| 1. |
- Ahlstedt Karlsson, Susanne, et al.
(författare)
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An intervention mapping-based support program that empowers patients with endocrine therapy management
- 2022
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Ingår i: Evaluation and Program Planning. - : Elsevier BV. - 0149-7189. ; 92
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Tidskriftsartikel (refereegranskat)abstract
- Background: For women diagnosed with hormone-receptor-positive breast cancer, endocrine therapy (ET) is recommended. Patients experience diverse side effects, and difficulties in managing these side effects have been identified as obstacles for treatment continuation. The aim of this study was to describe the development of a support program for patients prescribed ET. Methods: Intervention mapping (IM) a comprehensive theory-based approach was used in the support program development. A participatory design was used and four advisory groups was formed including both patients and healthcare professionals. Results: This study employed the systematic stages of IM to develop a theory-based support program with the goal to empower patients prescribed ET to manage ETrelated symptoms and problems, and to illuminate the healthcare structure. The needs assessment identified three performance objectives: (1) Patients have knowledge of and understand their symptoms and their management strategies. (2) Patients have the knowledge and confidence to express their care needs and to ask for guidance from healthcare professionals. (3) Patients are active in and lead their healthcare process. Conclusion: This is a systematic developed model, built upon aspects of ET both from a patient´ perspective as well as from healthcare professionals’ perspectives.
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| 2. |
- Blom, Björn, 1965-, et al.
(författare)
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Register data in the evaluation and program planning of addiction treatment programs : using Sweden as an example
- 2015
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 49, s. 185-191
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Tidskriftsartikel (refereegranskat)abstract
- Data from large-scale registers is often underutilized when evaluating addiction treatment programs. Since many programs collect register data regarding clients and interventions, there is a potential to make greater use of such records for program evaluation. The purpose of this article is to discuss the value of using large-scale registers in the evaluation and program planning of addiction treatment systems and programs. Sweden is used as an example of a country where register data is both available and is starting to be used in national evaluation and program planning efforts. The article focuses on possibilities, limitations and practicalities when using large-scale register data to conduct evaluations and program planning of addiction treatment programs. Main conclusions are that using register data for evaluation provides large amounts of data at low cost, limitations associated to the use of register data may be handled statistically, register data can answer important questions in planning of addiction treatment programs, and more accurate measures are needed to account for the diversity of client populations.
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| 3. |
- Blom Nilsson, Marcus, 1980-, et al.
(författare)
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Factors associated with work and taking prescribed methadone or buprenorphine among Swedish opiate addicts
- 2015
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 49, s. 172-177
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Tidskriftsartikel (refereegranskat)abstract
- Background/aims: Using national register data from 2002 to 2008, this exploratory study examines for opiate addicts (n = 2638) whether there is an association between predisposing, enabling and need factors and working and taking methadone or buprenorphine prescribed by a physician for a year or more.Methods: Chi-square analyses and One-way ANOVA were used to determine significant relationships between the independent variables and the dependent variable. A binomial logistic regression model, with variables entered as a single block, measured statistical associations between the independent variables and the dichotomous dependent variable.Results: Men and those with greater number of years of education (7%) and those with children were 7.08 times more likely to be working and taking prescription methadone or buprenorphine. Those who had more inpatient drug treatment episodes (5%), those who had been charged with crime 3.23 times, and those who had used psychiatric medications were 8.43 times more likely to be working and to have taken prescription methadone or buprenorphine one year or more.Conclusion: This study highlights that clients in treatment for opiate addiction who are working and have received methadone or buprenorphine treatment may have better treatment retention and be more integrated socially than their counterparts even though they have a higher level of problem severity and treatment needs.
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| 4. |
- Denskus, Tobias
(författare)
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Challenging the international peacebuilding evaluation discourse with qualitative methodologies
- 2012
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 35:1, s. 148-153
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Tidskriftsartikel (refereegranskat)abstract
- Monitoring and evaluating international peacebuilding efforts has become more sophisticated over the past years, but still relies on managerial approaches that often do not capture the complexity of war, peace and the grey areas in between. The article argues that organisations should embrace qualitative approaches more widely and introduces ethnographic vignettes as one example to explain the complexity of post-conflict situations. By understanding the personal dimension, the life- and work-styles of international peacebuilders, the current evaluation discourse can become more meaningful-both for organisational learning and sustainable peace efforts on the ground. The article ends by highlighting some approaches that deserve more attention and that promise to help to critically enhance current and future debates about the evaluation of peacebuilding.
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| 5. |
- Fox, Jackie, et al.
(författare)
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How does ReDO®-10 work? Understanding the mechanisms of action of an intervention focused on daily activities and health from the perspective of participants
- 2022
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Ingår i: Evaluation and Program Planning. - Oxford : Elsevier. - 0149-7189 .- 1873-7870. ; 92
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Tidskriftsartikel (refereegranskat)abstract
- Evaluation of a complex healthcare intervention should include careful exploration of the mechanisms through which it brings about change. This paper describes a qualitative evaluation of the Redesigning Daily Occupations (ReDO®-10) programme as it was implemented for the first time with women with stress-related issues in a primary care setting in Ireland. The ReDO®-10 is a 10-week group intervention designed to support participants make changes to their daily activity patterns to have a more satisfying and balanced daily life. Fourteen women were interviewed after completing the programme. The aim was to explore changes that participants perceived they experienced and to understand how the content of ReDO®-10 was thought to bring about this change (if it did). Directed content analysis was used to analyse the qualitative data using the Behaviour Change Wheel and Theoretical Domains Framework as a coding framework. Overall, four BCW functions of ReDO® -10 were identified: Education, Persuasion, Modelling and Enablement. Participants described improved belief in their own capabilities, knowledge and goals around life changes. Many behaviour changes were also described, particularly in relation to doing more restorative activities in daily life. Behaviour change techniques that were identified as important for change were practicing new, restorative occupations in group sessions and as homework and the use of self-analysis activities to understand the relationship between activities and health for these participants. Modelling, support and other effects of group dynamics were also vital in changes that occurred. © 2022 The Authors
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| 6. |
- Grahn, Robert, et al.
(författare)
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Repeated entries to the Swedish addiction compulsory care system : A national register database study
- 2015
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 49, s. 163-171
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Tidskriftsartikel (refereegranskat)abstract
- This study identified and described specific client groups who have repeated entries to the Swedish addiction compulsory care system. Specifically, through the use of baseline data from the Swedish government Staten’s Institutions Styrelse (SiS) database, for 2658 individuals who were assessed at their compulsory care intake interview by social workers in the national social welfare system between 2001 and 2009 the study identified the associations between specific predisposing, enabling and need characteristics and repeated addiction compulsory care entries. The logistic regression model identified that individuals whose children have been mandated to the child welfare system, who have experienced prior compulsory care including compulsory treatment through LVU (law (1990:52) with specific provision about care of young people under 18), and those who have been in prison are more likely to have two or more entries in the addiction compulsory care system compared to their counterparts. Individuals who have been mandated to compulsory care for their substance use disorder two or more times have significant multiple complex problems and repeated experiences of institutionalization. These individuals are a group in need of a well-coordinated and integrated system of aftercare services to reduce the likelihood of re-entry into addiction compulsory care.
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| 7. |
- Hall, Taylor, et al.
(författare)
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Mortality among a national population sentenced to compulsory care for substance use disorders in Sweden : Descriptive study
- 2015
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 49, s. 153-162
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Tidskriftsartikel (refereegranskat)abstract
- Sweden's compulsory addiction system treats individuals with severe alcohol and narcotics use disorders. Merging data from three national level register databases of those sentenced to compulsory care from 2001 to 2009 (n = 4515), the aims of this study were to: (1) compute mortality rates to compare to the general Swedish population; (2) identify leading cause of mortality by alcohol or narcotics use; and (3) identify individual level characteristics associated with mortality among alcohol and narcotics users. In this population, 24% were deceased by 2011. The most common cause of death for alcohol users was physical ailments linked to alcohol use, while narcotics users commonly died of drug poisoning or suicide. Average age of death differed significantly between alcohol users (55.0) and narcotics users (32.5). Multivariable logistic regression analysis identified the same three factors predicting mortality: older age (alcohol users OR = 1.28, narcotic users OR = 1.16), gender [males were nearly 3 times more likely to die among narcotics users (p < .000) acid 1.6 times more likely to die among alcohol users (p < .01)] and reporting serious health problems (for alcohol users p < .000, for narcotics users p < .05). Enhanced program and government efforts are needed to implement overdose-prevention efforts and different treatment modalities for both narcotic and alcohol users. (C) 2014 Elsevier Ltd. All rights reserved.
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| 8. |
- Ingemarson, Maria, et al.
(författare)
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Implementation of a school-wide prevention programme-teachers' and headmasters' perceptions of organizational capacity.
- 2014
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Ingår i: Evaluation and Program Planning. - : Elsevier BV. - 0149-7189 .- 1873-7870. ; 43, s. 48-54
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Tidskriftsartikel (refereegranskat)abstract
- This study focuses on schools' organizational capacity to implement a Swedish school-wide programme, Prevention in School (PS). It is based on semi-structured interviews with seven headmasters and 13 teachers from seven Swedish schools. The interviews were analyzed by the use of qualitative content analysis. The findings show that the adoption of a comprehensive intervention like PS challenges the school organization as the staff encountered a variety of organizational barriers when implementing the programme. Factors connected to lack of consensus, collaboration and insufficient programme management were the main barriers that were identified. Teachers wanted a more extensive support from their headmasters in terms of participation in different programme activities. It was emphasized that peer coaches need to be prepared for their task, although the headmasters found it difficult to be able to choose those teachers who they perceived as the most suitable. It is concluded that leadership, coaching and staff selection need particular attention when implementing a programme like PS, since those factors have been defined as important implementation drivers, both in this study and previously.
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| 9. |
- Jonsson, Frida, et al.
(författare)
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“We believe in you, like really believe in you” : Initiating a realist study of (re)engagement initiatives for youth not in employment, education or training with experiences from northern Sweden
- 2020
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 83
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Tidskriftsartikel (refereegranskat)abstract
- Due to a scarcity of rigorous evaluations and to commence a realist study addressing the lack of knowledge about the workings of interventions directed towards "NEET" youth, this research aimed to understand how and under what circumstances (re)engagement initiatives are expected to facilitate the social integration of young people who are in a situation that prevents them from entering into studies or work. By conducting the first phase in realist evaluation, qualitative interviews with five managerial stakeholders from two northern Swedish initiatives and reviews of documents were carried out for data collection. Using thematic analysis and retroductive reasoning, an intervention-context-actors-mechanisms-outcomes configuration was developed to elicit an initial programme theory that explained how the initiatives were presumed to operate and under what contextual contingencies. The results indicate that the intervention is expected to improve the youths’ wellbeing and engage them in work or studies by strengthening their competence and confidence in a caring and collaborative context. To incorporate the diverse voices and heterogeneous experiences of youth themselves, and ascertain whether the intervention works as intended, for whom, in what conditions and why, the results now need to be tested in selected cases and refined in subsequent phases of evaluation research.
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| 10. |
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| 11. |
- Mazzeo Rinaldi, Francesco
(författare)
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From local development policies to strategic planning-Assessing continuity in institutional coalitions
- 2016
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 56, s. 76-87
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Tidskriftsartikel (refereegranskat)abstract
- In the last two decades, EU policies have had a fundamental role in orienting regional/local development. The objective of this work is set in this context as it intends to analyze the local development programs activated in Sicily in the last three programming periods. The main aim is to explore whether the EU partnership principle influenced cooperation among local actors, assessing the continuity of local institutional coalition in managing different local development programs within the regional development policy system. We focus, in particular, on Strategic Plans (SP) promoted in Sicily in the transition phase between the 2000-2006 and the 2007-2013 periods.
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| 12. |
- Mc Hugh, Elaine, et al.
(författare)
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Investigating feasibility and fidelity of the Parenting Young Children program in Sweden
- 2020
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 80
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Tidskriftsartikel (refereegranskat)abstract
- Specific aims: This study explored feasibility and fidelity of an education program for parents with intellectual disability. The Australian Parenting Young Children intervention was translated and adapted for support workers in the Swedish social services.Method: Fidelity was examined using implementation diaries tracking frequency of implementation of program activities and teaching approaches ((over 14 months, completed by 27 support workers from 15 municipalities). Eighteen of these support workers and their managers (n = 12) completed questionnaires examining feasibility using Roger's concepts of program compatibility and complexity.Findings: Results showed that implementation of Parenting Young Children was feasible, with overall positive attitudes to Evidence Based Practice, good program compatibility, low perceived program complexity, and high satisfaction with implementation support. The fidelity measures suggest problems in how the program is used by some support workers: parents received less than the recommended number of sessions and activities such as observation of parents and follow up, were infrequently used by support workers.Discussion: The findings raise questions about how program support and education should be provided. Difficulties in defining fidelity within the flexibility of the Parenting Young Children program are also discussed.
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| 13. |
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| 14. |
- Padyab, Mojgan, 1976-, et al.
(författare)
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Drop-out from the Swedish addiction compulsory care system
- 2015
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 49, s. 178-184
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Tidskriftsartikel (refereegranskat)abstract
- Drop-out of addiction treatment is common, however, little is known about drop-out of compulsory care in Sweden. Data from two national register databases were merged to create a database of 4515 individuals sentenced to compulsory care 2001-2009. The study examined (1) characteristics associated with having dropped out from a first compulsory care episode, (2) the relationship between drop-out and returning to compulsory care through a new court sentence, and (3) the relationship between drop-out and mortality. Methods: Multivariable logistic regression analysis was used to address Aim 1 and Cox proportional hazards regression modeling was applied to respond to Aims 2 and 3. Findings: Age and previous history of crime were significant predictors for drop-out. Clients who dropped out were 1.67 times more likely to return to compulsory care and the hazard of dying was 16% higher than for those who dropped-out. Conclusion: This study finds that 59% of clients assigned to compulsory care drop-out. Younger individuals are significantly more likely to drop-out. Those who drop out are significantly more likely to experience negative outcomes (additional sentence to compulsory care and higher risk of mortality). Interventions need to be implemented that increase motivation of youth to remain in compulsory care.
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| 15. |
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| 16. |
- Wagman, Jennifer A., et al.
(författare)
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Process evaluation of the SHARE intervention for preventing intimate partner violence and HIV infection in Rakai, Uganda
- 2018
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Ingår i: Evaluation and Program Planning. - : Elsevier. - 0149-7189 .- 1873-7870. ; 67, s. 129-137
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Tidskriftsartikel (refereegranskat)abstract
- The Safe Homes And Respect for Everyone (SHARE) intervention introduced an intimate partner violence (IPV) prevention approach into Rakai Health Sciences Program, an established HIV research and service organization in Uganda. A trial found exposure to SHARE was associated with reductions in IPV and HIV incidence. This mixed methods process evaluation was conducted between August 2007 and December 2009, with people living in SHARE intervention clusters, to assess awareness about/participation in SHARE, motivators and barriers to involvement, and perceptions of how SHARE contributed to behavior change. Surveys were conducted with 1407 Rakai Community Cohort Study participants. Qualitative interviews were conducted with 20 key informants. Most (77%) were aware of SHARE, among whom 73% participated in intervention activities. Two-thirds of those who participated in SHARE felt it influenced behavior change related to IPV. While some felt confident to take part in new IPV-focused activities of a well-established program, others were suspicious of SHARE's motivations, implying awareness raising is critical. Many activities appealed to the majority (e.g., community drama) while interest in some activities was limited to men (e.g., film shows), suggesting multiple intervention components is ideal for wide-reaching programming. The SHARE model offers a promising, acceptable approach for integrating IPV prevention into HIV and other established health programs in sub-Saharan Africa.
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| 17. |
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| 18. |
- Wojnicka, Katarzyna, 1981, et al.
(författare)
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New pathways in the evaluation of programmes for men who perpetrate violence against their female partners
- 2016
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Ingår i: Evaluation and Program Planning. - : Elsevier BV. - 0149-7189. ; 57, s. 39-47
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Tidskriftsartikel (refereegranskat)abstract
- Today, evaluation research in the field of intervention programmes for men who perpetrate violence against their female partners still makes a fragmentary impression. Across Europe various evaluation studies have been performed. However, the methodologies applied are too heterogeneous to allow the combination of the results in a meta-analytical way. In this paper we propose a future pathway for organising outcome evaluation studies of domestic violence perpetrator programmes in community settings, so that today's problems in this field can be overcome. In a pragmatic framework that acknowledges the limited pre-conditions for evaluation studies in the area of domestic violence perpetrator programmes as it is today, feasible approaches for outcome evaluation are outlined, with recent developments in the field taken as starting points. The framework for organising future evaluation studies of work with perpetrators of domestic violence is presented together with a strategy to promote this framework. International networks of practitioners and researchers play a central role in this strategy through upskilling the area of practical work, preparing the ground for evaluation research and improving cooperation between practitioners and researchers. This paper is based on the results of the European funded project IMPACT (under the Daphne-Ill-funding programme of the European Commission).
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