Sydney School of Public Health, The University of Sydney, Sydney, NSW 2050, Australia.
The Australian Prevention Partnership Centre, Level 3, 30C Wentworth Street, Sydney, NSW 2037, Australia.
Int J Environ Res Public Health. 2023 May 31;20(11):6014. doi: 10.3390/ijerph20116014.
Scaling up effective interventions in public health is complex and comprehensive, and published accounts of the scale-up process are scarce. Key aspects of the scale-up experience need to be more comprehensively captured. This study describes the development of a guide for reflecting on and documenting the scale-up of public health interventions, to increase the depth of practice-based information of scaling up. Reviews of relevant scale-up frameworks along with expert input informed the development of the guide. We evaluated its acceptability with potential end-users and applied it to two real-world case studies. The Scale-up Reflection Guide (SRG) provides a structure and process for reflecting on and documenting key aspects of the scale-up process of public health interventions. The SRG is comprised of eight sections: context of completion; intervention delivery, history/background; intervention components; costs/funding strategies and partnership arrangements; the scale-up setting and delivery; scale-up process; and evidence of effectiveness and long-term outcomes. Utilization of the SRG may improve the consistency and reporting for the scale-up of public health interventions and facilitate knowledge sharing. The SRG can be used by a variety of stakeholders including researchers, policymakers or practitioners to more comprehensively reflect on and document scale-up experiences and inform future practice.
将有效的公共卫生干预措施扩大规模是复杂而全面的，而且关于扩大规模过程的已发表报道很少。需要更全面地捕捉扩大规模经验的关键方面。本研究描述了开发公共卫生干预措施扩大规模反思和记录指南的过程，以增加扩大规模实践信息的深度。对相关扩大规模框架的审查以及专家意见为指南的制定提供了信息。我们对潜在的最终用户进行了评估，并将其应用于两个真实案例研究。扩大规模反思指南 (SRG) 为反思和记录公共卫生干预措施扩大规模过程的关键方面提供了结构和流程。SRG 由八个部分组成：完成背景；干预措施的实施、历史/背景；干预措施的组成部分；成本/供资策略和伙伴关系安排；扩大规模的环境和实施；扩大规模过程；以及有效性和长期结果的证据。利用 SRG 可以提高公共卫生干预措施扩大规模的一致性和报告质量，并促进知识共享。该指南可由各种利益相关者（包括研究人员、政策制定者或从业人员）使用，以更全面地反思和记录扩大规模的经验，并为未来的实践提供信息。
