Research outcomes informing the selection of public health interventions and strategies to implement them: A cross-sectional survey of Australian policy-maker and practitioner preferences

Background
A key role of public health policy-makers and practitioners is to ensure beneficial interventions are implemented effectively enough to yield improvements in public health. The use of evidence to guide public health decision-making to achieve this is recommended. However, few studies have examined the relative value, as reported by policy-makers and practitioners, of different broad research outcomes (that is, measures of cost, acceptability, and effectiveness). To guide the conduct of research and better inform public health policy and practice, this study aimed at describing the research outcomes that Australian policy-makers and practitioners consider important for their decision-making when selecting: (a) public health interventions; (b) strategies to support their implementation; and (c) to assess the differences in research outcome preferences between policy-makers and practitioners.

Method
An online value-weighting survey was conducted with Australian public health policy-makers and practitioners working in the field of non-communicable disease prevention. Participants were presented with a list of research outcomes and were asked to select up to five they considered most critical to their decision-making. They then allocated 100 points across these – allocating more points to outcomes perceived as more important. Outcome lists were derived from a review and consolidation of evaluation and outcome frameworks in the fields of public health knowledge translation and implementation. We used descriptive statistics to report relative preferences overall and for policy-makers and practitioners separately.

Results
Of the 186 participants; 90 primarily identified as policy-makers and 96 as public health prevention practitioners. Overall, research outcomes of effectiveness, equity, feasibility, and sustainability were identified as the four most important outcomes when considering either interventions or strategies to implement them. Scores were similar for most outcomes between policy-makers and practitioners.

Conclusion
For Australian policy-makers and practitioners working in the field of non-communicable disease prevention, outcomes related to effectiveness, equity, feasibility, and sustainability appear particularly important to their decisions about the interventions they select and the strategies they employ to implement them. The findings suggest researchers should seek to meet these information needs and prioritize the inclusion of such outcomes in their research and dissemination activities. The extent to which these outcomes are critical to informing the decision of policy-makers and practitioners working in other jurisdictions or contexts warrants further investigation.

Contributors

1. The University of Newcastle, Australia (Principle investigator Associate Professor Luke Wolfenden)
2. The Australian Prevention Partnership Centre (TAPPC)
3. Hunter New England Population Health (HNEPH)
4. Cochrane Public Health (CPH)
Luke Wolfenden, Alix Hall, Adrian Bauman, Andrew Milat, Rebecca Hodder, Emily Webb, Kaitlin Mooney, Serene Yoong, Rachel Sutherland & Sam McCrabb

Publication

Journal: BMC Health Research Policy and Systems
Volume: 22
Issue: 58
Pages: -
Year: 2024
DOI: 10.1186/s12961-024-01144-4

Further Study Information

Current Stage: Completed
Date: July 2019 - 2022
Funding source(s): This study was funded in part by a National Health and Medical Research Council (NHMRC) Centre for Research Excellence – National Centre of Implementation Science (NCOIS) Grant (APP1153479) and a New South Wales (NSW) Cancer Council Program Grant (G1500708). LW is supported by an NHMRC Investigator Grant (G1901360).


Health Area

Disease Category: Public health

Disease Name: N/A

Target Population

Age Range: 18 - 120

Sex: Either

Nature of Intervention: Prevention

Stakeholders Involved

- Policy makers
- Researchers
- Other

Study Type

- Recommendations made

Method(s)

- Survey

An online value-weighting survey was conducted with Australian public health policy-makers and practitioners working in the field of non-communicable disease prevention. Participants were presented with a list of research outcomes and were asked to select up to five they considered most critical to their decision-making. They then allocated 100 points across these – allocating more points to outcomes perceived as more important. Outcome lists were derived from a review and consolidation of evaluation and outcome frameworks in the fields of public health knowledge translation and implementation. We used descriptive statistics to report relative preferences overall and for policy-makers and practitioners separately

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