6th UK and Ireland Implementation Science Research Conference 2023
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PRESENter
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Biography
Yuki Seidler is a Global Health, Health Equity and Qualitative Methodology lecturer at the University of Vienna and a Visiting Fellow at the Ludwig Boltzmann Gesellschaft, Open Innovation in Science Centre. She has an interdisciplinary background in Public Health, International Relations, Policy Studies and Health Sociology. Besides being an academic, she has worked many years in the field of Humanitarian and Development Aid in various countries in Asia with the International Red Cross and Red Crescent Movement, and shortly with the International Organization for Migration (IOM) in Austria. Her research goal is to combine her practical and academic expertise in analysing policy-implementation/ theory-reality gaps related to Social and Health Inequity, Global Health, and Migration Policies with focus on implementation processes. She is a strong advocate of participatory approaches, and public and patient involvement in health research.
Professor Anne MacFarlane is founder and overall academic lead for the Public and Patient Involvement Research Unit, which is a WHO Collaborating Centre for Participatory Health Research with Refugees and Migrants. She is a social scientist with extensive experience of qualitative research, participatory health research, implementation science and refugee and migrant health. Anne is Principal Investigator for multiple national and international participatory health research projects. She was Co-ordinator for the 2.9 million euro EU funded participatory, implementation science RESTORE project (2011-2015). Anne is active in international networks in the United Kingdom, Europe and North America to advance the evidence base about best practice for participatory implementation research. Her current research interests centre around the sociological concept of participatory space and how this can enhance understanding about health decision-making and knowledge translation. Anne was PI for the HRBand IRC-funded PPI IGNITE (2018-2021) and part of UL’s team for the HRB and IRC funded PPI Ignite National Network (2021-2026). In recent years, she has successfully co-ordinated participatory research about migrant health: the EU-funded RESTORE (2011-2015) REsearch into implementation STrategies to support patients of different ORigins and language background in a variety of European primary care settings and the HRB-funded EMH-IC (2016-2019) Ethnic Minority Health in Ireland – building the evidence base to address health inequities.
background
Work in the field of implementation science has recently taken up a focus on health equity issues . This paper presents a protocol to advance the state of the art, building on pioneering work that integrated Normalisation Process Theory (NPT)—a theoretical framework developed to understand implementation processes—with Participatory Learning and Action (PLA) research—a method of co-creating intervention and translational action. In an EU funded project (2011-2015), this combined approach was found effective in: 1) addressing the exclusion of migrants in health research, and 2) understanding the implementation processes of using trained interpreters in supporting migrants in European primary healthcare systems. It could not conclude, however, if PLA was the optimal method to be integrated with NPT in terms of representation, efficiency and effectiveness. Evidence about comparative merits of PLA vis a vis other co-creation methods is required. This paper asks how does a participatory, online Delphi method compare with PLA in NPT informed implementation research.
MEthod
This is a participatory health research study using NPT as a conceptual heuristic device. It is a comparative, instrumental case study using ‘implementation work to normalise trained interpreters in Austrian healthcare settings’ as the case. Purposive sampling will guide recruitment of community and health sector participants in two regional health authorities. Fieldwork will be informed by literature reviews and involve prospective, parallel use of NPT-PLA (site 1) and NPT-online Delphi (site 2) to investigate and support the development of implementation action plans. A qualitative comparative analysis of the action plans and participants’ experiences will be conducted.
results
This project will generate new knowledge about co-creation methods in theoretically informed implementation research.
Conclusion
Findings will inform transdisciplinary participatory approaches and patient-centred and inclusive models of practice in theory-informed implementation science research.