Table 1.
A concise overview of the 5 sub-studies of CIAO
| Substudy nr. | Theme | ACCs | Research phases | |||
|---|---|---|---|---|---|---|
| Identification phase | Development phase | Testing phase | Adaptation & finalization phase | |||
| 1 | Political-administrative support | Limburg | - Literature review on operational criteria of integrated public health policies | - Develop a conceptual framework which describes the process of developing integrated public health policies. | - Apply developed conceptual framework | - Focus groups with actors at strategic and tactical levels within Dutch local governments to find solutions for previously identified barriers |
| - Interviews with local governmental officials and key-informants, and theoretical reflections to gain insight in the process of developing integrated public health policies | - Interviews with local governmental officials to gain insight in hampering or facilitating factors for intersectoral collaboration | - Refinement of the developed conceptual framework based on the outcomes of the previous studies | ||||
| - Interviews with key-informants within the policy process to explore existing 'interventions for the development of integrated public health policies’ | - Comparison of cases to gain insight in the effects of implementation style on interventions aimed at local governmental officials | - Refinement of the developed conceptual framework based on the outcomes of the previous studies | ||||
| Extra: | - Developing a program or policy resource that might be able to stimulate or facilitate the development of integrated public health policies | |||||
| - Test and evaluate the developed framework in Australia (NSW) - data-collection through interviews with General Managers, Directors of Community Services, Health officials and Environment and Recreation officials, and a document analysis. | ||||||
| 2 | Social marketing | - CEPHIR/Eras mus/ GGD Rotterdam | - Benchmarks | - Monitoring case-studies | - Evaluation of case-studies using developed monitoring format | - Adapting monitoring tool for Dutch setting |
| - Analyses of Determinants of healthy weight among children | - Develop practical monitoring tool | - Overview of determinants of applying social marketing | ||||
| - Selecting case-studies (interventions to promote healthy weight in childhood based on Social Marketing approach) | ||||||
| 3 | Implementation | Noordelijk Zuid-Holland | - Systematic Review of design and quality of implementation research regarding complex integrated programs targeting overweight | - Construction of process evaluation plan & several instruments to evaluate the innovation process | - Longitudinal case-studies (5x): Interviews, questionnaires, focus groups, observational research document analyses & semi-action research social network analysis | - An overview of the level and determinants of the innovation process of the integrated approach |
| - Consultation with experts and local project managers | - Parents versus teachers, the relation between task-orientation and implementation | - Guidelines/ indicators for the innovation process | ||||
| - If needed, adaptation of framework Fleuren et al [37] (for innovation process of the integrated approach) | ||||||
| 4 | Strengthening parenting styles and practices in existing interventions | AMPHI Nijmegen | - Analyses existing data: attitudes professionals and parents on overweight | - Development of a web-based parenting intervention (with the aim of strengthening existing overweight preventing interventions in children) | - Testing the effectiveness of this web-based intervention in a two-armed cluster randomized controlled trial | - Web-based parenting intervention to prevent overweight in children |
| - Literature search of the role of parenting in interventions to prevent overweight in children | - Development of an 'local pedagogical message regarding overweight and obesity’ applicable by all local professionals working with children and their parents | - Focus groups with parents to improve the textual content of the ' local pedagogical message’ | - local pedagogical message | |||
| - Analyses of existing interventions for children and attached parental interventions | - Effect and process evaluation of implementation | |||||
| - Focus groups to gain more insight and get specific examples of difficult daily life situations in which mothers experience problems in promoting healthy eating and physical activity among their children | ||||||
| 5 | Monitoring & Evaluation | VU University Amsterdam/Windesheim University Zwolle | - Description of EPODE logic model | - Development of evaluation handbook (1.0) and evaluation tools | - Use of Evaluation Handbook (1.0) by JOGG municipalities | - Adaptation and Finalization of: evaluation handbook (2.0), evaluation planning matrix, evaluation training |
| - Evaluation literature | - Development of evaluation training | - Focus groups on evaluation handbook and evaluation training | ||||
| - Interviews with Dutch experts | - JOGG program goals and objectives | - Feedback on evaluation tools and evaluation planning matrix | ||||
| - Comprehensive analyses of evaluation frameworks | - Development evaluation planning matrix | - Data-collection from all CIAO sub-studies inserted in evaluation framework | ||||