Trompette Justine, Kivits Joëlle, Minary Laetitia, Cambon Linda, Alla François
EA 4360 Apemac, Faculté de médecine, Université de Lorraine, 54250 Vandœuvre-lès-Nancy, France.
BMC Public Health. 2014 Nov 4;14:1134. doi: 10.1186/1471-2458-14-1134.
The effects of health promotion interventions are the result not only of the interventions themselves, but also of the contexts in which they unfold. The objective of this study was to analyze, through stakeholders' discourse, the characteristics of an intervention that can influence its outcomes.
This case study was based on semi-structured interviews with health promotion stakeholders involved in a regional program (PRALIMAP). General hypotheses on transferability and on how the intervention is presumed to produce its effects were used to construct an interview guide. Interviews were analyzed using thematic coding.
Twenty-three stakeholders were interviewed. Results showed stakeholders made few references to population and environment characteristics. Three themes emerged as significant for the stakeholders: implementation modalities and methodology, modalities used to mobilize actors; and transferability-promoting factors and barriers.
Our work contributes to a better understanding not only of transferability factors, but also of stakeholders' perceptions of them, which are just as important, because those perceptions themselves are a factor in mobilization of actors, implementation, and transferability.
健康促进干预措施的效果不仅取决于干预措施本身，还取决于其实施的背景。本研究的目的是通过利益相关者的论述，分析能够影响干预结果的干预措施的特征。
本案例研究基于对参与一项区域计划（PRALIMAP）的健康促进利益相关者进行的半结构化访谈。关于可转移性以及干预措施如何产生效果的一般假设被用于构建访谈指南。访谈采用主题编码进行分析。
对23名利益相关者进行了访谈。结果显示，利益相关者很少提及人群和环境特征。对利益相关者来说，出现了三个重要主题：实施方式和方法、用于动员行动者的方式；以及促进可转移性的因素和障碍。
我们的工作不仅有助于更好地理解可转移性因素，还有助于更好地理解利益相关者对这些因素的看法，而这些看法同样重要，因为这些看法本身就是动员行动者、实施和可转移性的一个因素。
