Mechanisms of implementing public health interventions: a pooled causal mediation analysis of randomised trials.

ABSTRACT:

Background

The World Health Organization recommends that nations implement evidence-based nutritional guidelines and policies in settings such as schools and childcare services to improve public health nutrition. Understanding the causal mechanism by which implementation strategies exert their effects could enhance guideline implementation. The aim of this study was to assess the mechanisms by which implementation strategies improved schools and childcare services' adherence to nutrition guidelines.

Methods

We conducted a mechanism evaluation of an aggregated dataset generated from three randomised controlled trials conducted in schools and childcare services in New South Wales, Australia. Each trial examined the impact of implementation strategies that targeted Theoretical

SUBMITTER: Lee H 

PROVIDER: S-EPMC5848564 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature