An analysis of the adaptability of a professional development program in public health: results from the ALPS Study
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Le résumé fourni par la source
BACKGROUND: Professional development is a key component of effective public health infrastructures. To be successful, professional development programs in public health and health promotion must adapt to practitioners' complex real-world practice settings while preserving the core components of those programs' models and theoretical bases. An appropriate balance must be struck between implementation fidelity, defined as respecting the core nature of the program that underlies its effects, and adaptability to context to maximize benefit in specific situations. This article presents a professional development pilot program, the Health Promotion Laboratory (HPL), and analyzes how it was adapted to three different settings while preserving its core components. An exploratory analysis was also conducted to identify team and contextual factors that might have been at play in the emergence of implementation profiles in each site. METHODS: This paper describes the program, its core components and adaptive features, along with three implementation experiences in local public health teams in Quebec, Canada. For each setting, documentary sources were analyzed to trace the implementation of activities, including temporal patterns throughout the project for each program component. Information about teams and their contexts/settings was obtained through documentary analysis and semi-structured interviews with HPL participants, colleagues and managers from each organization. RESULTS: While each team developed a unique pattern of implementing the activities, all the program's core components were implemented. Differences of implementation were observed in terms of numbers and percentages of activities related to different components of the program as well as in the patterns of activities across time. It is plausible that organizational characteristics influencing, for example, work schedule flexibility or learning culture might have played a role in the HPL implementation process. CONCLUSIONS: This paper shows how a professional development program model can be adapted to different contexts while preserving its core components. Capturing the heterogeneity of the intervention's exposure, as was done here, will make possible in-depth impact analyses involving, for example, the testing of program-context interactions to identify program outcomes predictors. Such work is essential to advance knowledge on the action mechanisms of professional development programs.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- An analysis of the adaptability of a professional development program in public health: results from the ALPS Study
- Date Crossref
- 14/06/2015
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Université de Montréal IRSPUM pays non établi dans la noticeUniversité ou école supérieure
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McGill University Department of Family Medicine pays non établi dans la noticeUniversité ou école supérieure
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University of Ottawa pays non établi dans la noticeUniversité ou école supérieure
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Montfort Hospital pays non établi dans la noticeÉtablissement de santé
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Wilfrid Laurier University pays non établi dans la noticeUniversité ou école supérieure
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Montreal Police Service pays non établi dans la noticeOrganisme public
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Faculty of Nursing pays non établi dans la noticeUniversité ou école supérieure
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Institut de recherche de l'Hôpital Montfort pays non établi dans la noticeStructure de recherche
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Telfer School of Management pays non établi dans la noticeUniversité ou école supérieure
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Montreal Health and Social Services Agency Public Health Directorate for Montreal pays non établi dans la noticeOrganisme public
IRSPUM — Université de Montréal, Department of Family Medicine — McGill University et University of Ottawa, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.