interaction to balance intervention fidelity with local adaptation. Interdisciplinary and cross-site collaboration resulted in the establishment of learning networks. Limitations of reciprocal learning relate to the complexity of the process with unpredictable outcomes and the limited generalisability of results.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
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- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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van Olmen, Josef ...
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Delobelle, Peter
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Guwatudde, David
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Absetz, Pilvikki
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Sanders, David
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Mölsted Alvesson ...
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visa fler...
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Puoane, Thandi
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Ostenson, Claes- ...
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Tomson, Göran
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Mayega, Roy Will ...
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Sundberg, Carl J ...
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Peterson, Stefan ...
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Daivadanam, Meen ...
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visa färre...
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Uppsala universitet
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Karolinska Institutet