Department of Public Health, Environments & Society, Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, London, UK.
International Centre for Reproductive Health: Mozambique, Mozambique.
Glob Health Promot. 2024 Sep;31(3):137-140. doi: 10.1177/17579759241232387. Epub 2024 Mar 4.
Theories of change explaining how interventions work are increasingly important, yet the methods/data to develop these are less advanced than for evaluating effects.
We conducted a systematic evidence synthesis to develop a theory of change for structural adolescent contraception interventions. We reflect on the utility of the information provided in evaluation reports.
FINDINGS/DISCUSSION: Few of the included evaluations presented their theory of change, or included rich, qualitative process data. Authors' descriptions of context and implementation, typically in introduction and discussion sections, were very useful. These helped to understand the intervention's context, how it was experienced and why or how it had the effect that it did. We recommend incorporating rich process evaluations into studies, and reporting contextual insights into the intervention's development, implementation and experience. We also recommend including these data and insights within syntheses that aim to develop theories of change.
解释干预措施如何发挥作用的变革理论变得越来越重要，但与评估效果相比，开发这些理论的方法/数据还不够先进。
我们进行了系统的证据综合，以制定结构性青少年避孕干预措施的变革理论。我们反思了评估报告中提供的信息的实用性。
结果/讨论：很少有纳入的评估报告提出了他们的变革理论，或者包括了丰富的定性过程数据。作者对背景和实施情况的描述，通常在引言和讨论部分，非常有用。这些有助于理解干预的背景、实施情况以及为什么或如何产生影响。我们建议在研究中纳入丰富的过程评估，并报告干预措施的发展、实施和经验方面的背景见解。我们还建议在旨在制定变革理论的综合研究中纳入这些数据和见解。
